Mrs. S. is an 83 year old woman with multiple medical problems‚ including chronic obstructive pulmonary disease (for which she sees a pulmonologist)‚ atrial fibrillation and systolic heart failure (for which she sees a cardiologist)‚ hypertension‚ diabetes‚ depression‚ and mild dementia. She comes to your provider’s office today with a new list of medications. Her pulmonologist changed her inhaler from one brand/strength to another brand/strength‚ but she is not sure why. Her cardiologist took her
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Cardiovascular Case Study: Atrial Fibrillation and Oral Anticoagulation Scenario You are the nurse working in an anticoagulation clinic. K.N. is a patient who has a longstanding irregularly irregular heartbeat (atrial fi brillation‚ or A-fi b) for which he takes the oral anticoagulant warfarin (Coumadin). Recently‚ K.N. had his mitral heart valve replaced with a mechanical valve. You know that there are different PT/INR (prothrombin time/International Normalized Ratio) goal recommendations based
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that Kearsley had an atrial fibrillation (an irregular heartbeat) and refused to pass him. Kearsley took it upon himself to consult a medical specialist who advised him that his condition would indeed not affect his ability to perform his job as a firefighter. Kearsley then filed a complaint against the city with the Ontario Human Rights Commission. At the Commissions Bored of Inquiry hearing‚ the doctor who had originally examined Kearsley testified that atrial fibrillation led to increased risk for
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Truth in Ads: Eliquis Truth in Ads: ELIQUIS (apixaban) ELIQUIS (apixaban) is a blood thinner used to reduce the risk of stroke and blood-clots in people who have atrial fibrillation (Afib). Afib is an irregular heartbeat‚ but it can cause blood clots to form. This can result in a stroke according to Eliquis.com (2014). ELIQUIS can play an important role for patients with Afib not caused by a heart valve problem. ELIQUIS can’t regulate irregular heart or treat people who are symptomatic; it can reduce
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These hospitalizations are one of the problems and evidence that Mrs. Fisher’s cardiac condition is worsening. Her CHF and A-fib are causing fluid retention and increased cardiac pre-load‚ decreased cardiac output‚ compromised coronary circulation‚ which is resulting in angina‚ dyspnea‚ and weakness (Copstead‚ 2013; GCU‚ 2013a). Numerous cardiac medications demonstrate an attempt to treat these signs and symptoms (GCU‚ 2013b) but Mrs. Fisher may neither truly understand her disease process‚ nor
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The Brain I. Supporting structures Anatomy of the Brain 3 Major Areas: Cerebrum-consists of two hemispheres (thalamus and hypothalamus) that are incompletely separated by the great longitudinal fissure 4 Lobes: Frontal-major functions are concentration‚ abstract thought‚ information storage or memory‚ and motor function. It also contains Broca’s area‚ critical for motor control of speech Parietal-analyzes sensory information and relays the interpretation of the info to the thalamus. It
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regular floor. Condition is serious. 2. ALLERGY TO PENICILLIN‚ which puts patient into anaphylactic shock. 3. Continue with home medications. DETAILS OF PRESENT ILLNESS: Mr. Kinsey is an 87-year-old white gentleman with history of (1) Chronic atrial fibrillation‚ on Coumadin. (2) Chronic deafness‚ bilateral. (3) Severe peripheral vascular disease. (4) Status post left endarterectomy done in November of last year. (5) Chronic renal failure. (6) Status post right great toe amputation secondary to peripheral
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How to record vital signs and other values..... Please note: Each patient’s report that has a generated report from both Alice and Somnostar for filing medical records will also include the values of the patient vitals signs. This is the most accurate report reading for any medical staff to review‚ retrieve patient records for further patient care. When the patient comes in and signs his/her consent forms it is also giving the patient rights to have their medical records to
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admitted through the ER with acute massive rectal bleeding of unknown origin‚ possibly diverticulitis; congestive heart failure in mild exacerbation; chronic renal failure‚ worsening since the day before admission‚ with dehydration and chronic atrial fibrillation. Emergency proctoscopy was done in the GI suite immediately after leaving the ER‚ which revealed only clotted blood without a source for the bleeding. Colonoscopy was scheduled but then later canceled due to poor bowel preparation and extreme
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Research Critique of: Living With Atrial Fibrillation: A Qualitative Study Sarah E. Garcia Grand Canyon University: NRS-433V 10/19/2014 Research Critique of: Living With Atrial Fibrillation: A Qualitative Study Patients living with atrial fibrillation suffer daily from the side effects of their condition and the treatments pertaining to it‚ yet not much consideration is taken to help understand and alleviate this burden. As healthcare workers‚ it is our duty to research and develop
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