Pearce and Nair (2015) agreed that blood pressure is the pressure exerted by blood within the blood vessel. The systolic blood pressure is when the heart contracts and diastolic when the heart relaxes (Timby 2009, p 199). In addition to this, Miller ( 2010, p 4 - 5) states normal systolic blood pressure is 120 mmHg and diastolic 80 mmHg. I placed the cuff above patient's right anti-cubital fossa when I realized I was not supporting her arm; therefore, I made her comfortable by placing a pillow under her arm. Whilst inflating the cuff, the assessor pointed me out I was holding the manometer on my hand; therefore, I rapidly hung it on the upper edge of the cuff where I could see it.…
She had not repeated the 2D echocardiogram as recommended previously. She reported getting fatigued easily and feel dyspneic with low amounts of exertional efforts. The physical examination was unremarkable. It was noted that the claimant had no signs of heart failure at this time of visit. She has had palpitations in the past and event monitors had shown sinus tachycardia which was likely related to her anxiety, chronic pain syndrome, and fibromyalgia.…
1. The 48 years old Native American women presenting to the Indian Hospital is taking Lisinopril because of hypertension as one of the conditions documented in her past medical history. Hypertension is supported by the current measurements of the blood pressure readings of 165/100. Lisinopril is an angiotensin –converting enzyme inhibitor (ACE) considered as one of the first line treatment option for hypertension. The pharmacological mechanism of action for Lisinopril is to inhibit the action of angiotensin- converting enzyme by preventing conversion of angiotensin I to angiotensin II which will result in decreased vasoconstriction of the vessels and water reabsorption.…
Describe the pathophysiology of left-sided heart failure. The left side of the heart supplies oxygenated blood to the systemic circulation. When there is a left-sided heart failure, the heart is unable to pump enough blood to meet the body’s needs for oxygenated blood. There is also increased pressure in the atrium which in turn also causes elevated pressure in the lungs that results in pulmonary congestion and edema.…
In spite of difficulty communicating due to numbness patient was able to call ambulance and was delivered to ED. By that time Dr. Westwood had diaphoresis, motor dysfunction, paresthesias, nausea and an ascending paralysis. Dr. Westwood was cyanotic and hypoventilating. He developed bradycardia with a BP of 90/50 mmHg. Based on observed symptoms conclusion was made…
The patient is a 57 year old female who went to the Urgent Care due to a complaint of shortness of breath, weakness and leg edema. She was seen by the Urgent Care Physician who advised her that she has fluid overload with severe hypertension and a holosystolic murmur. She was then sent to the ER for further observation. Her religious preference is Catholicism. N.E. has no known allergies.…
He converses appropriately. He is in no acute distress. Blood pressure 140/70. Pulse is 60 and regular. Weight 166 pounds.…
Database and Assessment Table 1 – Physical Nursing Assessment Data GENERAL: Patient is an 88 year-old Caucasian male. Vital signs stable at 97.3°F, 82BPM, 22 breaths/min, 84/54mmHg, 100% on 1.5lL O2, 0/10 pain, patient weight 58kg. SKIN/HAIR/NAILS: Skin was thin and fragile, warm and moist, skin color slightly pale, skin tear on left upper arm measuring 3 inches, no bleeding or pain.…
The patient is a 93-year-old lady who is brought to St. Joe's for primary care doctor's office. The patient evidently had a fall witnessed by her neighbor. The neighbor brought her to her primary doctor's office and then referred to the ED. Th patient has a history of some early dementia has difficulty answering questions but she denies pain anywhere. She is evidently on Plavix secondary to a past CVA.…
At today’s visit he is accompanied by his wife, he is awake, alert and oriented. He reports dull, left flank pain, severity 4/10, cancer related, manage with Percocet 10/325 mg. He states that he was talking morphine Er 30 mg, but has stopped the morphine because his pain improved.…
A review of his medical record indicates a medical history of peripheral edema, chronic pain Seizures, Hypotension, Prostate cancer, bladder removal, sleep apnea, NIDDM, gout, kidney stones, neuropathy, pulmonary embolus-has filter, DVTin right leg, chronic edema in right leg and chronic pain syndrome. At today’s visit he is accompanied by his wife. He is homebound due to his immobility. His wife reports that his immobility started 8 years ago.…
Introduction Perfusion is a very important aspect to the human body. Perfusion is defined as the flow of blood through arteries and capillaries that deliver oxygen and nutrients to the cells and removing cellular waste from the body (Giddens, 2013, p. 148). For us to maintain optimal perfusion, we need are heart to generate sufficient cardiac output. This means transporting the blood through patent blood vessels to supply the tissues throughout the body. Impaired perfusion may occur when the blood supply is reduced or completely interrupted (Giddens, 2013, p. 148).…
There was right chest and left knee tenderness noted. He has CT scans and X-Rays. His work up was notable for right-sided rib fractures. The patient was counseled to stay in the hospital overnight due to multiple fractures, but he denied. He was given IV fluids.…
Abnormal assessments included respiratory, cardiovascular, peripheral vascular, neurological, urinary, gastrointestinal, musculoskeletal, hematologic, and endocrine. The patient also had an abnormal dietary and eating habits. Objective data was obtained through vital signs and intake and output measurements. Assessment of blood pressures and looking at previously documented blood pressure readings in his chart led to the assumption of hypertension. His primary care physician further confirmed this as a medical diagnosis.…
The patient (pt) in room 584 is an 84-year-old Caucasian woman who was transferred to Lynchburg General hospital on December 12, 2016 from Stonewall hospital in Lexington in order to receive pulmonary care. Though she was admitted for unspecified dementia without behavioral disturbances, she was originally hospitalized at Stonewall since September 21, 2016 for atrial fibrillation with a low ventricular response rate, and dyspnea. She has co-morbidities of Parkinson’s disease and Lewy body dementia, and will be discussed first with the inclusion of signs, symptoms, related lab tests, and diagnostic values. She also has a long history of tobacco abuse in the form of smoking. When admitted, her vital signs were as followed: a pulse rate of 54, respirations at 16, blood pressure of 119/71 mmHg, a pulse oximetry reading of 97% on 3L of supplemental oxygen per nasal cannula, and was reportedly afebrile.…