fainting Fainting is broken into several groups often defined by cause‚ and is often called “syncope.” Vasovagal syncope- tends to occur when blood pressure or heart rate lower significantly. Some people tend to have vasovagal reactions to stress‚ as from seeing blood‚ getting hurt‚ or seeing someone else get hurt. This type of fainting‚ when vasovagal syndrome is known‚ is usually not dangerous. Sinus syncope Pressure- externally on the nerves surrounding the carotid arteries can lead to carotid
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stiffness Disturbance of sphincter control (bowel‚ bladder) Head injury with loss of consciousness Chest pain/heaviness Exertional dyspnoea Paroxysmal nocturnal dyspnoea Orthopnoea Ankle swelling Palpitations Intermittent claudication Syncope Fatigue RISK FACTORS MSK PNS CVS Age >50 Gender Obesity Occupation and Sport Family history Infections Medication (eg. corticosteroids >2 months) Overseas travel Poor diet (inadequate dietary calcium and vit D) Smoking Excess alcohol
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Karen Thomas arrived this morning for Syncope. She was brought to the hospital by an ambulance. Her alcohol level was O. She already had two negative troponin and was going to be discharged the next day. Basically‚ she was at our CDU floor for observation and third troponin. After getting a report from the nurse‚ I went to see the patient to do my assessment. As I introduced myself‚ I could tell that she was not happy being bothered and staying at the hospital. I completed vitals and assessment‚
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Abstract Alcohol consumption may be linked to syncopal events. The mechanism by which alcohol may induce syncope is not well understood. Impairment of the response to orthostatic stress may be involved. A growing body of medical evidence suggests that short-term alcohol consumption elicits hypotension during orthostatic stress because of impairment of vasoconstriction. These findings have implications for understanding of hemodynamic effects of alcohol and‚ in particular‚ for understanding
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Nursing Diagnosis * Falls‚ risk for r/t diminished mental status aeb fractured R wrist‚ contusions on L knee and forehead‚ unsteady gait‚ “He’s fallen 3 or 4 times now but I don’t want to take away his independence so he lives alone at home”. “My dad often forgets words in mid sentence and will also misplace many of his personal items.” * Activity intolerance r/t hx of CVA aeb limited ROM of R arm. * Incontinence‚ urinary r/t hx of dementia‚ impaired mobility aeb “My dad cannot get
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On Thursday‚ November 7‚ I saw a performance of Baal‚ written by Bertolt Brecht and directed by Evan Parry. The play was not an emotional play‚ but an intellectual play. It caused the viewer to think about the existentialist nature of Brecht’s writing and the underlying meaning of the play. Although I have studied existentialism and followed the play intently‚ I still could not fully understand what Brecht was trying to say through Baal. My interpretation is that Baal represents man and his desires
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which was a complete loss of consciousness. He had never experienced such loss of consciousness before‚ and he was not fatigued nor confused upon wakening. He had complete memory of events prior to the syncope‚ and presented with no chest pain‚ nausea‚ palpitations‚ nor sweating pre and post syncope. The only precipitating factor was excessive cough‚ which had onset 5 weeks ago. Mr. KH has significant cardiac history of 2 Percutaneous Transluminal Coronary Angioplasty in 1991 and 1994‚ and had
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that the patient has no cardiac or respiratory problems. In no more than a minute‚ the patient recovered rapidly after an abrupt loss of consciousness. This leads to the doctor’s tentative conclusion that the patient had experienced an episode of syncope (commonly known as faint). Through talking to the patient‚ we learned that she has no history of heart problems or palpitations prior to her fainting. She felt slightly unwell after snacked on some raw sweet peppers that had been left untouched for
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B.O. is an 87-year-old patient who was hospitalized for syncope. Her syncope episode caused her to lose consciousness for a minute‚ which resulted in a fall at her nursing home. There were no fractures as a result‚ but she did experience some bruising. She had experienced several other episodes of dizziness within the past month. The patient has a history of confusion‚ osteoporosis‚ osteoarthritis‚ tremors and anemia‚ all of which can contribute to an increased risk for falls. A relevant nursing
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Lewis: Medical-Surgical Nursing‚ 9th Edition Chapter 36 Nursing Management: Dysrhythmias KEY POINTS RHYTHM IDENTIFICATION AND TREATMENT • The ability to recognize normal and abnormal cardiac rhythms‚ called dysrhythmias‚ is an essential nursing skill. • Four properties of cardiac cells (automaticity‚ excitability‚ conductivity‚ and contractility) enable the conduction system to start an electrical impulse‚ send it through the cardiac tissue‚ and stimulate the myocardial tissue to contract. • The
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