The reading shows that the pressure of the blood in the patient arteries when the heart is contracting is slightly higher than normal, which means that this patients has a pre-high high blood pressure. The diastolic blood pressure is the bottom figure which is 90 in the reading of
○ Talk therapy may help with anxiety, depression, or other mental health issues that can make IBS symptoms worse. • Stress reduction. ○ Managing your stress can help keep symptoms under control. HOME CARE INSTRUCTIONS • Take medicines only as directed by your health care provider. • Eat a healthy diet.
PORTAL HYPERTENSION - DEFINITION An elevated pressure of more than 12 mmHg in the portal venous circulation with the portal vein diameter of more than 13 mm or an increased gradient of more than 7mmHg in the portal system (difference between pressure in the portal vein and to that of the pressure in the inferior vena cava) is termed as portal hypertension(PHT). According to hemodynamic application based on the Ohm's Law, “ portal pressure gradient (ΔP) is actually directly proportional to amount of blood flowing in the portal vein (Q) and the resistance opposing this flow (R) (ΔP = Q × R)”2. Thus the elevated portal pressure will be considered secondary to the increase in resistance to flow or due to the increase in blood flow, or due to both
BLOOD PRESSURE ESTIMATION RESULTS: (a)Measurement of blood pressure during resting phase Subject’s name: Wong Hoor Sheam Measurement Systolic pressure (mmHg) Diastolic pressure (mmHg) Mean Arterial Pressure (mmHg) Trial 1 100 65 76.67 Trial 2 93 62 72.33 Trial 3 95 60 71.67 Average 96 62 73.33 (b) Changes in blood pressure during orthostatic tolerance (when standing from supine position) Subject’s name: Ong Wei Qiao Time (minutes) Systolic pressure (mmHg) Diastolic pressure (mmHg) Heart rate Supine 140 74 70 0 144 88 72 1 135 89 79 2 136 91 86 3 134 87 75 4 128 81 76 5 126 90 71 (c) Changes in blood pressure after exercise Subject’s name: Abdullah Time (minutes) Systolic pressure (mmHg) Diastolic pressure (mmHg) Heart rate Baseline 132 70 99 0 142 73 129 2 135 75 122 4 140 80 126 6 143 96 123 8 112 81
The consultant must remember that the consultee is ultimately responsible for the clinical management of the patient, as recommendations are only offered and up to the consultee to accept or reject them. Having the knowledge regarding various geriatric syndromes such as delirium and dementia, makes me an easy target in helping to manage our older adult patients in the hospital. My weakness is learning to let go after giving advice and to not become so entrenched with the patient case that my role crosses over as the primary team managing the patient, when in reality I am only consulting. I will make sure to delineate my role beforehand and to uphold to what is agreed upon to prevent malpractice and mismanagement of the patient. Moving forward, the consultee starts to collect information from the consultant regarding the patient and background of the problem and identifying the type of consultation: the patient has a complex and unusual problem (patient centered) or the problem stems from a lack of knowledge, skill or confidence from the consultee (consultee centered).
Specifically using a sedative 1-2 minutes prior to a paralytic so that the patient does not wake up while paralyzed (Mason et al., 2013). Also the medications should be pushed through a patent IV line, and flushed with normal saline between medications to avoid adverse reactions (Mason et al., 2013). Additionally, all RSI patients should have cardiac and respiratory monitoring before, during and after the procedure (Mason et al., 2013). Other factors in selecting RSI medication should be addressed, including patient-specific factors. Finally, medication availability can be a factor in choosing medications as drug-shortages can cause limited supplies of certain medications (Mason et al.,
However, a diet with too much salt, chemical or sugar, especially from processed food content can lead to various diseases that weaken the body. A good diet consists of healthy foods with a combination of carbohydrates, vitamins, mineral, fiber and protein that comes from various food groups such as fruits and vegetable, bread, rice, and potato, milk and dairy products, and food and drinks with low fats and sugar. The recommendation of dietician or physician should help the patient to make a good diet plan. 8.1 c. Some of the signs and symptoms of poor nutrition are as follows: 1. Malnutrition or lack of balance diet, and overeating harmful chemicals like junk foods can result of different diseases such as overweight, underweight and obesity problems that can lead to more serious problems such as diabetes or heart disease.
• Take over-the-counter and prescription medicines only as told by your doctor. • If you were prescribed an antibiotic, take it as told by your doctor. Do not stop taking the antibiotic before the prescription is done. • Do not use any tobacco products, such as cigarettes, chewing tobacco, and e-cigarettes. If you need help quitting, ask your doctor.
Literature Review Sugary drinks are a major contributor to the obesity epidemic. The term “soft drink” refers to any beverage with added sugar or other sweetener, and includes soda, fruit punch, lemonade and other sweetened powdered drinks, and sports and energy drinks. People who drink sugary beverages do not feel as full as if they had eaten the same calories from solid food, and studies show that people consuming sugary beverages don’t compensate for their high caloric content by eating less food. Sugar may be sweet but the health effects of sugar consumptions are not. Drinking large amounts of sugary beverages can often lead to serious health issues.