Nitroglycerin

journal. Our patient is a 54-year-old man named Carl Shapiro. Carl arrived to the emergency department (ED) at 13:30 having complaints of angina, diaphoresis, and shortness of breath. The physician had Carl treated with two doses of sublingual nitroglycerin and a dose of aspirin in the ED. The nurse started an IV infusion of normal saline running at a rate of 25 mL/hour. In the VSim the doctor wanted the nurse to call as soon as the ordered labs returned with results; they were pending in…

cause the stroke volume to change (decrease) which will affect the cardiac output. The heart rate will adjust or increase to maintain a stable blood pressure. People with chronic angina (chest pain likely due to a heart problem) often take a nitroglycerin tablet to relieve their symptoms. How does this relieve their symptoms? In your answer discuss (briefly) oxygen delivery to the heart. (3 points) Chronic angina can occur when there is a blockage or restriction in the arteries of the heart…

Congestive heart failure (CHF) is the condition in which the heart cannot pump blood the nutrients effectively to the body’s organs. Excessive fluid buildup is common in the lungs and/or other such organs and body parts. In many cases of congestive heart failure, the fluid builds up in the lowest part of the body such as the feet referred as pedal edema or the lower back known as sacral edema if the patient is bedridden. This swelling is caused when the heart slows and the blood begins to back…

However, chest pain attacks that increase in frequency, severity, and/or require additional nitroglycerin tablets to achieve relief and severe chest pain that occurs at rest are indications that the patient's angina has become "unstable." Immediate medication evaluation and intervention is…

heavy objects; emotional stress; extreme heat or cold; eating large meals; smoking Relieved by: resting or nitroglycerin 2 Unstable angina Unstable angina happens with or without physical activity — even while you are at rest or sleeping. If you have unstable angina, you could be at risk of a heart attack. If you have pain that is getting worse or does not go away with rest or nitroglycerin, you could be having a heart attack. You should get emergency medical help right away. In this type of…

When a patient presents to the hospital with a MI the optimal treatment to relieve pain is oxygen, nitroglycerin, and morphine sulfate respectively (Boateng, 2013). Aspirin 160-325mg orally should also be administered to patients presenting with an acute MI (Ryan et. al, 2015). Depending on whether the patient is presenting with STEMI or non-STEMI will determine the next plan of action. If a patient is diagnosed with a STEMI it is pertinent to apply reperfusion therapy, a therapy that restores…

concentrator and using oxygen at home. Recurrent chest pain is another problem identified by her recent hospitalization and nitroglycerin ointment prescription. According to Stewart and Blue (2004) chest pain is a result narrowing of the coronary arteries, which decreases blood supply to the myocardium, causing pain in the chest as a result of poor oxygenation. In addition to the nitroglycerin she has also been prescribed ibuprofen and Darvocet N for pain. Oxygen may also help alleviate her…

Chemistry The discovery of gunpowder, or black powder, by the Chinese in the 10th Century revolutionized how wars were fought. Gunpowder is the earliest known chemical explosive composed of approximately 75 percent potassium nitrate (KNO3), commonly known as saltpeter, 15 percent charcoal and 10 percent sulfur. This ratio of 75:15:10 ratio of saltpeter, charcoal and sulfur is commonly known as black powder. Together, the mixture of these three compounds in a proper ratios create a powerful…

Heart Disease In the world today, there are many harmful and deadly diseases. These diseases are caused by people themselves or they are caused by human nature or probability. One of the many diseases that affect people is heart disease. Heart disease can strike anyone at anytime. The history of heart disease dates back to the Egyptian mummies. Pharaoh Merenptah died from atherosclerosis, which is a type of heart disease. Some early discoveries were made by Leonardo da Vinci and William Harvey…

a fixed obstruction in a coronary artery." For example for example. It has a regular pattern, and if you already know that you have stable angina, you will be able to predict the pattern. Once you stop exercising, or take medication (usually nitroglycerin) the pain goes away, usually within a few minutes. 2. Variant or vasospastic angina The e-book reading tells us that" In the result of a coronary artery spasm that reduces blood flow. It usually occurs at rest rather than with exertion or…