Electrocardiography

Other tests that can be useful but not used for a definitive diagnosis are hemoglobin and hematocrit studies, chest x-ray, magnetic resonance imaging, and electrocardiography. Treatments Surgical treatment is required but due to TOF being a progressive disorder the timing of the surgery may be different because of the severity of the anomaly. Currently the trend is to have the surgery before the age of one year…

The most intriguing patient during my time at Decatur General Hospital was a man who was admitted with rhabdomyolysis. The patient is a 68-year-old male with a significant past medical history of hip fractures, decubitus ulcers along with sepsis, alcohol abuse, acute blood loss anemia, gastroesophageal reflux disease (GERD), and nicotine abuse. The patient was transferred to Decatur General Hospital Emergency Room from his previous rehabilitation center due to progressively getting weaker and…

Obesity is a chronic disease that is excess body fat that has a major impact on a person’s health. Obesity is associated with many chronic conditions like cardiovascular disease, type two diabetes, osteoarthritis, and cancers. Over sixty percent of adults are considered overweight or obese. Obesity is attributed to an estimate 34,000 new cases of cancer. Obesity is not being talk enough about. People are still eating less fruits and vegetables. People are going to fast food restaurants eating…

Dexmedetomidine versus Granisetron for the management of post spinal shivering Abstract Background: Shivering is one of the most stressful complications for patient and surgeon during spinal anesthesia. In this prospective, randomized, double blinded study we compared the efficacy of Dexmedetomidine versus Granisetron for control of post spinal shivering. Methods: study was conducted on 120 patients, ASA I-III, of either sex, aged 18–60 years, scheduled for elective lower abdominal and lower…

Fluid Management in CRRT The volume of hourly ultrafiltrate removed depends on an hourly fluid balance calculation and assessment of patient’s hemodynamic and fluid status. Hourly fluid goal calculation is the non-CRRT intake, plus fluid loss ordered by the physician, minus non-CRRT output. The system infuses and removes fluid after the fluid balance is calculated, and the desired volumes are input into the system. The system monitors the volume of replacement fluid, dialysate, and the volume of…

single measure was also taken during minute four of the adaptation period for familiarity and to ensure the equipment was functional, however, this data was not recorded. Heart rate was also measured continuously from the QRS complex using electrocardiography (ECG) and spot electrodes placed on the right and left clavicle and lower left rib. Blood pressure (BP) was also continuously measured, this time from the left index finger using a Portapres Model-2? (Finapres Medical Systems, Amsterdam,…

Heart failure (HF) is a complex and progressive clinical syndrome that can result from any structural abnormality or functional impairment of ventricular filling or ejection of blood.1 The term “heart failure” is preferred over “congestive heart failure” because some patients may show no signs or symptoms of volume overload.1 An estimated 5.1 million Americans >20 yrs of age have HF based on NHANES 2007-2010 data.2 By 2030, projection show that the prevalence of HF will increase 25% from…

A PMI located outside these landmarks indicates possible cardiac enlargement, such as with left ventricular hypertrophy. Cardiac enlargement is not necessarily associated with atherosclerosis or carotid artery disease. DIF: Cognitive Level: Apply (application) REF: 697 TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity 4. To auscultate for S3 or S4 gallops in the mitral area, the nurse listens with the a. bell of the stethoscope with the patient in the left lateral position. b.…

Perception and expectation of citizens is an important factor in urban planning, settlement and management. Hence, there is a need of a participatory citizen centric planning of urban settlement based on spatial data. These perception and expectation may be represented in terms of emotions. Determining Urban Emotions is an approach which can be used to map different types of emotions associated with urbanization. In the recent years, some new methods have been presented for the area of urban and…