Remington Sotler Case Study

Remington Stotler
Advanced Adult Care
Pre-clinical assignment

Common Conditions:
1. Acute myocardial infarction/coronary artery disease is when the arteries that supply the myocardium are clogged up; the heart cannot pump blood effectively to adequately perfuse vital organs and peripheral tissues. It affects the arteries that provide blood oxygen, and nutrients to the myocardium. When blood flow through the coronary arteries is partially or completely blocked, ischemia and infarction of the myocardium could occur. Nitroglycerin (NTG) increases collateral blood flow, redistributes blood flow toward the sub endocardium, and dilates the coronary arteries. In addition, it decreases myocardial oxygen demand by peripheral vasodilation, which decreases both preload and afterload.
2. Congestive heart failure is the inability for the heart to pump effectively. The three types of heart failure are left sided heart failure, right-sided heart failure and high output failure but most heart failure begins in the left ventricle and progresses to failure of both ventricles. Some common risk factors include hypertension, coronary artery disease, obesity, severe lung disease and diabetes mellitus. Key features of Left sided heart failure are fatigue, angina, weak peripheral pulse as well as pulmonary congestion with

Pneumonia is excess fluid in the lungs resulting from an inflammatory process. The inflammation is triggered by many infectious organisms and by inhalation of irritating agents. The inflammation occurs in the interstitial spaces, the alveoli and often the bronchioles. Pneumonia may occur as lobar pneumonia with consolidation in a segment or an entire lobe of the lung or bronchopneumonia with diffusely scattered patches around the bronchi. The key to effective treatment of pneumonia is eradication of the infecting organism. When sepsis occurs with pneumonia, the risk for death is high. Anti invectives are given for all types of pneumonias except those cause by