Sallie Mae Fisher is a recently widowed, depressed, 82-year-old-female with congestive heart failure (CHF), atrial fibrillation, and hypertension. She has been hospitalized four times for CHF exacerbation. With limited family support, and a long list of medications, she is having difficulty managing her CHF. During a home health visit, the nurse and nursing student assess Sallie Mae and identify several concerns. This essay will define and prioritize those concerns, and list four interventions…
Introduction: LC-MS is used for the bioanalysis of small molecules drugs, which has molecular mass of less than 800 Da. Now a days, it is also frequently used for the bioanalytical determination of biopharmaceuticals.1 In pharmaceutical R & D, it takes a year to develop a new marketing drug identified from thousands of new compounds. The drug discovery is divided into early and late phase, during which pharmacokinetics study or bioanalysis of a drug is done. Once, the bioanalysis of a drug is…
related not only to its antioxidants, but also to some of its special peptides. Peptides are small pieces of protein, and researchers have discovered several peptides in spinach that can help lower blood pressure by inhibiting an enzyme called angiotensin I-converting…
INTRODUCTION: Losartan Potassium (LSP)[FIG.1.A], 2-n-butyl-4-chloro-1-[p-(o-1Htetrazol- 5-ylphenyl) benzyl]-imidazole-5 methanol monopotassium salt is a highly selective, orally active, non-peptide angiotensin II receptor antagonist indicated for the treatment of hypertension. It has a more potent active metabolite (II, 2-n-butyl-4-chloro-1-[2- (1H-tetrazol-5 yl) biphenyl- 4-yl) methyl] imidazole-5- carboxyl acid)[1]. The determination of Losartan has been carried out in tablets by HPLC,…
Analyse Heath Information Define Hypertension and arteriosclerosis. How are they often related? hypertension is defined as elevation of the arterial blood pressure above the normal range expected in a particular age group. In other words, it refers to HIGH BLOOD PRESSURE. On the other hand, arteriosclerosis refers to any of several conditions affecting the arteries. The term is often used interchangeably with atherosclerosis, a disease of the arteries caused by deposition of fatty plaques in…
Hypertension What is hypertension? In medical terms, hypertension is high blood pressure. When it comes to cardiovascular disease it is very common in the United States. “In fact, it is the most widespread chronic disease in Western society.” (Brill, 2013) There are many prescriptions written for the common diagnosis of hypertension in the United States. According to the book Blood Pressure Down, it is the number one cause of stroke and kidney disease and can be a secondary cause for heart…
Have you ever dealt with dry, itchy eyes? They may sting, or feel gritty or overly sensitive. This is a common condition that affects as many as one in three people. Also known as keratitis sicca or xerophthalmia, dry eyes can result when tear fluid is produced too slowly or evaporates too quickly. While it’s common to ease discomfort in the obvious way — by adding more fluid to the eyes in the form of eye drops — it’s important to investigate what’s behind this seemingly simple, yet…
History and Physical Notes Date of Admission August 6, 2014 Patient Initials B.K. Age/Gender 74/Female Date of Birth 11/29/ 1940 Chief Complaint Swollen and painful legs and feet; shortness of breath. Symptoms Unable to be on her feet for very long; cannot walk long distances; hard time climbing stairs. History of Present Illness Mrs. B.K is a 73 year old Caucasian female presented with edema to both legs and feet, which she’s had for the past 12 years. Patient stated the pain is…
Introduction Cardiovascular disease (CVD) is the leading cause of death globally.1 In Australia, CVD accounts for about 30% of all deaths, killing 43,603 people in 2013.2 Being the national leading cause of death, CVD kills one Australian every 12 minutes.2 The main types of CVD are coronary heart disease, stroke, and heart failure.3 It is estimated that 4.6 million Australian adults have high blood pressure which is a major risk factor for CVD, accounting for 32% of the population.2 Salt is a…
His current medications include metformin (Glucophage), insulin human regular (HumuLIN R), warfarin (Coumadin), furosemide (Lasix), carvedilol (Coreg), captopril (Capoten), potassium (KDur), thiamine (Thiamilate), multi-vitamin (One-A-Day), trazadone (Desyrel), moxifloxicin (Avelox), amiodarone (Cardarone), and a nitroglycerin patch (Nitro-Dur). The ECG revealed that the distal two thirds of the left ventricle were akinetic, and his cardiac catheterization revealed that he had an 80% occlusion…