A case study on the effect of oropharyngeal secretion and subglottic suctioning in prevention of ventilator associated pneumonia (VAP). The purpose of this case study is to analyze the significance of subglottic suction in prevention of ventilator associated pneumonia .The case study is linked to the competency no1(Respiratory). This study aims to assess the evidence available to prove the need of frequent subglottic suction of oropharyngeal secretion to prevent VAP in mechanically ventilated patients
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The treatment choice of coronary artery disease depends on the severity of the disease. Treatments include‚ but are not limited to lifestyle changes‚ drug therapy‚ percutaneous transluminal coronary angioplasty‚ and coronary bypass surgery. CAD is a chronic disease that will require lifelong care‚ it can be treated which aids in progression‚ but there is no cure. Although coronary artery disease cannot be cured‚ adequate lifestyle changes can prevent the disease from developing. Some of these lifestyle
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January 21‚ 2014 Coronary Artery Disease (CAD)‚ is a condition in which plaque builds up inside the coronary arteries. These arteries supply oxygen-rich blood to your heart muscle. This plaque is made up of fat‚ cholesterol‚ calcium‚ and other substances found in the blood. When plaque builds up in the arteries‚ the condition is called atherosclerosis‚ the buildup of plaque occurs over many years. Over time‚ the plaque hardens which causes your coronary arteries to narrow‚ which limits
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Case Study: Pneumonia and Pressure Ulcer Prevention in an Elderly MICU Patient June 6‚ 2012 Case Study: Pneumonia and Sepsis in an Elderly MICU Patient L.M. is a 75-year-old female who suffers from severe dementia and lives in a SNF. She was diagnosed with lung cancer in 2005 and as a result had a right upper and middle lobectomy. She also has a history of severe emphysema. L.M. has had several pneumonic infections and has an allergy to Pneumovax. She has a recurrent
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The unit was dispatched to an office building for a patient in respiratory distress. The patient was found sitting on the front steps in a slouching position. Upon arrival‚ I took his blood pressure. Despite the call being dispatched as respiratory distress‚ the patient did not seem short of breath. In fact‚ he was alert and talking nearly the whole time he was with us. The stretcher was brought out and he was able to climb onto it with some assistance. Once in the ambulance‚ my partner
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Coronary Heart Disease Coronary heart disease‚ also called coronary artery disease or ischemic heart disease‚ it characterized by an inadequate supply of oxygen-rich blood to the heart muscle (myocardium) because of narrowing or blocking of a coronary artery by fatty plaques. If the oxygen depletion is extreme‚ the effect may be a myocardial infarction (heart attack); if the deprivation is insufficient to cause infarction (death of a section of heart muscle)‚ the effect may be angina pectoris
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Coronary artery disease (CAD) is a prominent cause of death for all ages in the United States. In general‚ there is a buildup of plaque inside the coronary arteries. CAD is described as a complex chronic inflammatory disease‚ regarded as plaque accumulation resulting in reduction of oxygen-rich blood flow to the heart (Sayols-Baixeras‚ Lluis-Ganella‚ Lucas‚ & Elosua‚ 2014). “Plaque is made up of deposits of cholesterol and other substances in the artery” (Centers for Disease Control and Prevention
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Coronary heart disease is the buildup of plaque in the heart’s arteries that could lead to a myocardial infarction. However‚ coronary heart disease‚ or CHD‚ is actually a result of coronary artery disease‚ or CAD. With coronary artery disease‚ plaque accumulates within the walls of the coronary arteries until the blood flow to the heart is limited‚ causing ischemia. It may be chronic‚ caused by narrowing of the coronary artery over time. It can be acute‚ resulting from a sudden rupture and formation
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Coronary arteries supply the heart with a constant supply of blood. These arteries are essential‚ providing oxygen and nutrients that keep the heart constantly pumping. Arteries have three layers including the external layer‚ tunica external‚ middle layer‚ tunica media and the inner layer‚ called the tunica intima. The outer layer is made up of connective tissue with elastic and collagenous fibers. Tunica media is the thickest layer composed of smooth muscle and can change the diameter of the arteries
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Stroke is a disease caused by disorder of the blood flow to part of the brain because of occlusion(ischemic) of a blood or damage of a blood vessel‚ causing hemorrhage. For early detection of acute stroke‚ it’s better to use CT scan because it has a lot of advantages. The use of computed tomography (CT) for stroke evaluation has riced‚ moreover ‚ CT is quick than MRI. Recently there are CT techniques like perfusion CT and CT angiography that combined with non-enhanced CT that help the physicians
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