Essays on Embolism

Introduction of Topic

Burden of Deep Vein Thrombosis Deep vein thrombosis is a severe preventable cause of morbidity-mortality around the globe. This disease is so silent hence difficult in diagnosing it and so it is seen as a significant challenge regarding diagnosis. The Little level of clinical suspicion and higher incidence and fatality makes deep vein thrombosis a grave concern to the world (Jaff, et al, 2011). In the United States, 1 to 2 in every 1,000 people is likely to be affect by deep vein thrombosis annually. There is also an estimation that up to 100,000 Americans scampers to ...

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 ...

1. A fever of unknown origin (FUO) in a patient with leukemia leads itself to a wide range of differential diagnoses. Traditionally FUO is divided into four categories: classic, nosocomial, neutropenic, and HIV-associated. Classic FUO can be a result of infections, malignancy, or collagen vascular disease. Nosocomial FUO is most likely due to C. difficle infections, pulmonary embolism, or an infected catheter. Neutropenic FUO can be caused by opportunistic bacterial or fungal infection. Lastly, HIV FUO can be due to M. avium-intracellulare complex or P. carinii. Most likely because of the patient’s WBC count and history of leukemia, ...

Ventilator-associated pneumonia

Abstract The intensive care unit in most hospitals plays the role of providing care to patients dealing with life-threatening conditions. The technological and other set ups in these hospital units are vital in ensuring that these patients continue to receive the best regarding care while with the intentions of having them emerge with desirable outcomes. There are however challenges relating to the care that these patients receive since, in most cases, they are usually under mechanical ventilation. A patient under this condition faces the risk of developing ventilator-associated pneumonia if the ventilators are not handled with the required care. ...

Introduction

It is critical to understand that mechanical interventions and thrombolytic therapy are the commonly used approaches to treat both venous and arterial thrombotic complications. However, this approaches offer several limitations that are hard to ignore. First and foremost, there is a possibility of excessive bleeding and damage to the walls of the blood vessel. Secondly, the approach may fail to reach reperfusion. Thus, the use and application of ultra-sound accelerated thrombosis offer an entire revolution in vascular medicine. Again, the technologyis meant to withstand the test of time. Cleary, the technology has reduced the body dosage that would be ...

Introduction

Passengers aged over fifty years often develop Deep Vein Thrombosis (DVT)during prolonged flights. The development of DVT among passengers is well documented but is not often experienced by pilots flying commercial aircraft; however, there are a few cases where pilots have developed DVT in the course of duty.The potential liability of airlines is much more expounded with respect to claims arising from injuries caused to passengers without any sort of monetary limitation. In order to address the problem and help balance the liability to a proper proportion, the Convention for the Unification of Certain Rules Relating to International ...

In this case, the diagnosis process was totally wring due to the general assumption made by the care provider and the primary care doctor that the patient being an athlete could not in any way have such a serious problem as a clot. The diagnosis was made from an assumption-based view and there was no effort whatsoever to link the illness presented or the symptoms to the patient’s history to order any forms of diagnostic tests. In most cases, care providers do assume that athletes such as this patient regarded as an avid runner are less likely to ...

The case of James a 48 year old male is a case of a patient with DVT but with little information. This man is a lawn tennis player with some issues that made him visit the emergency room and had the boot placed on him for 4 weeks duration. It was after that episode of medical management that he noticed a form of ankle to calf swelling on one of the legs. The swelling was really abnormal in terms of size hence he needs to see the doctor urgently. Despite swelling and the test such as ultrasound done, the extent of severity to him ...

Abstract

Factor V Leiden is a genetic mutation that confers resistance to the action of activated protein C and thus predisposes to venous thromboembolism. It’s inherited as an autosomal dominant trait and is prevalent amongst Caucasians with a carrier rate of 4%. Deep venous thrombosis and pulmonary embolism are the most common clinical manifestations of FVL related VTE although it can also affect other sites. Genetic testing for FVL is used for diagnostic as well as predictive purposes. Diagnosis of FVL is based on protein assays and

DNA analysis technology. Familial genetic testing for FVL is generally not recommended except in ...

Introduction

Cerebrovascular accident refers to stroke in which the blood flow to the brain is interrupted due to a rupture of an artery to the brain or blockage, resulting in oxygen deprivation and consequent death of brain cells. Our brain needs a steady oxygen supply to have blood pumped throughout the body effectively. The blood flowing through the arteries to the brain carries the oxygen. In the case of a cerebrovascular accident, one or few of these arteries get ruptured or blocked, thereby interrupting the flow of the oxygen-rich blood to the oxygen. Within 60-90 seconds of oxygen deprivation, the brain cells in ...

The main objective of this study is to understand, evaluate and analyze the fateful sentinel event, which struck Mr. B, who was sixty- seven years old and was taken to the Emergency Department (ED) of a sixty bed rural hospital. Mr. B complained to Nurse J of rigorous pain in his hip and left leg after he lost his balance and fell after tripping over his dog. The ED physician and nurse after thorough medical check up treated Mr. B. However, within thirteen minutes of the treatment procedure, Mr. B's health started deteriorating. He was kept on ventilator and was ...

[Institution Title]

Part 1: Case Study on Pulmonary Embolism

A 44-year-old African American male had a partial colectomy to have a cancerous tumor removed. The patient did really well after surgery and was discharged from post-op recovery to the surgical unit at a medical center. Approximately one hour after surgery, the patient complained of gas pains and shortness of breath. The patient continued to complain of gas pains after administration of morphine sulfate. Providers failed to diagnose a pulmonary embolism that resulted in the loss of the patient’s life.

Discussion:

While there were very limited information provided in the case study as far as post-op procedure and evaluation, it seemed ...

VTE Nursing Research

Venous Thromboembolism Introduction Venus thromboembolism (VTE) is a condition that includes both pulmonary embolism (PE) and deep vein thrombosis (DVT). DVT commonly occurs when blood clots in deep veins normally in the pelvic veins or in the legs. However, VTE is common any vein in the human body. Patients who develop VTE have a 35% to 65% chance of dying from it. It is important to research on Venus thromboembolism (VTE) because as the third most common cardiovascular disease, it is a leading cause of mortality and mobility worldwide. VTE results from slowing of the blood flow (stasis), damage of ...

VTE More Measure

Venus thromboembolism (VTE) is a condition that includes both pulmonary embolism (PE) and deep vein thrombosis. DVT occurs when blood clots in deep veins normally in the pelvic veins or in the legs. However, VTE is common in many regions and it is a dreadful condition. Notably, patients suffering from VTE have a 35% to 65% chance of dying from it. It is important to research on Venus thromboembolism (VTE) because as the third most common cardiovascular disease, it is a leading cause of mortality and mobility worldwide. Several risk factors are associated with VTE such as; increase in age, orthopaedic surgery, and ...

Introduction

According to Huether (2012), venous insufficiency is a medical condition characterized by the inability of the veins of the lower extremities to effectively push blood back to the inferior vena cava. The venous blood evades its normal antegrade flow path and refluxes down the veins in the lower segments resulting to lower limb venous congestion. Syndromes in this condition are mostly due to valvular incompetence common in the low pressure superficial venous system, although they may also be due to incompetence of the valves in the deep venous systems.

Pathophysiology of CVI

The failure of the valves of superficial veins is attributed to ...

Deep vein thrombosis is formation of thrombus in the deep vein of leg. Most commonly it occurs as a result of post surgical complication, any chronic and debilitating disease, immobility for a considerably long period of time, post partum complications, local injury. The thrombus may be loosely attached to the vein, which may lead to fatal consequences like pulmonary embolism due to dislodging of the emboli.

PREDISPOSING FACTORS

- Stasis - Increased blood coagulability - Injury to the vessel wall

SITES OF INVOLVEMENT

- Calf vein - Femoral vein - Ileofemoral vein - Pelvic vein

PREVENTION

Before operation : a) Pre operative hospital ...

Proteus syndrome

Proteus syndrome Today Proteus syndrome is considered a very rare genetic disease that is accompanied by an unnatural growth of bones, muscles and connective tissues. It is often accompanied by tumors of individual body parts. Unfortunately, diagnosis and treatment of such disease is very difficult and not always a possible process. Modern medicine knows only that Proteus syndrome is a hereditary disease and is associated with a mutation of genes. However, the mechanism of occurrence of such changes is not yet fully understood. This disease was first described in 1979. It was that time when Michael Cohen found about 200 cases of ...

Overview

Risk factors Prevention teaching for nurses and patients Management Nursing management Complications Conclusion David Bloom, an Iraq reporter, died of blood clot issue which caused increased morbidity in relation to the heart, lungs and brains. It was simply because of lack of understanding as regards to the signs and symptoms that influences his untimely need to seek for required treatment. Overview Deep ventricular thrombosis affect 0.1% of persons per annum and it is the formation of the blood clots in the deep veins. This type of venous thrombosis is the type ...

Q1, Q2, Q3, Q4, and Q5 Essay

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Q1. Anaphylaxis identification, management and prevention

Anaphylaxis is referred to as an allergic reaction encompassing anaphylactic shock as a severe manifestation of the said allergic reaction according to Sinclair (2010). The average number of the people believed to be at risk of the aforementioned condition is about 1 to 15% if exposed to certain allergens. Experts believe that the estimated figures vary depending on the definitions of reaction (allergyfacts.org.au, n.d.). During an anaphylactic attack, the patient’s body reacts badly to allergens causing by food, venom, medication, and or insect bite. The body has a natural defense mechanism that fights the allergic ...

Part 5: Final Draft

This paper has several sections. First, it gives an analysis of a psychological report which was published in popular media. The second part documents the original research cited in the psychological report in section one. The third step gives a comparison between the first and second report.

Analysis of a Psychological Report

The title of the report was Silent Cerebral Emboli May Hasten the Progression of Dementia (Journal Watch, 2012). The author notes that the findings of the report were drawn from two groups: patients with dementia (loss of cognitive ability particularly, memory, attention, and language) and patients with Alzheimer disease. The author begins by notifying ...

Abstract:

Strokes are a leading cause of morbidity and mortality in the developed world. Key to prevention and control of strokes is a thorough understanding of their etiology and the pathophysiologic processes that occur. A review of the literature regarding cerebrovascular disease was undertaken to more fully understand the changes that lead to strokes. The causes are manifold and there are many risk factors that may lead to pathology causing a stroke. The third leading cause of death in the United States is stroke, it is also the cause of significant neurologic disorders and morbidity. A pathological process involving the blood vessels ...

The patient, 89 years old, was admitted because of a stroke. No family brought her to the care facility. Age seems to contribute to the stroke. Patient has also diabetes. The blood sugar after conducting tests was at 5.1, which is stable. Based on the patient’s medical history, the patient has experienced hypertension, TIA, CHF and Atrial fibrillation. Monitoring for the patients ECG was done every 48 hours. The weight of the patient was done weekly, and in case, it increased, the doctor was to be notified. Body assessment was done. She indicated signs of depression. There was weakness ...