Atrial fibrillation

Introduction of Angiotensin-Converting Enzyme Inhibitors LeMone & Burke (2011) stated that in other to accurately discuss angiotensin converting enzyme inhibitors, it is very important to first of all briefly discuss about the three forms of angiotensin. Angiotensin I is produced by the action of renin on a protein called angiotensinogen, which is formed by the liver. Angiotensin I is then transformed into angiotensin II in the blood by the action of angiotensin-converting enzyme ACE.…

My role as Geriatric Psychiatrist, providing care in the general hospital, also enables me to see other aspects of our health care system. Recently, our hospital announced the closing of Geriatric Assessment Clinic due to it’s financial return or lack there of. This is the place where we could refer the Geriatric patients with complex issues that required the team of different disciplines to figure out how to best care for those particular patients. There is no incentive to provide care for the…

On 3/27/2016, Ms. Hoover was seen in the ED at Norman Healthplex Hospital for right knee and upper calf pain, with minimal swelling. There was no history of trauma but she stated that she recently stopped Coumadin and was on injectable Lovenox in anticipation of her elective eye surgery. On examination, she was noted to have discomfort in the medial posterior aspect of the right knee, and reproducible upper right calf discomfort with palpation. Anteroposterior, lateral, and sunrise view…

as “mini strokes” which may be a warning sign for a much more severe attack that can lead to a stroke (National Stroke Association 2014). Risk Factors Individuals that are at risk for TIAs are those who have hypertension, cardiac disease (atrial fibrillation, myocardial infarction, and Valvular disease), diabetes, hyperlipidemia, atherosclerotic disease, cigarette smoking and thrombophilia (Domino, Golding, & Grimes, 2014). Diagnoses…

This type of condition may come and go on its own and is commonly seen in elderly patients. Patients with Atrial Fibrillation are often put on a blood thinner to reduce the risks of strokes since blood flow is not happening properly. Patients may need electro cardioversion to zap the rhythm back to normal. Medicine may include a calcium channel blocker or a beta-blocker…

The patient George is 76 year old who has the subjective complaints of frequent nosebleeds, ecchymosis, runny nose, and cough. His history reveal atrial fibrillation. He is taking medications that include digoxin, warfarin, cimetidine, and pseudoephedrine. There are four problems identified for the patient. First, based on this complaints of frequent nosebleeds, it is noted that the patient is taking cimetidine and warfarin. There is an interaction with his cimetidine and warfarin. This is a…

Providing safe and effective health care relies on the registered nurses (RN) ability to make appropriate clinical decisions in all aspects of health care (Noon, 2014). Fluid and electrolyte imbalance is a serious and life threatening side effect, which is common in elderly patients with comorbidities (LeMone et al., 2011). The use of the clinical decision making cycle prevents adverse patient outcomes (LeMone et al., 2011). Clinical decision-making is defined as the ability to filter and…

“I am ultimately responsible for the team and this error and I personally told the Santillan family about the error that were made and then tried to do everything medically possible to treat Jesica and try to save her life”. After the incident Duke University Hospital made a policy that three crucial members of the transplant team, the transplant surgeon, the transplant coordinator, and the doctors who harvest the organs were to confirm the blood type of the recipient and the donor. These are…

Strokes are the third leading cause of death in the U.S., accounting for 140,000 deaths each year in the U.S., and over 5 million worldwide. They are caused by blood clots or vessel ruptures in the brain, causing the death of the surrounding brain cells. There are two types of strokes: ischemic strokes and hemorrhagic strokes. Ischemic strokes are caused by blot clots that form in the brain, called thrombotic strokes, or form in other body parts and travel to the brain, called embolic strokes.…

Rivaroxaban Rivaroxaban is an anticoagulant medication commonly used in the prevention of cerebrovascular accidents and pulmonary embolism in patients suffering from atrial fibrillation. According to a study published in Thrombosis, a peer-reviewed medical journal, rivaroxaban proves to be just as effective at cerebrovascular accident and pulmonary embolism prevention as warfarin (Gómez-Outes et al., 2013). Rivaroxaban has also been approved for the prevention of venous thromboembolism and deep…