Heparin

The dilated cardiomyopathy is a progressive and chronic disease of the heart muscles, the most common type of cardiomyopathies, occurring mostly in adults 20 to 60, more common in men, usually starting in the heart's main pumping chamber (left ventricle), the muscles of the heart starts to stretch and to become thinner leading consequently to enlargement inside the chamber of the heart and can spreads to the right ventricle and then to the atria (Bhf.org.uk, 2017). When the heart chambers dilate…

As a Registered Nurse at Central Harnett Hospital, I have implemented patient care covering six, high acuity, telemetry patients per shift including comprehensive assessments, discharge/ admission procedures, and IV drug therapy management such as heparin, magnesium, and antibiotic infusions. I have mastered skills such as medication administration via multiple routes, urinary catheter insertion, ostomy care, and wound care/dressing changes. I have also assisted physicians with central line and…

Introduction Mrs Beecham’s condition requires immediate attention and frequent monitoring during hospitalisation to prevent and reduce the risk of further damage to Mrs Beecham’s future health. The risk of recurrent DVT is high post hospitalisation. Therefore, it is crucial to educate Mrs Beecham how to identify recurrent symptoms of DVT and when to seek medical attention, to discuss the complications of untreated DVT, encourage lifestyle changes, importance of continuous thrombolytic therapy…

fifty nine days straight. The process included having chest tubes in the lungs, and medicine to paralyze her body, so she could not breathe against the ventilator. Also, she received an injected prescription drug known as a blood anticoagulant, or Heparin. She was in many units of the hospital, such as PICU, pediatric intensive care unit, ECMO tech, and the NICU, neonatal intensive-care unit.…

A plethora of individuals have a clue about various heart related diseases, but are unsure of what it exactly is. One of the major cardiovascular diseases is coronary heart disease. In which, the arteries harden and narrow due to plaque buildup that is known as atherosclerosis. Coronary heart disease usually leads to heart attacks because of high blood pressure, smoking, diabetes, and abnormal cholesterol levels. Furthermore, a study conducted by Hambrecht et al. (2000) was to determine if…

On November 14th, 2016 I went back to acute care at Moses Cone. My job for the day was to be the Medication Nurse. So when we were getting report from the leaders, I was assigned 4 patients. Going into the clinical day, I was sort of nervous just because I did not know what the day was going to be like and also because I had not been in the hospital setting, let alone an acute floor, in three weeks. So I brushed up on how clinical and reminded myself of important things that I like to do…

and there was good flow established. The distal left main was assessed closely in view of passing a stent by the left main lesion, and there was no disruption of this area. Integrilin was initiated prior to the intervention, as was the use of heparin in usual doses to maintain ACT at 250 or less. The patient's past history is positive for diabetes, negative for CHF, though he was told many years ago that he had some enlargement of his heart. The patient has been on the following…

As rapidly changing health care system is requiring nurses to advance their educations to meet the complexity of patient care. According to the article “Working to meet the challenge: More nurses with BSNs” (2015), the Institute of Medicine’s Future of Nursing Report came out in 2010 which promoted the advance and continued education for nurses. The report focused on “increasing the proportion of nurses with a baccalaureate degree to 80 percent by 2020” (para. 3). Since then, many hospitals…

This week’s clinical was pretty emotional for me. Since it has been more than 6 months I worked in a medical surgical unit, I was kind of scare that I might forget all the skills I have learned. I begin with a nervous mind to begin my first day of clinical, but as soon as I started the shift, I felt very comfortable. I remembered all the procedures I am supposed to do; I get to learned new skills with my nurse. Since this is the first time I work in Vallejo Kaiser, it has a different environment…

a subcutaneous shot, I was extremely nervous and hesitant due to the lack of fat on the patient. I was so afraid that the needle was going to go through his skin and end up in me! The second medication administration was better. I administered heparin without an issue. Yes! Due to my second injection going so well, I went into my third one with confidence, and it also went well. I know administering injections easily is a small accomplishment, but it made me happy to know that I am making…