...1. Describe nursing care of the post angioplasty patient. A coronary angioplasty is a procedure to open an area of the arterial blockage in the heart that has become narrowed. This allows better blood flow through the artery and to the heart muscle. It is often done with a catheter that has an inflatable small sausage-shaped balloon at its tip. Coronary angioplasty is being increasingly used as a treatment for coronary artery disease; the proper evaluation and management of patients after the procedure are important issues. Although coronary angioplasty is a complex technical procedure, the methods routinely used to evaluate its results have many limitations. The management of the patient during the first 24 hours after angioplasty should focus on the prevention, detection, and if necessary treatment of acute vessel closure. Assessment: When the patient returns from the cardiac catheterization laboratory, the stability of the patient should be established initially. This will include, but is not limited to, EKG, vital signs, oxygenation level, urine output, cardiac, respiratory, pulmonary, gastrointestinal, and gentle urinary assessment. Particular attention must be paid to the peripheral vascular assessment of the lower extremities. Often the patient may return from the cardiac catheterization laboratory with a sheath in place. If this is the case, the institutional procedures for caring for sheaths should be applied. Some institutions, may allow the nurse to remove that...
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...Assignment Five: Urbanization and sports—from bare knuckle boxing to Jack Johnson The sport of boxing in the twentieth century was very common within the working class, especially popular among the young men, yet there were long time competitors that strived to continue and uphold their titles within the ring, for other reasons besides having the title – reasons that young competitors would not yet fully understand. Being in the ring was a scary place to be, but with the right training and preparation, one could leave the ring with glory from defeating their opponent – exemplified by the press, and with large sums of money to make all ends meet. As young competitors joined the sport and prepared for their upcoming matches, they were more often than not competing for one reason and one reason only – the glory, the admiration, and the reputation. But there comes a time when all motivation within the ring changes. Although the boxers had nothing against each other, and the game had to be played, the incentive behind the aging boxers was no longer the same as it was during their youth. They were no longer competing just for the glory; they were now competing for their families at home; competing to make ends meet to continue to support their loved ones. When taking a look at the lifestyle behind the sport of boxing in the twentieth century for the working class, I found that a quote from the boxing movie Rocky interpreted the lifestyle quite well. The quote is as follows,...
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...open after balloon angioplasty (Cohen, 2006). Balloon angioplasty can weaken the arteries, sometimes causing them to collapse within a few days (Cohen, 2006). At that time, the only treatment available was emergency bypass graft surgery (Cohen, 2006). Further, angioplasty was causing restenosis in almost one-third of all patients (Cohen, 2006). Bare metal stents were developed in the mid 1980s out of a need to prevent or lower the incidences of restenosis due to angioplasty. While bare metal stents solved the problem of artery closure during the hospital stay, restenosis continued to occur in patients who received bare metal stents. In one-fourth of all cases, the stent experienced reblocking at around six months and had to be reimplanted (Cohen, 2006). Drug eluting stents were next developed in the hope that the pharmaceutical would prevent restenosis. Drug eluting stents have the same structure as a bare metal stent but are coated with a pharmaceutical. The pharmaceutical can also be contained within a thin polymer on the scaffolding of the stent to slow the release (Cohen, 2006). Drug eluting stents, in comparison to bare metal stents, decrease the risk of restenosis. However, drug elucting stents may increase the risk of stent thrombosis. Still searching for a solution that would reduce the risk of restenosis and stent thrombosis, a few companies are developing biomimetic stents. Biomimetic stents are coated with a biologic in order to improve biocompatibility...
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...Indhold Indhold Vejledning 1. Artikler 1.1 Ubestemt artikel 1.2 Bestemt artikel 1.2.1 Forbindelsen de + bestemt artikel 1.2.2 Forbindelsen à + bestemt artikel 1.3 Artsartikel 1.4 Delingsartikel 1.4.1 Reduceret delingsartikel efter angivelse af mængde/antal 1.4.2 Reduceret delingsartikel efter nægtelse 1.5 Artiklernes brug 1.5.1 Bestemt artikel bruges i modsætning til dansk 1.5.2 Ubestemt artikel i særlige tilfælde 1.5.3 Faste udtryk uden artikel 2. Substantiver 2.1 Køn 2.1.1 Regler for køn 2.1.2 Substantiver m/f 2.1.3 Substantiver med/uden hunkønsform 2.2 Flertal 2.2.1 Uregelmæssigheder 2.2.2 Substantiver, som er ental 2.2.3 Substantiver, som er flertal 2.3 Genitiv og dativ 2.3.1 Genitiv, ejendoms- og tilhørsforhold 2.3.2 Dativ, hensynsled 2.4 Egennavne 2.4.1 Geografiske navne 2.4.2 Menneskeskabte ting 2.4.3 Forkortelsesord 2.5 Substantiver med konsonantisk h 3. Adjektiver 3.1 Bøjning i køn og tal 3.1.1 Uregelmæssigheder (adj. og sb) mht. køn og tal 3.2 Adjektivernes gradbøjning 3.2.1 Uregelmæssig gradbøjning 3.3 Adjektivernes placering 3.3.1 Elementære adjektiver 3.3.2 Adjektiver med forskellig betydning 3.4 Substantiverede adjektiver 3.5 Sprog og nationalitet 4. Adverbier 4.1 Dannelse af adverbier 4.1.1 Uregelmæssig adverbiumsdannelse 4.2 Adverbiernes gradbøjning 4.2.1 Uregelmæssig gradbøjning 4.3 Fødte adverbier 4.3.1 Gradsadverbier og forstærkende...
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