S The patient is a 19-year-old gentleman who tells me he has been having a sore throat and congestion for the past two weeks. He was also having a cough that would wake him at night. He states the cough now is better but he continues with copious rhinorrhea and postnasal drip.…
Admitting diagnosis: Transient Ischemic Attack Course of current hospitalization to date: Patient was given 100% supplemental oxygen via nasal cannula. 12-lead electrocardiogram indicating…
He could also have a hiatel hernia, which could also cause pains, the nitroglycerin would also not eleviate his pains. 3.) Also the paramedics hooked him up to an ECG, which did not show any signs of a myocardial infarction. WHY DID DIZZINESS ACCOMPANY HIS ANGINA ? 1.)…
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.…
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 56 year old Bangladesh male came by ambulance due to sudden onset of shortness of breath at 3 o’clock in the morning when he woke up to go to the washroom. The patient also has chest pain, nausea and vomiting, fever and worsening orthopnea The patient is having dementia, hypertension and ESRF stage 4. However, patient reused HD and was under nephro clinic, but planned for palliative management. The patient had been admitted to the hospital due to the same presenting complaint for several times.…
Congenital aortico-left ventricular tunnel (ALVT) is rare and similar to ruptured sinus of Valsalva aneurysm. There are limited reports describing these rare entities and their associated surgical treatment. Between July 2004 and April 2016, three patients of different ages were diagnosed with aortico-left ventricular tunnel: two in infancy and one in adulthood. Diagnosis was challenging in all three patients. Surgical treatment with patch closure was successful in all three patients.…
Response # 2 Hello Tracie Eilerman, Great post on x-ray # 1. This is actually a difficult one especially for someone with limited knowledge. I concur with you that it is essential for the advanced nurse practitioner to be skillful to discern amongst normal and aberration chest image. While the x-ray # 1 depicted aberration, understanding the patient’s symptomatic physiology in vital to aid necessary clue for prompt medical intervention.…
In a case report submitted by Misumi et al. (2010), a 79-year-old man reported with chest pain three days in a row, findings after some testing revealed he had elevated troponins and elevated ST segments on EKG. A 2D echocardiogram showed left ventricular apical akinesis with basal hyperkinesia. He had a coronary angiogram completed, and it showed no stenotic arteries, however they also injected ergonovine which appeared to cause a right coronary artery spasm. The patient was treated with calcium channel blockers and nitrates. A follow up two weeks later showed normal wall motion as well as a sigmoid septum, and normal systolic function.…
In her “What Caused This Man’s Chest Pain if Not a Heart Attack?” (2016), Lisa Sanders asserted that a man’s chest pain could cause doctors to double think about what type of treatment they are prescribing to a patient. Sanders supported her position by using a man’s mysterious chest pain story to inform her audience about misleading symptoms. Sanders’ purpose was to instruct her readers about undiscovered illnesses in order to show how familiar symptoms could be mistaken for something common rather than something rare and dangerous. Given the intimidating language used in the article, Sanders was writing to an intellectual audience with an explanatory tone to show that some things are not as they appear to be.…
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).…
Medical Management Treatment The American College of Cardiology (ACC) and American Heart Association (AHA) released the guidelines on the management of STEMI and NSTEMI in 2013 and 2014, respectively. Mrs. B will be treated based on these guidelines. Immediately on arrival, she will receive the following treatments: supplemental oxygen therapy to keep oxygen saturation greater than 90% or relieve respiratory distress, sublingual nitroglycerin to relieve ischemic pain, and chewable 325mg aspirin for its antiplatelet effect. Morphine sulfate will be considered if chest pain is not relieved by sublingual nitroglycerin or if anxiety or pulmonary edema is present.…
On Tuesday, October 4th, I spent the day at The Miriam Hospital cardiac catheterization laboratory. Cardiac catheterization is an invasive On Tuesday, October 4th, I spent the day at The Miriam Hospital cardiac catheterization laboratory. Cardiac catheterization is an invasive diagnostic procedure that uses imaging equipment to identify if a patient has disease of the heart muscles, valves or coronary arteries (Smeltzer, 2011). Upon arriving at 0720 the nurse manager greeted me and the other student, and gave us a quick tour of the control area and examination room. We were informed about the safety precautions used to protect ourselves from imaging equipment and the patient 's from infection and were instructed to wear a lead apron, surgical…
Wilson, a 60-year-old male was admitted to the cardiac care unit (CCU) with agino and a history of hyptertensia. A coronay angogram was immediately conducted and revealed spasm in the left coronary artery that caused acute myocardy ischemia. Gillian, a 23-year-old college student came to the Emergency Room with a deep cough that produced flem, fever, and chest pain when she coughed. The doctor diagnosed Gillian with neumocal nimonia, an illness that is caused by Streptocus neumonie, a common bacterium that can spread through the air from a cough or a sneeze or from close contact with an infected person. Gillian was advised to discontinue all unnecessary activities until she…
Patterns of Illness and Wellness Nadejda Kan NURS 301 School of Professional Studies CUNY FALL 2016 Abstract This paper addresses the patterns of illness and wellness of a 75-year-old woman presented to the Emergency Department at New York Medical Center with complaints of chest pain. Patterns of Health and illnesses are influenced by different factors such as age, gender, geographical location, social status, genetics, familial history, education and environment. Some of health behaviors that include physical activity, tobacco use, alcohol consumption and diet choices affect the patterns of health and illnesses.…