Pulse pressure

Physiology Heart murmurs are aberrant heart noises that can be noted when using a stethoscope. Typically, these sounds come from the abnormal motion of blood amid cardiac chambers and across valves. As a result, turbulence occurs, bringing about “vibrations in the chambers of the heart or outflow vessels (aorta or pulmonary artery) that are detected as audible, low-frequency sounds,” (Klabunde, 2016). These sounds are different from the regular heart sounds that symbolize the closing of the…

In addition intra-cranial pressure monitoring is mandatory in traumatic brain injury (TBI)…

Offender seen today in chronic care followup of hypertension, chronic renal insufficiency, and hypothyroidism. Patient is currently in CIP. I reviewed her chart and noted that her renal function was normal in 12/2016. At the time, her blood pressure was good at 106/71. At her visit in 12/2016, it was felt that she was overly controlled and was having episodes of possible orthostatic hypotension with lightheadedness. She was on Norvasc, atenolol 50 mg once daily, hydrochlorothiazide, and…

Introduction Vasopressors are common medications included in the treatment of cardiac arrest. Currently both epinephrine and vasopressin are being evaluated as significant treatments. The American Heart Association Guidelines have been adjusted to reflect these studies over the past 10 years. Within the Ventricular Fibrillation arm of the cardiac arrest algorithm (Link, 2015), step 6 directs for the administration of 1 mg epinephrine IV or IO every 3-5 minutes (See figure 1). The 2010 AHA…

There are many components when it comes to measuring Blood pressure in adults. It consists of indications and rationale for regarding blood pressure, specific equipment which vary in size due to field of nursing and finally guidelines for nursing practice. I am going to discuss sphygmomanometers which are used for blood pressure management and also the procedure in relation to adults (Jamieson, 2007). There are 3 main pieces of equipment also known as sphygmomanometers which are; Aneroid,…

disorder. According to recent researches, in the US, nearly 1 in 3 people are diagnosed with hypertension and in most cases patients do not experience any signs and symptoms; as a result it is known as silent killer (CDC.gov, 2014). However, high pressure of the blood against the arteries might cause headache, redness, dizziness or syncope. If left untreated hypertension can cause other lethal health problems (Mayo Clinic, 2014). In hypertension, the arterial constriction causes force of the…

blood pressure is normal. Blood pressure is measured in two numbers. Systolic and diastolic pressures are evaluated into a ratio to make up a person’s blood pressure. Systolic pressures are usually the larger number that is placed as the numerator of the fractional radio. It measures the pressure that is produced in the arteries when the heart muscle contracts. Diastolic pressures are usually the smaller number that is placed as the denominator of the fractional ratio. It measures the pressure…

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.…

5. What are the potential contraindications that can prevent someone from having a cardiac catheterization? What is the contraindication that must be considered in Robert Wilson’s case? Why is this of concern? There are potential contraindications to getting a cardiac catheterization, though the only contraindication is the inability to provide an informed consent. There have been unstable patients how have tolerated this procedure but with high risk patients, the nurse has be cautious of…

The sphygmomanometer is used to read our blood pressure. Many of us are aware of this medical machine because we get our blood pressure checked at the doctor’s office. This is important to us because it can let us know of any heart complications such as high blood pressure, strokes, heart attacks, or kidney disease. All of these are preventable if caught in time with a doctor’s supervision and medication. Although many of us have seen this device there is a process to using this medical…