Syncope

The practice of phlebotomy dates back centuries; evidence suggests that many cultures through the ages have used a crude form of venesection to achieve varied goals. Currently phlebotomy assists in diagnostic processes, but it was not always so. Some of the first evidence of this practice was in the form of bloodletting in ancient Egyptian culture. Bloodletting1, is still used as a tool in modern healthcare settings. Though it is used much less often, and only to treat a few specific conditions2…

Pulmonary Hypertension is a condition that complicates virtually every level of patient care; from basic prehospital care to tertiary care in a hospital. Perhaps reason it remains as such a nuisance to health care providers is the fact that it is has a very gradual progression from chronic ailment to serious health problem sometimes taking a long time to develop more serious health problems. Pulmonary Hypertension in the most basic and literal sense is defined as increased blood pressure…

T. G. is a 54 year old, Caucasian female with a medical history of seizures, hypertension, substance abuse, withdrawal, hepatitis C, and schizoaffective disorder. The past surgical history includes a skin graft. Patient has a medical alert for a history of hepatitis. The patient has an allergy to penicillin. The patient was admitted to OLOL Hospital with an admitting diagnosis of Encephalopathy and Alcohol intoxication. Ecephalopathy states that “Encephalopathy is condition caused by diseases…

It has been said that when you are trying to make a case, using anecdotes is one way to do it. So here is a recent experience during one of my observerships. A 50 year old male presented with sudden onset “out of the blue” syncope. He was noted to be newly bradycardic and was scheduled for a pacemaker placement. The astute internist I was working with obtained a thorough history and physical examination and made a case for Lyme carditis based on circumstantial evidence. A subsequent serology…

This synopsis will discuss the pre and post procedure nursing management and the rationale for a patient undergoing a cardiac catheter. A cardiac catheter is a procedure where a catheter is inserted into a vein or artery in the leg, arm or neck and is guided through the circulatory system until it reaches the heart (American Heart Association, 2010). This procedure allows for the cardiologist to measure cardiac output, identify defects in the valves, arteries and chambers of the heart as well…

It is my pleasure to be writing you regarding the openings for Emergency RNs at Providence Hospital. I structure my life around being in but not of this world. My ideal work environment is somewhere I can be a steward of my nursing gift and have the basics of my faith understood; however, I also need to be able to serve people from different beliefs so that my compassion and gentleness is a testimony of God’s unconditional love. Experiences as a patient at Providence and informal interviews have…

greater than 1km on the flat, but she still does have trouble with any steep incline. Of note though, she manages her two sets of stairs at home without any issues. Her shortness of breath is not associated with any chest pain, palpitations or syncope…

patients we see have manageable diseases that can easily be controlled with medication, however, they come in to the ER with complications from not being able to receive their medications. For instance, one patient was brought into the ER after a syncope episode without head trauma. Upon taking a history and a CT scan, we found he had a fatal subarachnoid hemorrhage secondary to uncontrolled hypertension. Unfortunately, cases like these are common in underserved community due to patients having…

symptomatic in more than half of the cases, or non-functional tumour as our report case.6 Symptomatic paraganglioma of the bladder may be present with the symptoms of hypertension, headache, palpitations, and hematuria and even up to Micturition syncope. These symptoms are caused by compression and therefore irritation of the tumor in the bladder wall which result in increased catecholamine release during detrusor contraction during micturition, bladder…

Heat stress may occur to human when the controlling means for internal temperature to their body starts to fail (Health and Safety Executive, 2013). There are different contributing factors to the heat stress such as temperature, amount of work performed in heat (ambient temperature), clothing worn at work and humidity. When somebody wears protective dress to perform heavy task in hot environment, can result the heat stress due to: restricting the evaporation of sweating; heat rise in body due…