in the ICU all the while finishing my Bachelor’s degree in nursing. As a CRNA I aspire to deliver high-quality, holistic, evidence-based anesthesia and pain care services for my patients. I want to ensure each of my patients will look back at the surgery with no complaints regarding the anesthesia. One day I would like to take what I learn from CRNA School and use it to help those in clinical settings as a clinical instructor. I have made many sacrifices to get to this point of applying to CRNA…
A patient named RG has ischaemic heart disease with two previous myocardial infarctions (MIs) is admitted to ICU after undergoing coronary artery bypass grafting. After surgery, his preoperative ejection fraction was 45%. He also has controlled hypertension and hypercholesterolaemia. He needs mechanical ventilation and pulmonary artery catheter in place. His blood pressure and urine output have fallen after one hour admission to the ICU. He has no signs of ischaemia, tamponade and acute MI. He…
known as the blue baby syndrome. The impact on medicine that the two heart surgeon pioneers will have on John Hopkins Hospital will save the lives of many children and lead to the invention of many surgical procedures such as cardiac surgery and the coronary bypass that will forever change the face of medicine and take doctors to a new level of knowledge.…
old man who lives alone, his wife passed away about 4 years ago. He has a history of hypertension and has been taking Lisinopril since 1989. He has high cholesterol and is currently on simvastatin. He had a triple heart bypass in 2005 and was started on carvedilol after the surgery. He also takes aspirin, vitamin D3, calcium and Zoloft. With his cardiac history his top four priority medications are carvedilol,…
Coronary artery disease is said to be the most common cause of heart failure, as time goes on your body’s arteries become narrow from build-up of fatty deposits (atherosclerosis), therefore blood flow is reduced. Eisen et al state that a myocardial infarction is one major cause of heart failure in patients with coronary artery disease (10). When you have a high blood pressure this is called hypertension, a high…
sat in on was a bi-CABG surgery, which stands for Coronary Artery Bypass Grafting. A CABG is a type of procedure that is done to improve the blood flow to a person’s heart. The second procedure that I got to sit in on was a laparoscopic hiatal hernia repair. A hiatal hernia is when a part of a person’s stomach pushes through the small opening of the diaphragm and into that person’s chest area. The laparoscopic, or also known as minimally invasive surgery, is a type of surgery that consists of…
the heart. I was in awe of his comfort with teaching an undergraduate student how to successfully execute a coronary artery bypass surgery, as if he knew I was interested in that specialty. He explained the condition of the patient and while I did not understand the terminology, I nodded with the satisfaction that one day I would. It was the first time I had observed an open heart surgery. The one-on-one lesson I received made me forget the original purpose of the observation, which was to…
I graduated in 1999 with a Bachelor’s Degree in Nursing. Since then I haven’t ceased gaining as much knowledge and experience as I could to excel as a bedside nurse. After working for a total of fifteen years, I am now ready to seek a more advanced nursing education. Due to the school’s strong clinical focus, a well-organized curriculum, and a very supportive faculty, I wish to pursue a degree in Master of Science in Nurse Anesthesia at your prestigious institution. I began working in an…
The heart is considered the “engine of life” through its ability to rhythmically pump oxygen rich blood throughout the body to supply life. Unfortunately, this vital organ is vulnerable to damage through actions of everyday life ranging from smoking, diet, physical inactivity, and consumption of alcohol. Damage to the heart results in heart disease, also known as cardiovascular disease. Because of the vast complexity of the heart, heart disease branches off into various categories including…
Difficulty in micturition is known as difficulty in the discharge of the urine from the bladder. 3. TURD – Trans Urethral Resection of Prostate is a surgery used to treat urinary problems due to an enlarged prostate. 4. BNR – Bladder Neck Reconstruction 5. LSCS – Lower Segment Caesarean section is also called the Kerr Incision and is the use of surgery to deliver one or more babies. 6. RTI – Respiratory Tract Infection is any infectious disease of the upper or lower respiratory tract.…