Stroke is a cerebrovascular accident with sudden onset of focal neurological deficits(s) from either infarction or hemorrhage within the brain. • Ischemic stroke (thrombotic or embolic); 87% • Hemorrhagic stroke (intracerebral or subarachnoid); 13% Risk factors • Age: >45 years; highest during the 7th and 8th decades • Male > Female (3:1), equalizes after menopause • Family history/genetics • Prior stroke or TIA • Smoking, heavy alcohol use, substance abuse (cocaine, amphetamines) •…
it opens in Schlemm's canal. The closed-pipe body resides against the internal wall of Schlemm's canal. The open half-pipe body portion resides against the outer wall of Schlemm’s canal and serves as collector channels. The device is coated with heparin to provide lubrication to the device during the initial…
this antigen. The mast cells have a specific receptor for the Fc portion of IgE called FceRI (a high-affinity receptor). When IgE binds to mast cells the cell became sensitized and activated. However, these mediators such as histamine, tryptase, heparin, chymase, and cytokines are stored in the granules of mast cells. Histamine is thought to be the primary mediator of anaphylactic…
Restrictive cardiomyopathy (RCM) is also known as Diastolic Heart Failure, this “is characterized by restrictive filling and reduced diastolic volume of either [one] or both ventricles with normal or near normal systolic function and wall thickness.” There are many types of Cardiomyopathy, Restrictive cardiomyopathy is the least common type. The tell-tale sign of RCM is diastolic dysfunction. Diastolic dysfunction is when the heart does not fill up correctly, either too slowly or too quickly.…
The patient for this case study is a Caucasian male in his late fifties who is retired. The patient arrives at Roper Rehabilitation Hospital via EMS from home. Patient’s wife reports a friend reported to her an abnormal gait pattern the day prior. Patient’s wife reports slurring of speech today. Patient’s CT scan results indicated Cerebrovascular Accident (CVA)/Hemorrhagic Stroke /saccular aneurysm in the cerebellar brain site. According to O’Sullivan (2007), a stroke (CVA) is an acute onset of…
The key to a successful acute dialysis treatment is the preparation. Dialysis in the hospital, there is only one staff member that knows this process and it is you. There is no one to call if anything goes wrong so being prepared for all aspect is a must. With this being said, a dialysis staff member must know their job inside and out. To insure a dialysis staff monitors their patients for the entire treatment, preparing for the unforeseen is the most important part of this job. When the…
How to Prevent Medication Errors There are several ways to avoid medication errors in the healthcare setting. Common mistakes made when giving out medications include disorganization, miscommunication among hospital staff and careless errors. In the following paragraphs I will explain in detail how to avoid medication errors and the importance of excellent communication and interpersonal skills among nurses and patients. I will also clarify the reasons for common mistakes made in the hospital…
Pulmonary Embolism (PE) is a serious and oftentimes life threatening condition that is sadly easily treatable if caught early. The definition of Pulmonary Embolism is a blockage or thrombi in one of the pulmonary arteries of your lungs (Pulmonary Embolism). Most of these thrombi originate in the veins in your lower extremities; though sometimes the thrombi can come from upper extremity veins, renal, pelvic, or right heart chambers, instead. Once in the pulmonary arteries, large thrombi sometimes…
Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia with a significant impact in morbidity and mortality (1). One of the well-established treatments for symptomatic atrial fibrillation is catheter-based ablation (2). AF ablation is a complex interventional procedure associated with potential risk of thromboembolic complications as periprocedural stroke or transient ischemic attack (TIA) and cardiac tamponade (1, 2). Approximately, from 0 to 7 % of AF patients undergoing…
SW was paged to meet with family. SW talked with nursing staff on the floor who reported Pt was advised she would need to remain in the hospital for another couple of days as they are concerned Pt has developed a PE, and potentially C-Diff. I entered the room and introduced myself to the Pt and her husband. Pt was breastfeeding the baby and appeared frustrated and became tearful. Pt explained she has been through so much and she feels as though she is not getting her questions answered by…