I agree with my decision to rest and elevate the joint area without any heavy lifting or weight bearing activity in the acute gout phase (Cash, 2015). I agree that the patient should increase intake of fluid to produce an output of 2L per day because it prevents development of uric acid kidney stones. I should have educated the patient about the disease process and, importance of NSAIDS for the treatment of an acute gout attack (Saccomano, 2015). I should have included apply ice packs 10 to 20…
Adrenal incidentaloma (AI) refers to an otherwise unsuspected adrenal mass found in up to 5 % of patients undergoing radiological imaging. As high as one in five incidentalomas are functional; hypersecretion of cortisol causing Cushing’s or Subclinical Cushing’s Syndrome (SCS), catecholamines leading to pheochromocytoma, aldosterone resulting in primary aldosteronism (Conn’s syndrome), androgens leading to virilization of patients, and in very rare cases renin manifesting as secondary…
overtime. High blood pressure is a condition where by blood is pumping at a pressure higher than it normally would in the arteries. Obesity alters a number of hormonal levels in our body, which affects our blood pressure, particularly the renin-angiotensin-aldosterone system, that controls the volume of blood in our body and the sympathetic nervous system as well as the level of sodium and water retention in the body. Therefore, with obesity obstructing the way these systems function, it can…
Amiodarone (Cordarone). Mr. Borg received amiodarone (Cordarone) 150 mg IV over 10 minutes (15 mg/min), to treat a supraventricular tachyarrhythmia with a ventricular response over 160 beats/minute. Amiodarone (Cordarone) is used to treat life threatening heart rhythm problems called ventricular arrhythmias (Amiodarone (Intravenous Route), 2015). Amiodarone (Cardarone). The physician prescribed amiodarone (Cordarone) 200 mg po qd to help maintain a normal heart rhythm. This medications is used…
I remember one night on stage, playing at a Relay for Life event, everyone was noticeably having a great time. The other band members seemed really excited, the singer hit every note flawlessly, my guitar was sounding incredible, and one could feel all this energy reciprocating from the loud and engaged crowd. A sense of pure joy grabbed me that night as I gathered my equipment after the show and people came by to say that the group was sensational and that they would love for us to return next…
Hypertension Yocasta Mercedes Xiaopeng Zhou MD MED 115-M03 Summer 2015 Hypertension Is a cardiovascular disease, in which the blood pressure is abnormally high. For a person be Hypertensive the blood pressure has to be higher than 140 over 90 mmHg, this means the systolic reading is over 140 mmHg or the diastolic reading is over 90 mmHg. The blood pressure, in mmHg: Normal blood pressure is less than 120 systolic and when the diastolic is less than 80. Prehypertension is…
Hypertension is an asymptomatic vascular disorder that displays an increased systolic (>120mm/Hg) or diastolic (>80mm/Hg) pressure. The etiology of the disorder is unknown, and is therefore known as an idiopathic disorder but a variety of factors do play a role in the pathogenesis of the disorder such as coarctation of the aorta, salt sensitivity, renal abnormalities, hormonal disorders and neurological malfunctions. Therefore, the manifestation of the disorder is a complex interaction…
statins, calcium channel blockers, and ranolazine, which inhibits the sodium current of the cardiac action potential (Boudi, 2015). For individuals who have already experienced a cardiac event or have documented atherosclerosis, treatments include: Angiotensin-converting enzyme (ACE) inhibitors to reduce blood pressure, antiplatelet agents such as heparin and clopidogrel,…
The importance of tightly regulating plasma volume is to see how much water can a person excrete, and how the total amount of blood volume has a direct effect on plasma osmolarity. As a result, plasma volume has a direct effect on the blood pressure. Basically, when the blood contains low amount of water, it can result in decrease in plasma volume, and increases in serum osmolality which led to blood having increased viscosity (Evans 1. et al. 1506). Additionally, the plasma volume results in…
Mr. Smith is a 58 year old African American male who is a married stock broker with five children. Three of his children are in college while the other two live at home. His normal workday consists of working 10 hour days with an hour drive time to and from his office. This means Mr. Smith has little time to dedicate to exercising. Mr. Smith often experiences headaches, fatigue, malaise, dizziness, vision changes, nausea, and dyspnea. Mr. Smith has been seen by his family physician on four…