Myocardial infarction

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…

Alhambra Community Intervention The city of Alhambra is located in the western region of San Gabriel Valley (Service Planning Area 3), which is in Los Angeles County (City of Alhambra, 2016). The city’s total population count as of 2015 is 85, 551 (United States Census Bureau [USCB], n.d.). The largest group in Alhambra are Asians (48.6%), followed by Hispanics (38.9%), Whites (9.4%), two or more races (1.5%), Blacks (1.3%), American Indians (0.2%), and Native Hawaiian and other Pacific…

Generally speaking, most people associate Post-Traumatic Stress Disorder (PTSD) with military personnel and war veterans. However, more and more frequently, traumatic stress syndromes are associated with extraordinary traumas such as travel accidents (plane, car, train, etc.), workplace accidents, violent crimes, and witnessing violence or horrifying incidents. My mom is not a veteran and is diagnosed with PTSD based on early violence in her life and I’ve seen, first hand, how this trauma has…

disease states. However, the sensitivity and specificity of these measurements vary with different pathologies impacting on the ECG’s diagnostic value. In other words, the ECG is useful in some situations such as detecting the presence of a myocardial infarction whilst of limited value in others such as determining the ex- tent of non-viable myocardium. An ECG is indicated…

Heart Failure Even though heart failure is a chronic condition, acute or decompensated heart failures require ICU admission. Otherwise, patients already admitted to the ICU for other diagnoses may be affected by heart failure as a complication. Postmyocardial injury/postinfarction patients and postoperative patients are included in this category. To detect early heart failure or heart failure in compensated stages, ventricular filling pressures are evaluated against stroke volume. The ICU nurse…

During the Body Works experiments the patient performed a number of tasks. The patient performed a task called the Eat Healthy (My Pyramid/Diabetes) where she picked out a number of meals that represented the types of meals that she would eat on any given day. She selected foods like spaghetti and meatballs, a turkey sandwich, hamburger and fries, and a chocolate ice cream bar. After the patient was finished picking through the menu the machine then gave her a total for the amount of calories…

Hypertension (primary/essential) is one of the most common diseases diagnosed today. Hypertension is a major risk factor in cardiac heart disease, including myocardial infarction and sudden cardiac death. Hypertension is also an independent risk factor for the development of stroke and renal failure. A person with hypertension has double the risk of developing cardiac heart disease than those who have normal blood pressures. What is primary/essential hypertension? It is a systolic blood…

A “Request for Medical Evaluation” form will need to be filled out by the Clinician, signed by an Instructor, and faxed over to the attending physician to determine antibiotic to be administered, bleeding precautions, before any treatment may be rendered. (See Prophylactic Antibiotic Regimen before Dental Treatment, Table 1) Physician needs to address any health concerns of the patient and any interactions of drugs. (Little, page 362) Drugs that cause toxicity to the liver should be avoided,…

had the pleasure of caring for patients on the postoperative (PO) cardiac surgery unit at St. Mary’s Hospital. In this professional practice experience, I received the opportunity of caring for a female client who unfortunately suffered a myocardial infarction and subsequently received coronary artery bypass graft (CABG) surgery. Whilst caring for my client, I observed her using her incentive spirometer (IS) which is a standard protocol for PO CABG patients on the unit. This event reminded me of…

IL-8, IL-10, monocyte chemoattractant proteine-1 (MCP-1) and TNF-α in cardiovascular tissues (14). These mediators are the main cause of plaque rupture and ACS. Also literature suggests the protective role of curcumin in hyperlipidemia and myocardial infarction (15, 16). Regarding that the role of inflammatory mediators is now clear in plaque rapture and that the present secondary preventions are not ideal, this study is set up to suggests curcumin as a secondary prevention for ACS considering…