7. What cofactor does this enzyme require? Memorization fact: An abnormal clot is called a thrombus‚ once that clot leaves the site of formation and enters circulation‚ it’s called an embolus. If an embolus gets lodged somewhere it’s called an embolism Application 8. What is the stringy material visible in this scanning electron micrograph of a blood clot? 9. Tissue Plasminogen Activator (TPA)‚ Heparin‚ and Warfarin are all fibrinolytic substances. Think about what the suffix "-lytic" means
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in serum K+ * Every 100 mg Inc of glucose over 200 cause 1.7 mEq drop in serum Na+. * BMI = wt in lbs / Height in foot.. * BMI > 25 is over wt . BMI > 27.5 is Obese. BMI > 40 is Obesity with Inc risk of health problems. * Palm is 1% of BSA. * Pulmonary Thromboembolism ----- large S in lead I with deep Q in lead III and T inverted in various leads. * LUDWIG ANGINA --- Abscess of the floor of the mouth (danger of Airway Obstruction). * Leiomyoma are the most common tumor of women (20% of women) &
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tour abroad. Last night you seemed OK just a bit tired and possibly had a bit of a fever. This morning you woke up with severe left sided chest pain aggravated by deep breathing and coughing. You are very frightened because your sister had a pulmonary embolism after the birth of her baby. There is no sputum or haemoptysis. You had slight asthma as a child. You haven’t got much of a cough‚ but feel SOB and frightened to breathe deeply. Your general health is good and you’ve had no serious illnesses
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History and Physical Examination Critical Care Unit Treatment Record Patient Name: Putul Barua Patient ID: 135799 Room No.: CCU4 Date of Admission: 01/07/2012 Admitting/Attending Physician: Simon Williams‚ MD‚ Pulmonary Thoracic Surgery Admitting Diagnosis 1. Rule out Myocardial Infarction 2. History of tuberculosis 3. Hemoptysis 4. Status post embolectomy Chief Complaint: tightness in the chest‚ shortness of breath‚ fast heart rate. HISTORY OF PRESENT ILLNESS: Mr. Barua
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anticoagulants: coumarins- warfarin‚ dicumarol Heparin- administers IV or deep s.c. Mechanism of Action (MOA) – Anticoagulants prevent clot formation or prevent a clot from enlarging. Commonly used for treatment of DVT‚ myocardial infarction‚ pulmonary emboli‚ post operatively. Side effects related to MOA – The most serious adverse reactions are hemorrhage‚ leukopenia‚ thrombocytopenia‚ swelling of face/throat‚ bleeding from the rectum. The most common side effects include: nosebleeds and bruising
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CASE STUDY 3 HISTORY AND PHYSICAL EXAMINATION Patient Name: Putul Barua Patient ID: 135799 Room No.: CCU-4 Date of Admission: 01/07/2013 Admitting Physician: Simon Williams‚ MD Admitting Diagnoses 1. Rule out myocardial infraction 2. History of tuberculosis. 3. Hemoptysis. 4. Status post embolectomy. CHIEF COMPLAINT: Tightness in the chest‚ shortness of breath‚ fast heart rate. HISTORY OF PRESENT ILLNESS: Mr. Barua is a 42-year-old gentleman from Bangladesh
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disturbances have been associated with progression of legionnaires disease. Examination of the lungs may initially reveal focal rales that will eventually become diffuse. Findings on an initial radiograph of the chest may be normal‚ but eventually a pulmonary infiltrate will develop.11 Diarrhea is common in legionnaires disease‚ and usually hyponatremia occurs because of the loss of sodium and water. Other abnormalities include elevated serum levels of liver enzymes‚ hypophosphatemia‚ thrombocytopenia
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Stephanie May ST: 103 Pacemaker Case Study: Stacey May My sister‚ Stacey May‚ had a pacemaker implanted at age 7 (1988). Occasionally throughout the 2 years prior to her surgery‚ she suffered with fainting episodes. One day while at cheerleading practice‚ she had fainted and was taken to the ER. At that time the doctor at the hospital found no reason for her fainting spells and she was sent home that night with cough medicine due to complaints of a sore throat. Later that night‚
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HISTORY AND PHYSICAL EXAMINATION or EMERGENCY DEPARTMENT TREATMENT RECORD Patient Name: Putul Barua Patient ID: 135799 Age: 42 Sex: M Room No.: CCU4 Date of Admission: 01/07/---- Admitting Physician: DR. Simon Williams‚ MD Chief Complaint: Tightness in the chest‚ shortness of breath‚ fast heart rate. ADMITTING DIAGNOSIS 1) Rule out myocardial infarction 2) History of TB 3) Hemoptysis 4) Status post embolectomy HISTORY OF PRESENT ILLNESS: Mr.
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Accountability of the Nursing Professional Nathan Munson Grand Canyon University: NRS 430V February 20‚ 2011 Cynthia Yascavage ACCOUNTABILITY OF THE NURSING PROFESSIONAL Nursing professionals are viewed by the public as one of the most trusted and caring professions in the world. This status is achieved in the nursing profession by way of accountability. Accountability is the base of all practice and provides a platform for nursing to expand practice‚ gain trust‚ and provide excellent
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