During percussion, the nurse strikes the chest to determine the condition of the underlying tissues. The nurse percusses the lobes of the lungs and over the heart to detect any abnormalities. During auscultation, the nurse places her stethoscope over the lungs and heart to detect abnormal breath sound e.g. stridor, rales, rhonchi etc. Assessment of the respiratory system will enable the nurse to detect the respiratory problems and to make good diagnosis for the patients.
Congestive Heart Failure Heart failure, also known as congestive heart failure, occurs when the heart no longer pumps blood as it should. With heart failure, the blood moves through the heart and the body at a slower rate. When this happens, the heart's pressure increases, and the heart could no longer pump oxygen and nutrients that the body needs. To avoid further damage, heart failure must be treated immediately. In line with this assertion, this paper will discuss the objective data, current treatments, diagnosis, social history, medical history, diagnostic studies, care plan, and client teaching of congestive heart failure.
This type of shock occurs when the heart is unable to pump blood effectively. This is evident to patients who have had myocardial infarction, such as John’s case. In this illness, the heart has decreased contractility resulting to decreased cardiac output. Such decrease will stimulate the sympathetic nervous system to activate the compensatory mechanism by increasing the heart rate as evident in John’s vital sign to increase the peripheral pressure and ventricular
Main side effects Respiratory depression, light headedness, sedation, dizziness, nausea and vomiting, constipation, abdominal pain. Patient education To take Morphine with meals to avoid abdominal cramps and nausea. To avoid driving and carry heavy machines. To take it before sleep. Nursing intervention Monitor vital sings especially respiratory rate and have the antidote (naloxone) on hand, maximize the therapeutic effects by assessing the pain before and after medication administration, minimize side effects by assist the patient while walking and keep side rails up, provide patient and family education about side effects and how to avoid and minimize
Although it is the patient’s right to refuse treatment, it is our duty as doctors to educate the patient about her condition, the possible complications, and the benefits of treatment if she agrees to receive any. The doctor should also exlain different management options, blood transfusion or iron supplements. The patient should also understand the risks of her condition in case she decides to get pregnant. Counselling should also be done by asking the patient why she refuses receiv9ing blood transfu=on. The patient for eg may have had a negative experience at a hospital admission and is therefore afraid of the same experience.
A treatment option for those who have suffered an ischaemic stroke is thrombolysis. As 85% of strokes are ischaemic this is a treatment option for many (Fitzpatrick and Birns,2004).The goal of thrombolysis is to disintegrate the thrombus/embolus occluding the vessel and reduce the scale of tissue damage (Fitzpatrick and Birns,2004).It is important to note that thrombolysis using ateplase should only be used to treat acute ischaemic stroke once intracranial bleeding has been ruled out by diagnostic imaging, and within 4.5hours of onset by
The blood flow and oxygen flow is incorrect or in simple words, the current of blood stops flowing through you body correctly. WHAT IS THE ISCHEMIA DISEASE Ischemia Heart Disease or Coronary Heart Disease is the narrowing of the blood vessels that supply the heart with blood and oxygen. These Arteries Include: 1. Left Anterior Descending Artery 2. Left Circumflex Artery 3.
Controlling Bleeding If someone is bleeding; apply pressure to the wound, ideally with sterile cloth, but a towel or T-shirt will work just fine if you can’t find anything else. Make sure that you elevate the wound above the heart. Mild bleeding usually stops on its own, but If the bleeding has not slowed down or stopped, continue pressuring the wound while getting help.. 6. Heart Attacks and Strokes To relief a regular pain, Aspirin is prescribed by the doctors to help treat mini heart attacks and strokes. Aspirin properties includes anti inflammatory and a blood thinner that helps blood get through large clots that leads to stroke and heart attacks.
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.
Sedation management is a necessary element in the care of mechanically ventilated critically ill children. Sedation is used in the pediatric critical care unit for various reasons, such as to reduce patient pain and anxiety and to decrease agitation; sedation also is used to facilitate mechanical ventilation, prevent the displacement of endotracheal tubes, and decrease cellular metabolism (Keogh, Long, & Horn, 2015). The role of sedation titration is to ensure a patient’s comfort. At my practicum site, management of sedation in pediatric patients is a concerning issue. Sedation currently is managed by nurses based on the physician’s preference.
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.).