Amlodipine Case Summary

On June 30, 2011, the Centers for Medicare and Medicaid Services (CMS) presented their final ruling on non-payment policies for provider preventable conditions (PPCs). One of the other provider preventable conditions includes the development of deep vein thrombosis (DVT) prophylaxis in any health care setting (Federal Register, 2011, p. 32817). Due to the significant cost of providing care for preventable conditions that are now not reimbursed through the CMS and many health insurance companies, hospitals around the country have implemented new policies to ensure patients remain free of venous blood clots during their hospital stay. The practice of injecting either Lovenox or heparin

To treat moderate to severe pain, cough suppression, to treat diarrhea, anesthesia, acute pulmonary edema, cancer pain.

Caldesmon 1 is a gene that is located on Chromosome 7: 134.74 – 134.97 Mb which encodes a calmodulin binding protein. (15) The products of CALD1 such as Calmodulin- and actin-binding proteins play an essential role in the regulation of smooth muscle and nonmuscle contraction. (16) CALD1 inhibits ATPase activity of myosin in smooth muscle like calponin. Caldesmon (CaD) is an actin-linked regulatory protein found in smooth muscle and non-muscle cells. It binds and stabilizes actin filaments, as well as regulating actin-myosin interaction in a calcium (Ca2+)/calmodulin (CaM)- and/or phosphorylation-dependent manner.(17) The domain of this protein includes binding activities to Ca++-calmodulin, actin, tropomyosin, myosin, and phospholipids. As

Unit three was quite challenging and very rewarding. So many of the patients I encountered during this unit (actually unit two because I have not had any clinical so far in unit three) have had ongoing struggles with addiction, specifically to benzodiazepines. I made it one of my goals for this unit to learn more about the proper use of benzodiazepines, and to discuss with my preceptor the many options for alternative medications and the treatment of anxiety.

I will be assigned to a new patient next week, and I will make sure that I will know everything about all the medications the patient takes. That will be done in order to know what I am going to be administering and how dangerous it will be if any of them are administered incorrectly. I will make sure all preventable complications will not occur. In order to do that, I need to know the function of the medication and what they are really for based on the patient’s diagnoses.

There are certain medications to help treat a congestive heart failure. A few of the medications include ACE Inhibitors (Angiotensin Converting Enzyme Inhibitors). These help to open up arteries that have narrowed to allow better blood flow. If a patient cannot tolerate ACE inhibitors medication, vasodilators are also an option (Macon B.).

Nursing consideration: Require regular monitoring of activated partial thromboplasitn time (aPTT) and needed frequent heparin dose changes (Brunner and Suddarth’s, et al, 2010: 765).

DOI: 12/13/2012. This is a case of a 63-year-old male security officer who sustained a work-related injury to the right knee when he missed a step and fell down the stairs. As per Omni, the patient had a right knee meniscus tear. The patient had right knee replacement on 11/19/14.

DOI: 5/19/2010. Patient is a 57-year-old male electrician who sustained injury when he was struck in the back by a car in a parking lot. He underwent a L5 laminectomy and decompression of the neutral elements 2011.

Presented is Milton Larsen, a 84 year-old African American veteran who lives with his step-daughter Dina in a small home. Mr. Larsen’s bedroom is located in the basement, where he spends most of his time with his cat Snuggles. The objective data gathered from Milton Larsen’s case scenario is as followed: a medical diagnosis of hypertension and left knee osteoarthritis. He is prescribed metoprolol tartrate and spironolactone for his hypertension and he takes ibuprofen for aggravation of the left knee related to frequent trips to the upstairs bathroom. At a recent visit to his primary care physician Milton Larsen stated the following subjective data “Dina gets mad at my cat and takes it out on me.”

The following is a case study of female client Patricia Miller had been diagnosed with overactive bladder syndrome. Overactive bladder is a complication with bladder storage function that causes sudden urination urgency. In normal person, nerve send the signal to the brain and trigger the detrusor muscle to contract when bladder is full while in overactive bladder person, brain response causes emptying of bladder by contraction of muscle even though bladder is not full. The urge to urinate will be painful to stop and overactive bladder causes forced loss of urine. When urinate, nerve signals coordinate the relaxation of the trigone muscles and the sphincter muscle. The detrusor muscles of the bladder contract pushing the urine out.

The nurse should ask the patient if they are taking any MAOI’s and teach the patient to protect their eyes with sunglasses (indoors and outdoors). Carteolol (cartrol) is a beta-adrenergic blocker; its main purpose is to block beta-adrenergic receptors in the eye and lessen the aqueous humor produced by the ciliary bodies. The nurse should ask the patient if they have COPD/ asthma, monitor pulse if they are taking another beta-blocker and to warn diabetics to check their blood glucose regularly (Ignatavicius, 2013, p.

Perfusion is the process of a body delivering blood to a capillary bed in itsbiological tissue. The word is derived from the French verb "perfuser" meaning to "pour over or through"[3].

As an RCP, there is a great amount of use for this drug. Verapamil can save many people’s lives and would allow them to make it through a day without any problems when they have heart problems such as angina or hypertension. Verapamil medications block the activity of calcium into the muscle cells of the coronary and since calcium triggers contraction of muscles, blocking activity of calcium relaxes the muscles that surround the arteries. This activation allows arteries to become relaxed and would allow more blood flow. Verapamil is useful in treating and preventing chest pains which were caused from contraction of the coronary arteries that reduces the flow of blood to the heart. Relaxing muscles in the arteries in the body lowers blood pressure and reduces the pressure against the heart. As a result, the heart is allowed to work less and requires less oxygen-carrying blood. Verapamil also decreases the conduction of electrical impulses through the heart that control the coordination of contraction (which creates the spasms) (Verapamil, Calan, Verelan, Isoptin: Drug Facts, Side Effects and Dosing. (n.d.). Retrieved July 19, 2015.)

It is one of the most common trials for aging adults and is usually connected with the heart since it is also a very well-known indication of a heart attack and/or makes you worry about a heart attack.