Medications for cardiac arrest * Epinephrine 1mg iv bolus every 3-5 mins * Vasopressin- alternative to epinephrine * Treatment for vf‚ vt‚ pea‚ asystole * Dose: 40 units iv single * Norepinephrine – for severe hypotension * For low total peripheral resistant * Dose 0.1-0.5 mcg/kg/min infusion * Not use for cardiac arrest * Dopamine – Dose: 2-20 mcg/kg/min infusion‚ titrate to patient response * Do not administer in same iv line as Na bicarb * Dobutamine
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pressure known as hypertension‚ is 140/90 or more‚ who chances increase as you get older‚ overweight‚ having a relative with high blood pressure‚ non-eating healthy‚ which puts us at risk of a heart attack or stroke. The low blood pressure known as hypotension‚ is 100/60 or less‚ can drop from a post operation‚ not drinking enough‚ quick stand can make you dizzy. The normal limits of blood pressure is between 100/60 to 140/90. Systolic blood pressure is when an force of heart pumping causing strain and
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Improving Outcomes in Sepsis Patients in the Emergency Department Sepsis is a left threatening illness that affects millions of people each year. The Center of Disease Control reports sepsis as the 10th leading cause of death in the United States (V). For adults age 65 and over hospital admission because of sepsis have increased 48%. The body’s immune system switches into “high gear” which overwhelms the body’s normal blood flow and oxygenation of tissues throughout the body. This process‚
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Pernicious Anemia and its association to orthostatic hypertension Pernicious anemia is the major form of vitamin B12 deficiency. It is caused by serum antibodies against intrinsic factor which leads to B12 deficiency rather than by B12 deficiency itself. Absorption of vitamin B12 requires intrinsic factor which is secreted by parietal cells. Pernicious anemia is marked by autoimmune attack on gastric mucosa and a loss in parietal cells. Approximately 75% of the affected patients have type I antibody
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Postural Orthostatic Tachycardia Syndrome (POTS) From the time we are born till the time we die there is a muscle inside of us that is the root of our existence‚ it’s a muscle so dominant that we can actually hear and feel it throughout our growth‚ daily activities‚ and emotions of our everyday life. Inside our body there is a powerful muscular pump‚ which is known as the one of the main organs in the human body. This hollow‚ cone shaped‚ pump lies slightly left within the center of the chest
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Some time later‚ Eli is once again woken up by his Dad‚ however this time was different. His dad seemed somewhat enthusiastic for some reason or another. Being dazed from sleep‚ Eli doesn’t think anything of it‚ until his dad tells him the news that may change his life… “I just received an email from Mayo clinic. They had a cancellation and we were next on the list. Your appointment starts tomorrow morning‚ so we are leaving tonight.” His dad giddily stammers‚ “We will pick your mom up on the way
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5-alpha reductase inhibitors. The medications in this category shrink prostate by preventing hormonal changes that cause prostate growth. The mechanism of action is that 5-alpha reductase inhibitor medication blocks the conversion of testosterone to DHT resulting in lower intraprostatic levels of DHT. This process causes change in epithelial cell of the transition zone. This process leads to inhibition of prostatic growth‚ involution‚ and apoptosis. Eventually‚ prostate volume and progression of
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CASE STUDY What is the likely explanation for almost fainting on standing? What is the phenomenon called? Cleveland almost fainting when he stood up because the blood flow to his brain was interrupted. He is most likely experiencing orthostatic hypotension‚ this happens when you blood pressure decreases upon standing. Disorders affecting which systems can be responsible for sensations of tiredness and weakness. Disorders affecting the immune system‚ cardiovascular system‚ muscular system
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Failure Leukopenia Neutropenia Hemolytic Anemia Thrombocytopenia Rash Hypersensitivity Cyanosis Anemia Jaundice CNS Stimulation Delirium Vascular collapse Seizures Coma Death Codeine: Sedation Lethargy Restlessness Hallucinations Bradycardia Hypotension Tachycardia Circulatory collapse Dry mouth Urine retention Respiratory depression Respiratory paralysis Dyspnea Acetaminophen: Assess: Renal studies (BUN‚ urine creatinine‚
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seizure disorders. -Side effects: seizures‚ *dizziness‚ *headache‚ anxiety‚ ataxia‚ confusion‚ drowsiness‚ euphoria‚ insomnia‚ restlessness‚ tremor‚ weakness‚ blurred vision‚ glaucoma‚ nystagmus‚ hypertensive crisis‚ *arrhythmias‚ edema‚ orthostatic hypotension‚ *diarrhea‚ *weight gain‚ abdominal pain‚ anorexia‚ *constipation‚ *dry mouth‚ liver enzyme elevation‚ nausea‚ vomiting‚ dysuria‚ *sexual dysfunction‚ urinary incontinence‚ urinary retention‚ rashes‚ pruritis‚ hypoglycemia -Nursing implications:
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