Nursing assessment revealed the following cardiovascular risk factors: 50-pack-year history of cigarette smoking, hypertension, and mild-to-moderate obesity. David is given Valium diazepam , 5 mg po, the night before his operation. Dietary Changes: Preliminary evidence has linked high salt consumption with increased cardiovascular disease incidence and death among overweight, but not normal weight, people. A radiograph is taken, revealing a left proximal tibial mass. As part of the medical workup, Patient M was scheduled for a cardiac catheterization the following day. The non-invasive demonstration of dynamic obstruction, scar and extreme wall thickness aids in risk assessment 3. Your date of completion will be the date Pacific Time the course was electronically submitted for credit, with no exceptions.
What special implications do these diagnoses have in women? What are the physiologic effects of nitroglycerin? Patient F eats a well-balanced, nutritious diet, exercises three to five times a week, and does not have a history of smoking or alcohol use. Using the opiate analgesics morphine and methadone as examples, calculate ideal dosing regimens considering pharmacokinetic and pharmacodynamic parameters such as: a. It is important to recognize that angina is often more severe in women than men and both stable and unstable angina are more frequent in women , and therefore, necessary pharmacologic therapy may be more intense. The authors and the publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work. She drinks approximately two to three glasses of red wine per day and has never smoked. An insulin-dependent diabetic since adolescence, Patient D is unable to care for herself due to the effects of the diabetes on her eyesight, as well as the development of peripheral neuropathies.
A maximum stress test gave normal results. The patient remains conscious and alert, but is becoming increasingly restless. Benefit from the logical structure of this nursing textbook. You note that he is diaphoretic and anxious, and is clenching his fist against the center of his chest. What coronary risk factors are present? Patient H remained on supplemental oxygen at 2 L per nasal cannula. What risk factors are negative? He is reluctant to use the spray again.
He tells you that other than his high blood pressure and occasional chest pain, he has no other medical problems. Having just one of these conditions increases risk for heart disease, stroke and diabetes, but in combination, the risk is even greater. Although each level of prehospital provider possesses a different knowledge of pathophysiology and patient management, it is the combined contributions and efforts of each provider that will afford patients the high quality of care they deserve. Her furosemide dosage has been increased, and she has obtained good relief of her symptoms. Partial credit is not available.
Michelle becomes aware that several questions about the Tuskegee study are being directed toward her and she finds herself uncomfortable by the increased attention - both in terms of the tutorial case as well as personal questions from her classmates she endures after the tutorial session ends. In addition to these characteristics, she exhibits a somewhat cynical or negative outlook with occasional expression of hostile or angry thoughts and feelings. The patient also reported symptoms suspicious of sleep apnea. She was discharged with instructions to take it easy, to stop taking aspirin, and was referred for follow-up regarding her arthritis and pain management. Presented by , cardiac imaging and nuclear medicine physician at the S.
Is the patient's chest pain syndrome typical or atypical for women? She considers various drugs, routes of administration, and dosing regimens. In addition, a bruit was noted in her right groin. What risk factors are negative? What special implications exist with regard to dosing cardiac medications in women? The attending physician - well regarded and dominant among his peers - personally summons the students. Accordingly, these agents reduce acute infarction, recurrent minor infarction, heart failure, stroke, and even atherosclerotic disease of the leg and other arteries. Images C and D are corresponding short axis slices through the distal ventricle demonstrating the circumferential nature of the process with near obliteration of the ventricular cavity by hypertrophied muscle. Her medical history was significant for hypertension and adult-onset diabetes.
Unfortunately, in this patient, an occluded coronary artery is blocking the flow of oxygenated blood to the area of the myocardium that needs it most--the injured area. Both of these cardiac events were medically managed. Ramirez offers to try a new limb salvage procedure involving a total knee replacement and the placement of an expandable metal rod after resection of the tibial tumor. Circulation: Radial pulse is rapid, strong and regular; skin is cool, clammy and pale. In February 1999, David is referred by his oncologist to Dr. Similarly, among the main signs and symptoms of hypertension include chest pains and difficulty in breathing which the patient denies. The various risks in this study were derived after controlling for all other beneficial or harmful influencing factors.
The hemoglobin level was 13. During your general impression of the patient with chest pain or pressure, look for clues suggestive of cardiac compromise, such as diaphoresis, restlessness or apprehension. The doctors initially assumed that Elena's symptoms, inattention during the day, were caused by a dislike of school. They are unsure what to do about it or if they should confront him. Her dietary habits do not take into account basic recommendations for cardiac nutrition.