Essays on Cardiac Output

Hypertension in children is becoming a growing healthcare concern in America. It is quite common to see reports of hypertension in children. Most cases of hypertension in children remains undiagnosed and therefore the present prevalence is an underestimation of the real scenario. Unlike adults, the normal blood pressure values in children can vary based on their age and height, and thus borderline cases of hypertension, escape diagnosis. Sedentary lifestyle and obesity are important risk factors for hypertension in children. Through proper lifestyle practices and diet, hypertension can be prevented in children. Preventing hypertension in children is important as hypertension ...

Q1: Prioritizing patient care will help to complete nurse’s shift duties without any adverse patient complication. Prioritizing will help to plan out the day and in managing the cases in the most effective way (Alfaro-LeFevre 2014). The best path to plan care for the patient with different medical and surgical priorities is to set timed objectives and meet the discharge goals based on the urgency of the medical or surgical condition. The handover from the staff of the previous shift provided the information for 4 patients, of which Lucy’s condition is more of an emergency that will ...

Abstract

Heart failure (2.6% prevalent worldwide) is a complex clinical syndrome, resulting from a structural or functional cardiac disorder and impairing ventricular filling or ejection capability. The current case of a 59-year-old male patient admitted on August 18, 2016 due to worsening shortness of breath and bilateral left extremity edema (one week) involved an existing diabetes mellitus type 2 (DM2). Physical and clinical profiles indicate a comorbidity between heart failure (HF) and DM2. Laboratory and imaging findings were not indicated, while diagnosis was based on the NYHA Classification guidelines. A review of literature revealed three crucial weaknesses in the diagnosis. ...

Multiple choice questions

Multiple Choice Questions

Increased erythropoietin production Increased heart rate Increased cardiac output Enhancement in oxygen extraction The answer for this question is b. increased heart rate. A reduction in tissue oxygenation as happens in anemia stimulates increased production of erythropoietin through a complex feedback mechanism. Increased production of erythropoietin enhances erythropoiesis in anemia. Increased extraction of oxygen in anemia is a compensatory mechanism that is mediated by an increase in 2, 3-diphosphoglycerate concentrations. Increased cardiac output is the main hemodynamic compensatory mechanism in anemia that aims to increase blood flow to the body organs. An increase in heart rate ...

Patients with hypertension, coronary heart disease, and congestive heart failure have a high risk of developing impaired tissue perfusion and deep vein thrombosis. In this case, Mr. X, 71 years of age has a history of lower leg cellulitis and venous stasis ulcers in both extremities. Based on clinical and nursing diagnosis, Mr. X was known to have impaired tissue perfusion and the risk of developing deep vein thrombosis. Nursing diagnosis also revealed an altered body image due to psychosocial reasons and current health status (Mitchell C. 2016). Abnormal flow or maldistribution of blood circulation associated with selective vasoconstriction, ...

Hypertension, the chronic elevation of blood pressure, results in enhanced morbidity and mortality in the long run. However, researchers are not unanimous about the pathophysiology of hypertension. Studies over the years reveal that between 2 to 5 percent patients face elevated blood pressures because of underlying adrenal or renal disease. Rest of the patients, nonetheless, do not exhibit any clear and identifiable reason for the malady. This statistics has well persuaded medical practitioners and researchers to acknowledge the role of multiple factors that might play varying roles in different patients of hypertension. Some of the most researched factors include ...

Monomorphic Ventricular Tachycardia

Cardiac arrhythmias often require immediate medical care that may include resuscitation (Ray, 2004). The diagnosis of cardiac arrhythmias can be challenging particularly in situations whereby the patient is asymptomatic and ECG findings are normal between symptomatic episodes (Cruickshank, 2008). Distinguishing between supraventricular and ventricular tachycardia is also a challenge (Australian Resuscitation Council, 2008). Cardiac arrhythmia should be suspected in patients with a history of syncope, near syncope, palpitations, and/or chest pain (Cruickshank, 2008). This paper will justify why monomophic ventricular tachycardia is the most likely diagnosis of a male patient who collapsed abruptly and has hypotension (BP 63/38), tachycardia ( ...

Assignment 2

PART A - (Total 15 marks)

Cephalexin and Gentamicin The mechanism of action of amoxicillin is focused on the prevention of the synthesis of the bacteria’s cell wall through the binding and inhibiting of the cell wall transpeptidases (Katzung, Masters, and Trevor, 2012). Specifically, it attaches to the penicillin-binding protein 1A found in the cell wall of bacteria. Then, the agent disintegrates the lactam ring to allow the acylation of the penicillin-sensitive transpeptidase C-terminal domain. The formation of the cross-link of the linear peptidoglycan strands is prevented by the inactivation of transpeptidases. Since the third and last stage ...