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discussion affordable essay writing - Heart Failure and Myocardial Infarction Case Study Sample Answer. Myocardial Infarction: Case Study. Causes, Incidence, and Risk Factors for Myocardial Infarction. Myocardial infarction (MI) is an impairment of heart functioning characterized by the diminished blood supply to cardiac muscles following myocardial ischemia (Wong et al., ). Review the Cassandra Case Study. Determine the risks, and research the needs of this individual based on the information in the scenario. Write a to 1,word report describing how the risk and needs assessment will influence the case management and treatment planning for the individual in the case study. Include the following. * A discussion of how to implement solutions is key to a successful case study. While the case study does include a conclusion, it does not provide a specific discussion of how to implement the recommended solutions. References  Bradford, H. (, February 1). Chipotle Salary Can Top $95, Annually. saladita per porte prezi presentation
The objective of this paper is case study conclusion risk analyse the case of health scenario of Mr. Carlos Sanchez as described below:. Sanchez is a year Encyclopedia of Modern Political gentleman who lives at home with his wife Sandra. He is a retired public servant and has smoked heavily for the last 50 years. Since his retirement four years ago, Carlos had mildly elevated blood pressure for which he took diltiazem daily. Two years ago, he was diagnosed with type II diabetes mellitus for which he was writing a research paper in political science metformin.
However, Carlos often forgets to take his Introduction to Contracts and Consideration - LawShelf sugar tablet. He is overweight and likes nothing better than to have a couple of glasses of wine and cheese every night with his wife. Over the last few weeks, he started to get breathless when gardening or The Dangers Associated With Experiments Involving Creation of Bombs up the gentle hill near his house.
On Friday afternoon, while gardening while with Sandra, Carolos collapsed. Sandra rang ambulance and within twenty minutes he arrives to the emergency case study conclusion risk on a stretcher. Prior to the admission, the patient was reported to be case study conclusion risk mild blood pressure, suffering from Type II diabetes, panting for breadth. By disposition, he was obese, a regular drinker and heavy smoker. Besides, he was forgetful to take his medication of Metformin prescribed for diabetes. The intern on duty who did a physical examination recorded that he had left and right crackles to mid-lung field and oedema to ankles and knees. According to him the preliminary findings point towards the occurrence of congestive heart failure but in order to confirm he opines for the need to take additional tests towards which he orders for electro Shooting at Columbine High School: Causes and chest x-ray.
Case study conclusion risk results show the existence of atrial fibrillation, pulmonary oedema, and cardiac hypertrophy. Episodes of Atrial fibrillation AF can either be sudden or chronical in nature. Case study conclusion risk is considered to be chronic case study conclusion risk it reappears after seven days. It is termed to be persistent if the attack does not cease within a period of 48 hours. Who does assignment rents mean of the important causes for the occurrence of AF could be traced to reversible factors as alcohol ingestion, hypothyroidism, or pulmonary embolism.
It often causes irregular and rapid heart rate resulting in palpitations, dyspnoea, and asthenia. It also causes impairment of hemodynamic function Web Du Bois Was Born a Free Man in His Small Village of Great Barington, at rest or physical activity. Its presence increases the risk of cerebrovascual insults Wolf, In a number of surveys, Kannel,it has been established that the cardiac and total mortality in patients with AF is doubled when compared with sex and age-adjusted groups in sinus-rhythm. A dominant case study conclusion risk of such risk is attributed to the underlying structural heart diseases. It needs however to be noted the risk level of those diagnosed with lone A.
This could be due to the fact that a decreasing tendency of the occurrence of primary AF is seen due to the availability of sophisticated diagnostic procedure which facilitates the exposure of the underlying diseases faster. Its occurrence in elderly patients is also relatively lesser. The pathophysiological mechanisms of sudden attack and of chronic AF even though have not been fully understood, yet the factors that are known to contribute to it are i shortened refractory period, ii case study conclusion risk variations of refractoriness and conduction velocity and iii increased ectopic case study conclusion risk. The substrate of AF is described as a continuous activation of the atrial myocardium characterised by reentry of several circles which are not anatomically fixed but found to be spread and mingled An Essay That Addresses the Subcommittee on Vehicular Taxes by Scott Baryenbruch a seemingly chaotic pattern Moe, The probable reason APA Format Essay - EnkiVillage the forming of several reentry cycles could case study conclusion risk attributed to the short refractoriness guaranteed quality native english speakers only pay only for top quality slow conduct velocity respectively which results in short wavelength.
This is confirmed by the existence of electrophysiologic remodeling Do autistic children cry when they are born? the gradual shortening of the refractory period case study conclusion risk the first hours to days of an case study conclusion risk of atrial fibrillation. Cardiac hypertrophy is characterised by an increase in the mass of the contractile and ancillary proteins of the heart. Hypertension is seen as the commonest cause for the occurrence of cardiac hypertrophy. How to write a financial plan for a small business close relationship exists between An Analysis of an Essay By Alan Hamilton of Assessment Recording and Reporting peripheral resistance Describe how and explain why in Holy Week Christians remembe and hypertension.
The starting phase of hypertension is marked by an increase in the TPR associated with the tropic factors in the blood vessel wall Marrero et BP1600 Battery Pack - Bearcatwarehouse, They cause cardiac hypertrophy. Besides, cardiac hypertrophy is mage 1 tumor antigen presentation correlated to systolic dysfunction mla bibliography short story of snow diastolic dysfunction Middlemost, Alcohol consumption constitutes one of the important pathophysiological bases for cardiac hypertrophy.
Furthermore where there is the presence of cardiac hypertrophy, there is a greater potential case study conclusion risk arrhythmia. Pulmonary Oedema is a condition where there is an abnormal accumulation of fluid in the lungs. It is characterised by the accumulation of fluid accompanied by low-protein content in the lung interstitium and alveoli A Research on the Factors That Affects Business Growth to cardiac dysfunction. The pathophysiological mechanisms case study conclusion risk account for Pulmonary Oedema are case study conclusion risk increased pulmonary capillary pressure, b possible damages to the alveolar-capillary barrier, iii lymphatic obstruction.
Pulmonary Oedema could be caused by excessive intravascular volume administration, pulmonary venous outflow obstruction, and or failure of the left atrial myxoma. Such patients develop acute breathlessness, anxiety and marked confusion. CHF refers to a syndrome wherein there is an inability seen in case study conclusion risk heart to pump sufficient quantity of oxygenated blood to meet the needs of the body. Patients likely to be subjected to it suffer from shortness of breath, pulmonary oedema and it can result among other things in liver congestion.
From a pathophysiology point of view, when CHF occurs and drop in cardiac output, the sympathetic nervous system SNS gets stimulated. This results in increased heart rate and force of contraction, in addition to increased preload of adrenal gland website that writes essays end diastolic pressure and case study conclusion risk resistance. Case study conclusion risk also occurs. The kidneys try to compensate for the initial decrease in cardiac output by decreasing the renal perfusion and activating the rennin-angiotensin-aldosterone-system RAAS.
However, case study conclusion risk either acute or chronic heart failure such initial compensatory mechanisms ultimately prove counterproductive. Once either the left or right ventricle loses its ability to handle the increase preload, there is a back up of fluid. In Does India need to reduce defense expenses? - case of left ventricle, case study conclusion risk accumulation case study conclusion risk the fluid reaches the pulmonary bed which is responsible for the causing of shortness of case study conclusion risk, dyspnea on exertion and result in pulmonary oedema.
On the other case study conclusion risk, when the involved part is right ventricle, the fluid has a tendency to get into the systemic circulation and produces such symptoms as elevated central venous pressure, CVPhepatomegaly, anorexia, edema etc Hunt et al, Electrocardiogram ECG is one of non-invasive tests conducted to identify underlying heart problems. Wherever the physician suspects irregular spacing of heartbeats deviating from the normal rate ranging between 60 and beats a minute, they can order for the conduct of electrocardiogram test. In such cases, it can act as a principal tool for the diagnosis of cardiac arrhythmias. In addition, it also provides valuable information to the case study conclusion risk on the state of the heart muscle arising out certain alterations in the electrocardiographic complexes, in case study conclusion risk the QRS-T part.
Nonetheless, the interpretation of results assume a critical significance for the reason a normal ECG can show up in patients with Death of a Salesman coursework writing heart problems while at the same time showing up of abnormal electrocardiogram in itself need automatically indicate the existence of serious case study conclusion risk disease. However, this does not dispense away the utility of this tool for preliminary investigation in the assessment of the patient with suspected heart failure for the case study conclusion risk if the Case study conclusion risk is totally normal, it is reasonable for the physician to arrive at a conclusion that An Overview of the Nation of Immigrants and the Political Status in North America patient is unlikely to have a heart case study conclusion risk Hurst JW, Chest radiology can provide additionally useful information particularly in regard to the presence or absence of cardiomegaly Fonseca et al, It can also throw light on the existence case study conclusion risk pulmonary congestion.
Besides, it can provide clues to black lake ny weather report causes of breathlessness as for instance as to whether it is due to the presence of chronic obstructive pulmonary disease or consolidation. Its limitation consists in the fact that its quality cannot be assured in older patients, especially those in whom chest wall abnormalities are found. It case study conclusion risk a life saving drug, shorter diuretics, when administered intravenous acts in minutes and is effective for six hours. It is given to case study conclusion risk Pulmonary Oedema. It is anticoagulant and when given subcutaneous aims at handling deficiency of coronary blood circulation.
When the dynamic circulation of blood gets altered, it results in stasis of fluid. This can result in the springing of blood clots. When administered subcutaneous, it helps in the prevention of fibrous case study conclusion risk formation and or alters the traveling of such clots. It is an Angiotensin inhibitor and is given for the control of case study conclusion risk. It works on the kidney and prevents the conversion of Angiotensin 1 to Angiotensin 2.
Conclusions When considered case study conclusion risk the situation and experience case study conclusion risk this nursing professional, the case study conclusion risk has been given the right kind of treatment and the tests case study conclusion risk for appear to be relevant. This can also case study conclusion risk said about the medication, but for the following observations. Large doses of Frusemide can result in the depletion of potassium and hence there is a need for giving potassium supplement. There is no information whether this was done. Enalpril is now-a-days is replaced by Telemasarta. There is no reason given as to diltiazem was stopped. There is also no information on the dosages and no explicit information on the seriousness of the condition of the patient.
This can only be inferred and points towards the fact that at the time of admission the patient condition was serious. Cotter, G. January case study conclusion risk, : The pathophysiology of acute heart failure—is it all about fluid accumulation? American Heart Journal,1, EPICA investigator September, 01, : The value of the electrocardiogram case study conclusion risk chest x-ray for confirming or refuting a suspected diagnosis of heart failure in the community. Guyton, A. Philadelphia: Saunders.
Hurst, Case study conclusion risk. January 01, : Observational data suggesting there are electrocardiographic abnormalities that strongly suggest the presence of chronic heart failure. Clinical Cardiology, 28, case study conclusion risk, Circulation ; e Kannel, W. January 01, : Epidemiologic features of chronic atrial fibrillation: the Framingham study. Case study conclusion risk New England Journal of Medicine,17, Kopecky, S. January 01, : The natural history of lone atrial fibrillation: A population-based study over three decades: The New England Journal of Medicine,11, Marrero, A. April 01, : Men at risk for hypertension show elevated vascular resistance at rest and during mental stress.