MY REFLECTION ON APPLIED CLINICAL ASSESSMENT AND INVESTIGATION IN CARDIOLOGY AND STROKE MODULE EXAMINATION Reflection is an important tool in learning. Critical reflection which is a branch of “critical thinking” allows practitioners brood about their practice and belief, requiring them to step-back and scrutinize their reasoning by asking probing questions (Mezirow, 1990). The module applied clinical assessment and investigation in cardiology and stroke is one of the core courses for Msc…
attack, heart failure, pneumonia, chronic obstructive pulmonary disease (COPD), coronary artery bypass graft (CABG), and total hip/total knee replacement. According to the survey by the Leap Frog Group, in 30 days the number patients under heart attack were 300, under heart failure were 870, under pneumonia were 759, under chronic obstructive pulmonary disease (COPD) were 581, under coronary artery bypass graft (CABG) were 161, and under total hip/total knee replacement were 498.…
faith, I will provide the interpretation that one cannot speak when acting in faith because in faith the ethical is bypassed. This will then be connected with the broader interpretation that since most experience faith through the ethical, the ethical bypass cannot be articulated, not by Abraham, nor de Silentio. This paper will consist of three parts,…
MA. Accessed January,2016 Standard cardiopulmonary bypass alone is a very delicate procedure which requires a focus on the part of the Operation's Team. Considering the dynamics of the procedure and unforeseen complications that may surface, performing cardiac surgery on a pregnant woman with abnormal heart condition increases the likelihood of having an unfortunate incident. This article provides an overview of possible causes that make the cardiopulmonary bypass procedure very challenging…
Coronary artery bypass graft The following case study addresses a patient with coronary artery disease that underwent a coronary artery bypass surgery. The purpose of this discussion on coronary artery disease is as follows: a) to communicate the physical symptoms and the presentation of the patient, b) to discuss coronary artery disease in general and the presentations in women, c) patient outcome and preventative actions. Patient Presentation A 72-year-old Caucasian female presented to her…
later, the origin of life was potentially discovered in a simple laboratory in Chicago, Illinois, leaving everyone who thought differently scratching their heads. Apart from biology, the field of heart surgery changed dramatically when the cardiopulmonary bypass pump made its first successful appearance. The topic of conversation in 1953 was the vast number of significant breakthroughs in the realm of science, especially since such discoveries were thought to be impossible.…
is given during the hemodialysis. As a pediatric OR nurse specializing in open heart surgeries, I immediately asked myself whether our patients undergo the same thing when they receive prophylactic vancomycin dose and then later go through cardiopulmonary bypass (CPB). Vancomycin is given as an antibiotic prophylaxis to patients undergoing cardiac surgery. CPB is an extracorporeal circulation technique that delivers blood flow and oxygen to the body tissues during a surgery that requires the…
when transfusing a pediatric patient. Although it is safe for any pediatric age to receive any type of blood component, it is necessary to first research the amount that should be given. When neonates or infants go through surgery such as cardiopulmonary bypass; a mixture of packed…
Vasoplegic syndrome (VS) is a well-known form of vasodilatory shock that occurs in up to 44% of patients after cardiac surgery employing cardiopulmonary bypass (CPB)(1). CPB is often associated with a systemic inflammatory response and transient vascular dysfunction that results in profound and persistent vasodilation, leading to a decrease in systemic vascular resistance that grounds severe hypotension refractory to proper fluid resuscitation, and an increased requirement for vasopressors…
Specifically these three procedures are angioplasty, coronary artery bypass grafting (CABG), and carotid endarterectomy. The purpose of these three procedures is to clear an artery of any plaque buildup to reduce any chance of cardiac ischemia, angina, thrombosis, or embolism to name a few. These three techniques will help…