His initial medical diagnosis is heart failure (HF). Bert is immediately admitted to the acute care facility for further evaluation and treatment. Heart failure is called cardiac failure, pump failure, or congestive heart failure (CHF). It is defined as the inability of the heart to pump enough blood to meet the tissue's oxygen demands. Risk Factors Heart failure occurs most commonly in clients over the age of 60, and occurs more commonly in males than females.
Case 2 - A 45 year old engineer presents to the ER complaining of a severe, intense, precordial, crushing sensation with pain radiating to the left shoulder and down the side of the left arm, triggered by exercise. the chest discomfort brought on by the exertion is relieved by rest. ER examination results in the following: 98 beats/min heart rate, BP of 160/110mmHg, and a respiratory rate of 24 breaths/min. EKG is performed and reveals ventricular extrasystole arrhythmia (premature ventricular contraction [PVC]) as well as ST segment depression and decreased R-wave height. Coronary angiography shows luminal obstruction >75% (91%) in three major coronary vessels, including the left anterior in ventricular (descending) coronary artery.
Task 7: Secondary prevention clinic This morning on the 17th September 2013 at the Hospital I attended the secondary prevention clinic, were patients with hypertension had to attend. One of the first patients to attend the clinic was a male and he is 49years. He was first presented to the hospital’s emergency department after an accident at work. This accident caused the patient to have two broken ankles which later lead to a myocardial infarction (MI) within a two hour period due to a possible ischaemic event within heart, suggesting ischemic heart disease. A clot busting drug Streptokinase was administered immediately to disperse the thrombus.
Feedback: INCORRECT C) Assign a UAP to monitor blood pressure q15 minutes. Feedback: INCORRECT D) Administer through a large gauge catheter. Feedback: CORRECT E) Monitor hemoglobin and hematocrit levels. Feedback: CORRECT F) Assess for increased bleeding after administration. Feedback: CORRECT Feedback: INCORRECT (A, D, E, and F) are the correct selections.
She was discharged 9 days postoperative with a left PICC for IV antibiotics. During this morning assessment I noticed a large ecchymotic area over the right upper arm. PT. claims it was form getting her blood pressure taken so many times. PT.
Patient is visiting aunt and was brought into the ER and was mini-altered. Patient was given Geodon and Haldol to calm him and EKG was done. EKG showed A. fib with heart rate as high as 170. He was put on Cardizem drip and admitted for further evaluation. The patient denies symptoms of any chest pain, fever, nausea or vomiting.
E) Difficulty swallowing. Feedback: CORRECT Difficulty swallowing can accompany a brain attack (stroke), placing the client at risk for aspiration. Points Earned: | 1.0/1.0 | | Correct Answer(s): | A, B, E | The ED physician has completed an assessment. Gail is sitting at the bedside while the ED nurse continues to assess Nancy every 15 minutes. 2.
R’s past medical history includes acute renal failure, removal of gallbladder stones, hypertension, angiograms x 3, CABG in 1984, arthritis, prostate cancer with bony metastases, AMI 2004 and panic attacks. Mr. R’s current medications include Slow K, Lasix, Losec, Zoladex, Pravachol, Plavix, Cosudex, Coversyl, and Zyloprim. Mr. R is allergic to morphine At 1345hrs following episodes of chest pain radiation to his left arm since 0100hrs. Mr. R called an ambulance in which he was transported to Hornsby hospital. Mr. R described his chest pain as tightness in his chest and rated pain 8/10 he was given 300mcg of anginine and 300mg of aspirin, oxygen was applied, the pain was relieved slightly, rating the pain 6/10 then 1/10 enroute to hospital.
Noncompliance, due to the several steps and time pressure, and variation in the manual method is believed to be at fault. It was decided to trial the use of SwabKit® in early 2010 on the critical care units, medical-surgical units, and step down units. They used the caps on central venous catheters (CVCs), peripherally inserted central catheters (PICCs), and peripheral intravenous (PIVs). The trial was successful, so they decided to implement use of the kits hospital wide in July 2011. After a two month adjustment period, the hospital began to record data on the use of SwabKit®.
8 hours. Then was transferred to a different hospitals ER again by ambulance and was isolated as Measles was the probable diagnosis. The family members were also told to isolate themselves. Laboratory serologic test confirmed a recent measles in the fifteen and sixteen yr. old. There were 97 contacts that had been interviewed and three of these which had been verified with