erosion. Chapter 19 The first heart sound is produced by the: closure of the AV valves. Which of the following guidelines may be used to identify which heart sound is S1? S1 coincides with the carotid artery pulse. Which of the following cardiac alterations occurs during pregnancy? An increase in cardiac volume and a decrease in blood pressure Which of the following is an appropriate position to have the patient assume when auscultating for extra heart sounds or murmurs? Roll toward the
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Treating Heart Failure When a patient’s heart is no longer able to pump a sufficient amount of blood around the body‚ they are referred to as having heart failure. The heart muscle has been damaged or overworked and is therefore unable to pump as effectively as before. Coronary heart disease is the most common cause of heart failure‚ cardiomyopathy and hypertension are also implicated (Peterson et al‚ 2002). Heart failure can present acutely or chronically. Chronic heart failure tends to worsen
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Care Plans. Care plan for a long-standing condition called myxoedema‚ which is a condition I had never come across before. Therefore‚ in order to compile an accurate and comprehensive care plan I had to look into what myxoedema was. Myxoedema is caused by hypothyroidism (under activity of the thyroid gland). Myxoedema refers to the buildup of mucoploysaccharide in the subcutaneous tissues of the skin (Kumar and Clark‚ 1998). Signs and symptoms of myxoedema include oedematous swelling of the
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Camden County College Nursing Care Plan Student: Date:9/16/2103 Pt. Data Objective & Subjective Nursing Diagnoses Goals (Short & long term Interventions & Rationale Pt. Teaching Eval. Subjective Data Patient states “I am afraid all the steroids are going to make me fat.” And was crying Patient was asking questions about covering the butterfly rash. Patient showed concern about swelled hand. She stated she did not want to look “crippled. “ Objective Data Patient
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Medical Diagnosis: sickle cell anemia with vaso-occlusive crisis Nursing Diagnosis List 1. Impaired Comfort related to sickle cell anemia as evidenced by acute vaso-occlusive crisis. The patient’s pain should take precedence as the nursing diagnosis‚ because it is in all-encompassing factor that affects the client’s ability to function within the other areas of Maslow’s hierarchy of physiological needs‚ such as breathing and sleeping. The pain from the vaso-occlusion makes it difficult for the
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Organ Failure Intro 1. Definition Organ failure is when an organ in the body does not perform its expected function. Especially while one’s under medical treatment such as injuries‚ postoperative shock‚ or major infectious disease‚ one’s vital organs are more likely to malfunction. 2. Reasons (Causes) sepsis (the presence of bacteria in the bloods) and of shock (very low blood pressure). It can occur two or more systems in the body in which case it is multiple organ failure. Body 3. Problems resulting
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Congested Heart Failure (adapted from McGraw Hill Case Studies) Chief Complaint: 74-year-old woman with shortness of breath and swelling. History: Martha Wilmington‚ a 74-year-old woman with a history of rheumatic fever while in her twenties‚ presented to her physician with complaints of increasing shortness of breath ("dyspnea") upon exertion. She also noted that the typical swelling she’s had in her ankles for years has started to get worse over the past two months‚ making it especially
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Assessment: Heart Failure: Mr. Jones with past medical history of MI‚ and be came to clinic today complaining of DOE that began 6 months ago. Currently he developed edema on his low extremities‚ and he gained 13 lbs recently. His LVEF is less than 20%. His SOB is worsening in last 4 days‚ which he has a difficulty to breathe after 30 feet of walking. According to the ACC/AHA guidelines‚ his hemodynamic subset is class II‚ which he has a warm and wet due to his sign and symptoms of edema‚ ascites
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Running head: HEART FAILURE 1 Heart Failure Joeselyn Sequeira West Coast University HEART FAILURE 2 Heart Failure The heart is one of the body ’s most vital organ. The heart pumps blood throughout the body which carries nutrients other organs need. It also carries oxygenated blood to the lungs which allows us to breathe. Since the heart is so important‚ relying on it that it will do its job is necessary so we can live‚ but sometimes
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Heart failure is caused by the decrease cardiac output and decrease perfusion to the vital tissues of the body. Cardiac output is depended on the stroke volume and heart rate. There are three factors that influence stroke volume‚ which are contractility‚ preload and afterload. Contractility is reduced due to Ms. Boehmer’s history of acute myocardial infarction. Acute myocardial infarction causes myocyte function disruptions. Ms. Boehmer’s history of hypertension‚ smoking‚ and coronary artery disease
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