...I would knock on the door enter the room, and greed while introducing myself to the patient and the family. I would wash my hands and provide a privacy. Then I would ask Daniel for his first and last name, and date of birth. I would ask Daniel if he is allergic to anything and if he doesn’t seem to be fully awake to answer the questions, then I would ask the family. I would let Daniel and his family know that I have looked at Daniel’s blood pressure and temperature and would like to recheck his full vital sign to see if it has changed because Daniel’s blood pressure was low and he had a fever that I would like to see if it getting better Objectives: Temperature: 99.5 Pulse: 64 Blood Pressure: 79/49 URA Respiration: 14 Oxygen: 80 Since Daniel’s oxygen is low; I have to focus on that first and then circulations. I have to make sure his oxygen is above 90, so I start Daniel on two liter of nasal oxygen, and ask Daniel to breathe in through his nose and exhale through his mouth (smell the rose and blow out the candle) until his oxygen is...
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...I. INTRODUCTION A. Number of cases/Statistic data of the disease A.1 Statistics Accurate pre-eclampsia statistics are difficult to obtain because the condition ranges from extremely mild to severe. Mild cases are sometimes not included in official figures. Furthermore, mild cases may have no effect on pregnancy, which is why the figures for pre-eclampsia as a whole are higher than for those that actually complicate pregnancies. Around 10% of pregnant women develop pregnancy-induced hypertension (high blood pressure) or pre-eclampsia (high blood pressure with protein in the urine).Worldwide more than four million women per year will develop pre-eclampsia, and over 63,000 maternal deaths are due to pre-eclampsia. Action on Pre-Eclampsia estimates that every year in the UK pre-eclampsia is responsible for the deaths of six mothers and 500 to 600 babies. A 2005 to 2006 study showed a promising fall in the numbers of women developing eclampsia since 1992, from 4.9/10,000 to 2.7/10,000. This has arisen as a result of the introduction of management guidelines for eclampsia and pre-eclampsia. Pre-eclampsia is much more common in first pregnancies, and there is a reduced incidence of pre-eclampsia in the second pregnancy. The risk of women who have had pre-eclampsia developing it again in future pregnancies is 16 percent, and 25 percent if they suffered from severe pre-eclampsia, eclampsia or they delivered pre-term. This rises to 55 percent if their baby was delivered before...
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...Would manual monitoring of blood pressure be more accurate than machinery monitoring in adult medical patients for detecting variations in blood pressure? Introduction Today’s health care applies evidence based practice in patient care with the purpose of easing the clinical decision making with standard practice and provide high quality care to patients. Evidence Based Practice is a problem solving method in clinical care on the basis of best available findings from patient preferences, clinical expertise and sound evidences. EBP provides best clinical decision making and better outcomes to patients, than normally designed research studies. The intention of this activity is to identify evidences for answering the research question of would manual monitoring of blood pressure be more accurate than machinery monitoring in adult medical patients for detecting variations in blood pressure? The collection of relevant information suggests that the use of manual monitoring of blood pressure helps to provide the ability to the health practitioners to offer the patient care with evidence support. It is imperative to monitor the blood pressure in every clinical setting to assess the physical condition and it is of vital importance to consider the measurements in clinical decision making (Bern et al. 2009). As shown by Heinemann et al (2008), the accuracy and the reliability of the method adopted for monitoring the blood pressure preclude the possibility of unnecessary complication...
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...AN INTERVENTION STUDY Name Institution SUMMARY The effect of both reduced snack consumption and dark chocolate in mildly hypertensive adults. Background Several studies conducted in the recent past have so far shown that both cocoa-containing foods and cocoa possess can improve and lower endothelial function and blood pressure respectively. In essence, these studies show that the consumption of various cocoa products influences the cardiovascular disease risk factors a great deal. Briefly speaking, cocoa intake has also been inversely associated with the rate of cardiovascular mortality. In relation to that, some of the epidemiological studies indicate an inverse relationship between cocoa or chocolate consumption and heart failure and risk of CVD. Very simply, health benefits associated with chocolate consumption further revolve around amelioration of flow mediated dilation (FMD), decreased blood pressure, and insulin sensitivity and resistance. However, most of the research studies reporting the aforementioned benefits of dark chocolate, especially on blood pressure are relatively short, that is, less or equal to four weeks (≤ 4 weeks) (Koli et al. 2015). As a result, this study was conducted for a period of 8 weeks with the sole purpose of assessing the effects of dark chocolate consumption, while reducing snack consumption as crucial intervention on other cardiovascular risk factors and blood pressure in mildly hypertensive persons. Methods The study in question was conducted...
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...Hypertension 1. Define the condition and describe symptoms Hypertension is high blood pressure in the arteries. Blood pressure is the force that pumping blood from heart to all tissues and organs of the bodyvia arteries which against the pressure from the artery walls. Typically, normal blood pressure at resting is about 80-120; blood pressure above that from 89-139is believed "pre-hypertension". Also blood pressure of 90-140 or above that will be calledhypertension.Moreover, although stress and emotional tension can temporarily increase blood pressure; but it won’t be considered as high blood pressure. Hypertension usually presents with no symptoms. It may occurs and remain unnoticed for many years, or even decades. However, some health professionals still believe that people who get hypertension may experience symptoms such as headache, dizziness, shortness of breath, and blurred vision. Moreover, It can progress to finally develop any one or more of the several potentially complications such as heart attacks or strokes. Therefore, it is a fatal disease which has negative impacts on people significantly. 2. Explain what components in diet are linked to reducing risk of developing the condition In order to reduce risk of developing hypertension, people can change their eating habits by decrease sodium consumption, also increase potassium in to the diet.The American Heart Association recommends consumption of dietary salt be less than 6 grams of salt per day...
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...Makati Medical Center - College of Nursing SY 2011 – 2012 A Case Study Presentation on the Care of a Mother with Preeclampsia Superimposed on Chronic Hypertension In Partial Fulfillment of the Course Requirement of NCM102 – Related Learning Experience Submitted To: Submitted By: Leader: Knight, Catherine P. Members: Iglesias, Pauleen Itliong, Juliane B. Javier, Reniccia Janel Joaquin, Gian Denise M. Kwek, Michael Angelo L. La Sangre, Anne Gabrielle B. Lacerna, Iruel Victor III Leynes, Sofia Antonniette M. Lindawan, Ma. Kristine S. BSN II – B Group 2 December 17, 2011 Table of Contents Chapter I - Introduction A. Description of the Case………................................................................. 4 B. Purpose and Objectives........................................................................... 5 C. Significance and Justification....................
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...Case Study: The Hot Tub Mystery This case study describes how Clint & Roma Underhill were discovered dead in their hot tub. The day of their death was described as unusually cool (though it was only ~15ºC… must be nice to live in Desert Palm... ). Empty wine bottles were surrounding the couple, and when the ambulance personnel arrived they observed that the hot tub was very hot - 115ºF. Mr. Underhill had also been taking a drug known as Lasix. The following are the facts submitted by the medical examiner: * BAL (blood alcohol level) of the couple was 0.20 * Roma weighed 120 lbs; Clint weighed 160 lbs * There was a therapeutic amount of Lasix present in Mr. Underhill’s blood, but none in Mrs. Underhill’s. * The couples’ hot tub was unusually hot (should not be over 109ºC) Determining the cause of death: There are many pieces to this puzzle and when attempting to determine the cause of death for the couple, you must consider the following physiological affects: Lasix: * Diuretic used to treat congestive heart failure, edema (swelling of tissues) and hypertension (high blood pressure) * Increases circulation of blood through kidneys lowers blood pressure Blood alcohol level (BAL): * Concentration of alcohol in a person’s blood (mass per unit volume) * BAL ≥ 0.2% represents serious intoxication (over 0.08% is too drunk to drive!) Alcohol effects: * Include diuretic (increasing kidney output lower blood pressure) leading...
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...Case Study AP2530 March 23, 2015 Case Study Hypertension Hi my name is and I will be your nurse today. I see that you have been diagnosed with hypertension and I would like to help you understand your diagnosis. Your body is a delicate piece of machinery that works on what is called a negative feedback system. Your body has many checks and balances that keep everything within certain levels. To put this in terms that I think you might understand, when your body needs energy it sends signals that tell you to eat. That is why your stomach starts growling. If your body is low on fluids it sends signals to your brain telling you to drink something. Well the same process happens with blood pressure signals. They are sent from receptor’s that monitor in your body to your control center, which is your brain that make changes needed to keep things at normal levels or homeostatic. Your brain sends instruction to set in motion changes in your blood pressure by your receptors to take action to raise or lower your blood pressure. This is done by the messages telling the blood vessels to widen or narrow and your heart to speed up or slow down. To lower your blood pressure, the vessels get wide and the heart slows. The trouble is if your blood vessels are always going to be widened and your heart is always slowed stress is placed on them. It is like a garden hose that is always left on with the sprayer closed, eventual the hose becomes weak. The same thing happens to your blood...
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... Introduction (11 marks) Note: use your text and the supplied journal articles to justify and support the development of the aims and hypothesis of the study. 5.75 What is blood pressure (BP)? (1 mark) 1 What is normal blood pressure? (1 mark) 0.5 Explain and Define mean arterial pressure (MAP) and pulse pressure (PP)and what they represent without showing their calculation (2 mark) 1 What can cause changes in blood pressure? (1 mark) 0.25 How is blood pressure regulated? (Focus mainly on the short term regulation of blood pressure, but also briefly mention long term regulation) Include the following: • What receptors detect changes in blood pressure? (1 mark) • Where is the signal transmitted? (1 mark) • What is the output and effectors? (1 mark) • What is the final result of effector action(s)? (i.e. Increased or decreased BP)? (1 mark) You do not complete your argument by including this information. 1 1 0.5 0 Aims and hypothesis. Explain what the study is testing and why (2 marks). Note: a hypothesis is a statement that you can test as being true or false so your results will either support the hypothesis or show it to be incorrect. A null hypothesis (H0) states that the intervention will not cause any change. 0.5 Methods (4 marks) 3 A detailed description of the methods (how the study was conducted) (1 mark) 0.75 This includes how to use and read the sphygmomanometer (1 mark) 0.5 Analysis (data) • How was PP and MAP calculated? (1 mark)...
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...emergency is severe hypertension (high blood pressure) with acute impairment of an organ system (especially the central nervous system, cardiovascular system and/or the renal system) and the possibility of irreversible organ-damage. In case of a hypertensive emergency, the blood pressure should be substantially lowered over minutes to hours with an antihypertensive agent. Contents [hide] * 1 Treatment * 2 Incidence * 3 Definition * 3.1 Hypertensive emergency as a generic term * 4 Pathophysiology * 5 Mortality * 6 Clinical history * 7 References * 8 See also | ------------------------------------------------- [edit]Treatment Several classes of antihypertensive agents are recommended and the choice for the antihypertensive agent depends on the cause for the hypertensive crisis, the severity of elevated blood pressure and the patient's usual blood pressure before the hypertensive crisis. In most cases, the administration of an intravenous sodium nitroprusside injection which has an almost immediate antihypertensiveeffect is suitable but in many cases not readily available. In less urgent cases, oral agents like captopril, clonidine, labetalol, prazosin, which all have a delayed onset of action by several minutes compared to sodium nitroprusside, can also be used. It is also important that the blood pressure is lowered not too abruptly, but smoothly. The initial goal in hypertensive emergencies is to reduce the pressure by no more than 25% (within minutes to...
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...1 INTRODUCTION This chapter introduces the literature survey related to the influence of acceleration on the pulsatile blood flow and the characteristics of blood and the main handling is the effected of external body acceleration to the flow of blood in the human artery, showing the results that gained and considering the conclusions revealed from those studies. In the normal situation, blood flow in the human blood vessels based on the normal functioning of heart. The heart pump produce the pressure gradient throughout the blood vessel. This consist of two components, one is constant or non-fluctuating and the other is fluctuating or pulsatile. (V.K.SUD AND G.S.SEKHON) The pulsatile flow...
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...Winningham’s Critical Thinking Cases in Nursing: Case Study 20: “Obstructive Sleep Apnea” Directions: * Answer the following questions and statements. * Each question is assigned a point value. * Submit the completed worksheet to the Dropbox no later than Day 7 of Unit 3. * Your instructor will post the grade for this Assignment in the Gradebook no later than Day 7 of Unit 4. Scenario: S.R. is a 69-year-old man who presents to the clinic because his “wife complains that his snoring is difficult to live with.” 1. As the clinic nurse, what routine information would you want to obtain from S.R.? (2 points) I would want to obtain a smoking history (if any). I would want to know about their sleep: the hours of sleep obtained per night, if they are waking frequently through the night, their posture during sleep. Information I would want to obtain would also include if they wake up feeling tired, if they awake frequently during the night, if they fall asleep during the day, if they awake with a headache, and if they are irritable or angry in the morning. I would want to assess vital signs (to include oxygen saturation level), history of recent illness/respiratory infection, any changes in weight, trouble breathing through the nose, stressors, and difficulty concentrating. I would also ask the wife how loudly he snores and if she notices a pause in his breathing. CASE STUDY PROGRESS After interviewing S.R., you note the following: * S.R. is...
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...Patient- Centered Education Plan Pascale Comeau NUR/427 July 29, 2014 Debra Ayer MSN, RN, MBA This paper will discuss of a case study related to hypertension and the lack of awareness of the disease. Hypertension is a chronic disease. Chronic illness is a condition that last six months. It can be managed but not cure. The CDC stated (2014) “As of 2012, about half of all adults- 117 million people have one or more chronic diseases. Seven of the 10 causes of death in 2010 were chronic disease. Heart disease and cancer together accounted for nearly 48% of all deaths.” The objectives of this case study are to review the history and physical, describe the disease process, and formulate a patient- centered education plan. Disease process Mr. Larry Garcia is a 45 year old Hispanic male. He was newly diagnosed with hypertension during a physical exam for his employment. He does not consult his primary physician regularly. His previous physical exam was six years ago. Larry is overweight and lack of physical activity. He does not smoke but drinks alcohol occasionally on the weekend. He complains of shortness of breath, dizziness, headache and blurry vision occasionally. However, he stated “I feel fine.” Mr. Garcia refused prescribe medication for his hypertension. He takes only one multivitamin daily. Larry is married and has three children. He has a stressful job as a sale representative. He is the only child. He assists both of his parents with their financial...
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...announced that it had prematurely ended a large national study of how best to treat people with high blood pressure because of its exceptional results. In this trial of more than 9,000 people age 50 and older with high blood pressure, an aggressive treatment strategy to keep systolic blood pressure below 120 was compared with a conventional one aimed at keeping it below 140. The subjects all had a high risk of heart attacks, stroke and heart failure. The N.I.H. concluded, six years into a planned eight-year study, that for these patients, pushing blood pressure down far below currently recommended levels was very beneficial. Ending a study early is rather unusual. In such cases, studies are stopped not by the investigators, but by an independent group of expert scientists who monitor the trial for evidence of unexpected harm or benefit that requires swift action. When a trial is halted early it is a surprise to the researchers who must not only move quickly to notify the participating doctors and subjects, but also decide how to communicate the results. The usual practice is to make a public announcement with an interpretation of the findings and then finalize the database and write the paper. The N.I.H. followed this playbook, and the media reported that the findings supported more vigorous treatment of high blood pressure, treatment that could be lifesaving. It was reported as major news. The problem is that many details of the study have not been released. It will be months before...
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...Capstone Project: Case Study #3 Hypertension Kaplan University 14 October, 2014 Hypertension Hypertension is commonly known to many people as high blood pressure. Hypertension is a condition in which the arteries in the body have elevated blood pressure. When heart beats, it will pump blood throughout the body your body from your arteries. The blood pressure stems from the force of blood that pushes against the blood vessel walls. When an individual has elevated blood pressure, the harder the heart has to work to pump blood. The normal range for blood pressure is below 120/80. “The 120 in the blood pressure represents the systolic measurement, or the peak pressure in the...
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