30-45mins daily regimen. Trade Name Generic Name Prescribed for: Dosage Rehab Implications Cardoxin Digoxin Cardiac arrhythmias (Prescribed) 12mcg/kg orally daily Side effects: Dizziness, Fainting, Slow or irregular heart beat. Therapist should monitor heart rate, ECG and heart sounds before, during and after exercises. Prolonged symptoms of increased arrhythmias such as shortness of breath, fatigue and fainting should be reported
Within the journal article, a chart on page 11-12 highlights: “Comprehensive Congestive Heart Failure Patient Education,” mentioning daily weights, with a teaching tip, providing the value of patient comprehension connection to “increased water weight and congestive heart failure”(2001). Explaining further increases of 3-5 pounds from previous examination by provider indicates attention needed due to underlying pathophysiology of CHF. In addition, to the topic of daily weight tracking, an explanation to how the evidence of weight tracking allows providers to titrating medications appropriately to manage CHF comprehensively by having the accurate daily weight measurement data. The middle section of the chart focuses on what key patient behaviors or actions correspond to the topics in managing CHF. For example, with “daily weight”
On review of his old record, he was diagnosed in the Butner systems based on our excellent electronic medical record in 02/2011 with hypertensive nephropathy. His 2009 creatinine was 1.5, 2010 his creatinine was 1.8. UA was normal. Ultrasound 10.5 cm kidneys. Fast forwarding to now in 10/2017, creatinine 1.9 (2.4), bicarb 23, potassium 4.0, sodium 140, calcium 8.2, AST 18, albumin 3.3.
His gait improved slightly with modalities, like deep tissue massage, ultrasound and also some home exercises but the pain was still present. Roger lee kilfoil jr Therapist treated the gentleman with iontophoresis of 4% acetic acid using phoresor PM900 at 2.0 mA DC current for 20 min of a period of 2 weeks. The positive electrode was on midshaft of fibula, and the negative electrode over the Achilles tendon insertion bilaterally. After two weeks, the patient’s pain scale improved and after the third treatment the patient no longer need the assistance of the rail for the stairs. The fifth iontophoresis treatment, he was discharged from physical therapy, and reached a goal of decreased posterior heel pain.
A very common test for heart disease in general is an electrocardiogram or EKG. It measures electrical currents in the heart to see if they’re moving regularly, or if any parts are overworked. Another common test is cardiac catheterization. By running small tubes, called catheters, through the veins and injecting contrast dye, doctors can determine the blood pressure and blood flow levels inside the heart. A third usual test is an Echocardiogram where doctors take an ultrasound of the heart.
Monitor the heart rate and pattern Mr. Roberts has already developed sinus tachycardia with short runs of ventricular tachycardia, ST-segment elevation, T-wave inversion, and the development of Q waves over most of the anterior V leads on his electrocardiogram. The ST-segment elevation and the T-wave inversion indicate a possible Myocardial Infarction The low serum levels of potassium due to fluid shifting back to the intracellular compartments, the myocardium excitability increases resulting in tachycardia and abnormal EKG patterns Monitor fluid status Weight the patient daily This is the most accurate way to determine if the patient is retaining or losing fluid Strictly record Intake and Output Patient may develop dehydration due to all the water shifting to the interstitial spaces Maintain vascular volume Administer either D5W or hypertonic saline solution in order to pull fluids back into the vascular compartment. With lactic acidosis, lactated-ringers may be contraindicated. Monitor blood
Oral clonidine is readily absorbed, has a 30-60 min onset, and lasts 6-12 h. In the treatment of acute hypertension, 0.1 mg can be given orally every hour until the blood pressure is controlled, or up to a maximum of 0.6 mg; the maintenance dose is 0.1-0.3 mg twice daily. Transdermal preparations of clonidine can also be used for maintenance therapy. They are available as 0.1, 0.2, and 0.3 mg/d patches that are replaced every 7 days. Clonidine is metabolized by the liver and excreted renally. Dosages should be reduced for patients with renal
She was diagnosed with Type 1 diabetes mellitus and began treatment management of her glucose levels by administration of frequent insulin injections throughout the day on a basal bolus regime. Initially, this included 19 units of Novorapid throughout the day before meals and 6 units of Insulin Glargine (Lantus) at night time. This managed the patient’s glycaemic level
During surgery, biopsy was taken from the edge of the ulcer to test for the presence of helicobacter pylori. H. pylori infection was diagnosed by histology. If it was positive, a triple therapy regimen consisting of amoxicillin,pantoprazole and metronidazole for one week was administered on resumption of oral intake. Patient taking non-steroidal anti-inflamatery drugs were adiveed to stop these drugs. Patient were called for follow up at 1 week, 1 month, 6 months, 12months and yearly thereafter.
Most healthcare facilities integrate hourly rounding to help reduce falls. A quasi- experimental study was conducted by (Olrich, Kalman, & Nigolian, 2012) to determine the efficiency of hourly rounding in hospitalized patients on a medical-surgical unit. The researchers compromised of nurse managers and a clinical nurse specialist educated the nurses and nursing assistants on the importance of hourly rounding and questions to ask when performing hourly round. Some of the questions asked during the rounds included toileting assistance, pain, position and making sure personal items were within reach. At the completion of the study, there was a 23% decrease in falls and an increase in patient satisfaction on the