Three of the most commonly occurring cardiac related events: angina, myocardial infarction, and cardiac arrest, are commonly confused. However, there is a huge difference between each of them. It is crucial to be informed of each of these cardiovascular emergencies and to be able to differentiate between them. As a medical professional it is also very important to know the appropriate care for each these cardiac related emergencies. Throughout the course of this research paper, angina, myocardial infarction, and cardiac arrest will be discussed by providing definitions, signs and symptoms that lead to suspicion and diagnosis, as well as treatment.
My patient, MG was a 72-year-old female who came to the emergency department because of a fall in her bathroom. Her admitting diagnosis was a right hip fracture. Other concurrent health challenges she had were: hypertension (HTN), high cholesterol, chronic obstructive pulmonary disease (COPD), and chronic kidney disease (CKD). MG was a full code status with no known food or drug allergies. They surgery she had undergone was a right hip cannulated screw. My patient contributed in care and believed that partaking as much as possible will get her healthy and home sooner. Also, she believed in independence and doing things on her own if capable. After working with MG, I attained a great amount of knowledge in knowing: the
Every day nurses are faced with ethical dilemmas. Challenges in these situations are becoming more and more complex due to increasing workload and sicker patients. When a nursing unit is understaffed not only are nurses more likely to become burnt out, but their patients are far less likely to receive the quality of care they deserve. The problem is that the Federal regulations require hospitals who participate in Medicare to “have ‘adequate’ numbers of licensed nurses (RN, LPN, CNA) to provide care to all patients as needed,” but the regulations
Cardiac arrest is a sudden deficiency of heart function due to which it suddenly ceases to beat and thus stops the action of pumping blood. For this reason the body tissues and those of the brain, in particular, will no longer be perfused by blood and oxygen resulting in loss of consciousness and, without an appropriate and rapid intervention, death within minutes.
For the reading four, we listen to the Radiolab, and it describes the connect between brain and body and how brain keep track of the body. I believe this is an interest topic because I have heard a lot people describes about this topic, brain and body communication. Also, I learned this lesson before from one of my friends, who is studying nursing program at SJSU. I did ask her how a body and brain work together. She explains that body receive information and send information back to brain to analyze. After brain finished analyze, brain will send an order back to body to tell what body need to do. For example, when a person got burned on finger, the skin receives the burned information and send it to brain to analyze. After the brain analyze the burned information, brain send signal to body at action, which is take the hand back and put in water or do something else that depend on brain knowledge. The
I agree with you Walter. Nursing is a teamwork. In an acute hospital setting, an RN is assigned a set of patient to deliver care that means RN has full responsibility about these patients. In this case, RN who is the primary care nurse can complete her task by herself or delegate some of the task to the nursing assistant according to their scope of practice. The abilities to delegate, and supervise other healthcare workers is not an easy job. Delegation is one of the most complex nursing skill. It takes clinical judgment and practice. RNs are required to assess and evaluate the needs of the patient and then utilize the appropriate caregivers in order to achieve desired patient outcomes. For an example a post-op elderly patient is receiving IV antibiotic and PRN IV pain medicine. In addition, she can take a PRN pain medicine by mouth for break through pain. The
A 19 year old black male patient (Siyabonga Nkosi, from Tembisa) was admitted to SBAH Internal medicine with history of syncope (2 episodes on different occasions), now occurring for the third time, it is associated with loss of consciousness and
The patient’s autonomic nervous system would react to the arrow attack by activating the sympathetic and parasympathetic nervous system. The brain sends a stress signal throughout the body and the hypothalamus activates the sympathetic nervous system by sending signals through the autonomic nerves to the adrenal glands. These glands respond by pumping the hormone epinephrine, also known as adrenaline into the blood. Epinephrine starts to go throughout the body, the heart starts to beat faster-pushing blood to the muscles, heart, and other organs. Your pulse and blood pressure go up, and you will start to breathe more rapidly. Your lungs open wide so they can take in as much oxygen as possible. This extra oxygen is sent to the brain which increases alertness. Your senses become sharper and epinephrine triggers the release of blood sugar and fats from storage sites in your body. The parasympathetic nervous system promotes the “rest and digest” response that calms the body down after the initial stress has passed. All these changes happen at such a fast rate, that most of the time you’re not even aware of
The heart is a tough operating mechanism which moves blood around the body through a very advanced system called arteries and capillaries; the blood is then carried back to the heart by means of veins. Blood pressure is the thrust of this blood in the body pushing up against the inside walls of the arteries as the heart is pumping.
In other words, the increase in stroke volume occurs as a result of improved ventricular force of contraction. Heterometric and homeometric control governs myocardial force of contraction. While homeometric control is independent of the myocardial fibres length at the end of diastole, heterometric control depends on this length of myocardial fibres at the diastole end and is mainly influenced by the venous return (Agarwal et al. CC06). The respiratory pump, as well as venoconstriction skeletal muscle pump, influences the rise in venous return during physical activity. The increased venous return results in end-diastolic volume increase, which generates stretching of ventricular muscle fibres causing an increase in stroke
Shock is a medical emergency in which the organs and tissues of the body are not receiving an adequate flow of blood. This deprives the organs and tissues of oxygen (carried in the blood) and allows the buildup of waste products. Shock can result in serious damage or even death.