Nitroglycerin

This was my fifth clinical in med-surg having two patients. Again, I wasn’t sure what to expect, but I hoped for the best. For my primary patient, I had a 59-year-old female who was admitted with a diagnosis of atrial fibrillation. She was an independent patient and who did well being at home without complications. As I listened to the report with my nurse, I was able to note that my patient has dealt with atrial fibrillation symptoms before and she was able to handle how she felt before. She…

The ideal of black capitalism has strongly shaped the American culture today. The racial America we live in has molded many American cities and the black culture. Now many Black Americans hold resentment towards officials, we should trust and rely on which is leading to many movements such as “Black Lives Matter” which could be a cause and set back in developing a new America. The destruction of Black Wall Street was the first reporting of an American city bombing from the air by the United…

The heart is a complex organ that we need in order to pump blood to our body. The cardiac cycle and blood pressure (BP) are two things that greatly affect how our body can function. Both are a part of the circulatory system. There are many diseases that can affect the cardiac cycle and the BP. These diseases can affect our circulatory system, lungs, and our heart’s ability to function properly. When the cardiac cycle and BP are affected then the body is in danger of being greatly damaged. The…

cannula. He had a note card in his wallet that he pulled out and had all of his medications written down as follows: Lovastatin 20mg 2x day, Atenolol 50mg q day, Enalapril 2.5mg 2x day, and baby aspirin 81mg q day (Colucci, 2014). He also has Nitroglycerin tablets for acute angina, which he has not yet had to use. The MD in the ED has prescribed a 1 time dose of 40mg Lasix IVP for CHF exacerbation (Colucci, 2015). He will now be placed on a 20mg q day of Lasix in addition to his other…

Fracking or Hydraulic fracking, is the process of injecting high pressure of water into the ground to destroy rocks known as shale rocks in order to get oil and natural gas. Fracking is a fairly simple process but has several steps involved. Before oil companies can start drilling into the ground they have to find these areas known as shale areas or tight rock formation. Once they find one of these areas, they start to drill into the ground for about a mile. After the drill has gone down for…

Heart Failure- Case Study [Name of Writer] [Name of Institution] Heart failure Clinical Course of Care Clinical course of care means how the disease changes its behavior from time to time; it may improve or deteriorate, depending on the care that is being provided. Clinical guidelines should be followed, but the team has to practice the best individualized care in order to treat the patient well. Clinical guidelines based on heart failure are the primary focus of several medical platforms.…

Cynthia Essex was a wife and mother of eight children when she was diagnosed with congestive heart failure. Her story starts out on a regular Sunday morning when she set off to church with her family. She was feeling fine despite the slight amount of fatigue that continued to press on her. This seemed normal to Cynthia though, and she even claimed that, “Something would be wrong with me if I wasn’t tired.” Exhaustion soon overwhelmed her, and during the middle of church service she abruptly…

Gout is a “disorder of metabolism that allows uric acid or urate to accumulated in the blood and tissues”(Rothschild, 2015, p. 3). It is more common in men than in women and has a higher incidence in 70 to 79 years of age. The gout syndrome is “ caused by alteration in purine metabolism, the end product which is uric acid. This results in hyperurecemia and in the deposition of urate crystals in various tissues (Woo & Wynne, 2011, p. 869). Hyperuricemia can occur due three mechanisms: 1.…

in the heart, decreasing heart rate and contractibility, reducing peripheral resistance and after load. Slowing heart rate increases diastolic fill time, increasing the amount of time blood flows throughout myocardial vessels. When taken with nitroglycerin, extra benefits include blunting reflex tachycardia. Dosage starts out low and slowly increases to a therapeutic level. Side effect of blocking beta2 causes bronchoconstriction, while blocking beta1 causes reduction of contractility and…

This figure shows the 2 different extremes of coronary artery disease plaques that can build up in the arteries. Stenotic lesions have more compact lipid cores, with more fibrosis and calcification with thick fibrous caps. There is less enlargement due to positive remodeling in these plaques. These types produce ischemia which is treated by medical therapy and revascularization surgery for relief of symptoms. Nonstenoic lesions are the more dominant type in the body and are more common than…