...9/20/12 HSC420 Lab Report 1-3 I. Introduction In lab 1, the heart rate and blood pressure were established. The principles that govern each of them are those of the heart. The heart rate (HR) is each full beat, or each pump, the heart does; this is recorded in beats per minute (bpm). The blood pressure (BP) is the amount of resistance the heart works against the arterial walls during each pump. My hypothesis for this lab was that my subject would have the same HR and BP for each of the locations and different methods used. I stated this because, at rest, the heart should be working at the same level no matter the position; although one position might slight lessen the heart’s workload. This is important in terms of my subject’s health and fitness because it means he has a normal, young strong heart. Per minute, it is important for the numbers to be lower because it means his heart is not working too hard but can supply his body with a sufficient amount of blood. In lab 2, the establishment of HR and BP were taken to another level and recorded during different exercises. The principles of this are that my subject’s HR and BP would gradually increase throughout exercise. Physiologically, this is because of the increased demand of oxygen in the working muscles. An increase of HR and BP is the heart’s response to these demands; a faster HR means that the heart is supplying the body with blood at a quicker rate; the higher BP is the high pressure the heart is working against...
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...Statement of objective Blood Pressure is defined as the pressure exerted by the blood on the walls of the blood vessels. The objective of the experiment preformed in lab is part of a physical examination in which the heart rate is counted. The experiment was to take a blood pressure reading and determining if a person have a normal or abnormal blood pressure before and after exercising. First part of the experiment is to take a pulse palpitation. This is the process of feeling a pulse with ones fingertips. This is preformed to asses rate, rhythm, and regularity of heartbeat. Most common place to take a pulse is the wrist. The wrist is where the radial and ulnar artery come together. There are other places to take a pulse reading which include the neck, leg and foot but most productive is the wrist in a majority of people. The next step is to listen to the heart sounds known as auscultation. There are four variables that are checked during this experiment. First, the heart rate which refers to the number of beats per minute. The second will be the heart rhythm which refers to the pattern and regularity of the heart beat. While listening to the heart rate and rhythm there are two additional sounds to listen for. The s1 and s2 sounds which are a lub and dub sounds. The first heartbeat sound,s1, is caused by the closure of the atrioventricular valve and the second,s2, is the closure of the semilunar valve. The procedure of this experiment includes a sphygmomanometer and a...
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...Complete the MasteringBiology Lab: Chapter 23 Investigation: How Is Cardiovascular Fitness Measured? * Take notes in the investigation's notebook as you perform the experiments. * Answer the questions associated with the investigation. Save your answers as a Microsoft® Word document. * Click the Submit for Grading button. * Type your e-mail address in the appropriate field. Your results will be e-mailed to you. * Copy your results and paste them into a Microsoft® Word document. Click the Assignment Files tab to submit your assignment. Web Site: http://media.pearsoncmg.com/bc/bc_campbell_essentials_5/process_qz/42A/index.html Blood moving through the blood vessels exerts pressure against the vessel walls. This blood pressure is highest in the aorta. It decreases as the blood moves through the arterioles, capillaries, venules, and veins. With each contraction of the heart, you can feel the expansion and recoil of the elastic arteries where they pass near the surface of the skin. This is the pulse. When you take your pulse, you measure heart rate – the number of times the heart contracts per minute. As you have seen, blood pressure is a measure of the pressure of the blood against the walls of a blood vessel. Clinically, blood pressure is usually measured in the brachial (arm) artery, so our discussion will focus on this specific location. There are two components to blood pressure: (1) Systolic pressure: The pressure in the artery during the...
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...new medications that she's started on. Then I would ask her if she's having pain. However if Mrs. Baker is unresponsive, I would assess her facial, body expression, and behavior to determine if she's having pain. IV access would be started, in case Mrs. Baker needs more fluids or iv medications. Next, I would ask the nursing assistant to take the patient's vital signs to see if there's any major issues with her vitals, especially her blood pressure. I would also ask lab to get stat labs for the patient with an order from the attending physician. Labs would include, stat CBC, CMP, and ABG's. The CBC would help to determine if she's having any bleeding, anemic, or having an infection. The CMP would help to determine if there's an electrolyte imbalance. The ABG's would help to determine if she's having a respiratory or a metabolic reaction, and if she's acidic or alkalitic. ABG results will also help in assessing to see if Mrs. Baker is having a compensatory reaction due to her abnormal blood sugar/ history of diabetes. After the labs are taken I would put Mrs. Baker on 2 liters of oxygen via nasal cannula and a continuous pulse oximeter to continuously assess her oxygen saturation. Next, I would get an order for a stat EKG to check her heart rhythm and rate. This would help determine if...
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...Name: Amy Meagher Student ID: 12148725 Date: 19/02/16 Lab 3: The Effect of Exercise on the Human Cardiovascular System Introduction: During exercise there is an increased demand for energy. The metabolic processes involved in the production of ATP require oxygen. As a result there is an increase in oxygen consumption and an increase in the production of carbon dioxide as a waste product. As the body produces more carbon dioxide there is a greater need to expel this excess carbon dioxide. In order to fulfil this function there is an increase in respiratory activity. This increase in respiratory activity leads to an increase in cardiovascular activity. The primary role of the heart is to pump oxygenated blood throughout the body. When exercising the skeletal muscles require more oxygen to aid in metabolic processes and the heart has to beat harder and faster to ensure the muscles have sufficient oxygen. The aims and objectives of this practical experiment were to record the effects of exercise or work on cardiovascular parameters and to record the effects of exercise on body temperature. The cardiovascular parameters measured in this lab include, heart rate (HR), blood pressure (systolic and diastolic), duration of the PR segment and RR interval. Materials and Methods: The materials and methods were followed as per EQ4058 Equine Exercise Physiology Practical Manual, Lab 4 the Effect of Exercise on the Human Cardiovascular System. Results: Table 1 shows the results...
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...Mr. Apple has told you that his diagnosis of atrial fibrillation is recent and he understands he is on a blood thinner but he does not remember very much of what was taught to him about it. List three important teaching points that you want him to understand about this drug? The signs and symptoms of bleeding, how to prevent it, and how to stop it. Informing all medical personnel that he is taking Warfarin, including dental personnel. Signs and symptoms of unusual bleeding include bleeding gums, nosebleeds, black tarry stools, blood in his urine, and change of color or temperature. He should use a soft bristled toothbrush, avoid flossing, and use an electric razor to avoid bleeding. Bleeding, including venipuncture and injection sites, require...
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...GNT1, Contemporary Nursing Issues, Task 1 Mrs. Elli Baker is a 73-year-old female who is transferred to the emergency room after collapsing in her backyard. Just prior to this, while talking to her friend on the phone, she seemed confused and beside herself. Upon arrival to the ER, she complains of some dyspnea with an increase in her respiratory rate and pulse. Her previous history includes diabetes and hypertension. She has recently started a new blood pressure medication: lisinopril. Her other medications include metformin and hydrochlorothiazide. The nurse is able to ask Mrs. Baker a few questions, but she then becomes unresponsive and has more difficult time breathing. As Mrs. Baker’s nurse, I would initiate a code immediately by dialing the operator using the phone in the patient’s room. The operator, in turn, calls a code over the hospital intercom system; thus, obtaining the assistance of several other staff members such as a respiratory therapist, the nursing supervisor, and an ICU (Intensive Care Unit) nurse. The respiratory therapist is expert in the field of lung function and responds to any codes or traumas within the hospital. The respiratory therapist participates in intubation of a patient, manages the bag/valve mask system for managing respirations in an intubated patient, performs tests such as ABG, and manages ventilation equipment when necessary. The Nursing Supervisor makes herself available to all nursing staff for support, acts as a script...
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...Lab report As part of my module Nip1002 I was required to perform a set of observational skills which included; pulse, blood pressure, respirations, hand washing and urinalysis and then compare them to previous results. In this lab report I am going to discuss blood pressure in detail. Procedure * Explain the procedure to the patient and gain consent * Wash hands thoroughly following the hand wash technique to prevent the transfer of bacteria * Clean equipment e.g. blood pressure cuff and stethoscope using antibacterial wipes * Ensure the patient is comfortable and has been resting for 10 minutes * Remove tight clothing and support the arm at heart level, overestimation or underestimation can occur if it is not at the appropriate level * Ensure you have the correct cuff size for the patient or this could give an inaccurate reading * Locate the brachial artery and apply the cuff * Estimate the systolic pressure by using the radial pulse and inflate the cuff until the pulse cannot be felt. This is important to provide an estimation and avoids error in reading. * To take the patient’s blood pressure use a stethoscope and place on the brachial artery pulse and inflate 20-30 mmHg higher than the estimated systolic pulse * Immediately release the pressure using the thumb valve at approximately 2mmHg per second. If it is deflated too rapidly you may not hear the sounds accurately * The systolic pressure is the level when clear tapping sounds...
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...Hypertensive Heart Disease. Hypertensive heart disease refers to heart conditions caused by high blood pressure. A number of different heart disorders are caused by the heart working under increased pressure. What does hypertensive heart disease includes? It cause heart failure, thickening of the heart muscle, coronary artery disease, and other condition. Hypertensive heart disease can cause serious health problems and is the leading cause of death from blood pressure. Who is at risk for hypertensive heart disease? Heart disease is the leading cause for death for both men and women in the United States. Over 610,000 Americans die from heart disease every year, the main risk factor for hypertensive heart disease is high blood pressure your risk increase if • You’re Overweight • You don’t exercise enough • You smoke • You eat high-fat and high-cholesterol foods....
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...BMS192 Lab Report marking sheet for 201360 Lab Report Marking Criteria Marks awarded Section total Abstract (4 marks) 2 Approx 2 lines introducing the topic (and aims) (1 mark) 1 Approx 2 lines for methods (1 mark) 0.5 Approx 2 lines summarising results (1 mark) 0 Approx 2 lines concluding (1 mark) 0.5 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...
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...created to improve the mortality rate of patients who had colonic adenocarcinomas but is now indicated for | |several pathologies including complicated and severe diverticulitis, rectosigmoid cancer, and in cases where a colon resection is needed but a primary anastomosis cannot be safely done. There are few | |contraindications to the procedure and is often the procedure of choice when other complicated procedures cannot be performed. Patients with hypotension, renal failure, diabetes, malnutrition, immune | |compromise, and ascites can have unfavorable performance to the procedure. | |The important labs for this patient are the CBC(WBC,H&H, and diff), CMP, ABG if intubated still, lactic acid if still septic/possibly septic, if still on TPN (glucose, calcium, magnesium, phosphate, | |LFT’s, albumin)...
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...Case Study James Morasco College of Southern Nevada – Nursing 211 Clinical Professor Judith Alewel, MSN, RN October 15, 2012 Introduction AV is a 57 year old male whom presented to the Emergency Department of Valley Hospital Medical Center in Las Vegas, NV on September 7, 2012 with the classic signs and symptoms of a left-sided middle cerebral artery (MCA) infarct and was admitted to the medical intensive care unit (MICU). These signs included left sided facial drooping, non-reactive left pupil, right sided weakness in the upper and lower extremities, and the inability to speak. Along with the signs and symptoms of the stroke, a 12-lead EKG revealed that he also has atrial fibrillation. The initial computerized tomography (CT) scan of his brain revealed nothing, but a subsequent MRA (magnetic resonance angiogram) concluded that he did, in fact, have an occluded branch of the left MCA that eventually converted to become hemorrhagic and he was admitted to the MICU. The MRA also found a persistent left trigeminal artery, which is insignificant to his presenting disease process. Along with all of this, a two dimensional echocardiogram revealed some significant hearts problems that will be discussed later. I cared for this patient during the clinical shift on September 18, 2012. History and Physical The only history and physical that was available in this patient’s chart was some narrative comments from his daughter notated by the physician, and this is most likely due to...
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...He was found to have am occluded left popliteal aneurysm with occlusion of all tibial vessels. The patient was taken to the OR with vascular service for initiation of thrombolysis therapy. He is currently hospitalized for left lower extremity ischemia, angiogram, thrombolysis, bypass femoral popliteal thrombectomy, irrigation and debridement of wound, and a fasciotomy. Then, he was taken back to the OR for debridement of left anterolateral muscular compartment necrosis. This morning, he was noted to be “confused”. The patient was stable and oriented until at least yesterday evening. Per the primary team, he did not appear confused when seen at 6am. He was also noted to have a temperature of 37.4. He did not have any labs checked for 2 days, but this morning his labs were notable for leukocytosis of 13 from 9, hemoglobin on 6.2 from 7.6, and Na of 131 from 136. The patient denies any specific complaints, but does not appear to focus on questions. Pathophysiology: Popliteal aneurysms are defined as localized dilatations of the popliteal artery greater than 2 cm in diameter or an increase of 1.5 times the normal arterial size (Galland, 2007)....
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...medication: Treatment for Hypertension (Elevated Blood Pressure). Dosage Range: 10-40mg daily You have been prescribed 40mg daily. Take the first dose at bedtime. Then daily in am at the same time. This drug has other usages but in your case Hypertension. Managing your Blood Pressure. Things to watch for while taking this medication: Hypotension: Medication takes effect within 1-3 hours. (Low blood pressure) Signs will be dizziness, lightheadness. Don’t stop taking the medication without first consulting your doctor. Monitor your blood pressure daily and record it until your next visit with your doctor. He then can determine if the dosage it to how. He and only he can make the changes. Possible Side Effects: Angioedema: signs of swelling involving head & neck this would compromise the airway. Cholestatic Jaundice: A rare toxicity associated with Ace Inhibitors. (Yellowing of the skin or eyes). Cough: A dry hacking cough that persists. (This occurs the first few months of treatment.) Hyperkalemia: Renal dysfunction. (Increase Potassium Levels) Use of potassium- sparing diuretics, potassium supplements and/or potassium containing salts. Use cautiously if at all with this medication. Have your potassium levels checked closely. Renal Function deterioration: May be associated with deterioration of renal function and /or increase in serum creatinine, particularly in patients with low renal blood flow. (Have your doctor monitor your lab values creatinine). Other important things...
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...Care Plan : Pregnancy Induced Hypertension (PIH) Patient Conference Report History of events leading to admission: This is a 46 y/o female that was admitted to Brandon Hospital. She is 28 weeks gestation with twins. Medical diagnosis: Pregnancy Induced Hypertension Past Medical History: Seizure disorder for which she takes Lamictal, infertility, 2nd. Invitro with twins, she has a sinus infection. Past Surgical History: Laparoscopy for endometriosis X3, surgery for broken jaw, tonsillectomy, Pertinent Lab Results: Most recent labs done 2/22/15, (CBC) NA+ 156, BUN- 28, Albumin- 8.0, Protein- 10.0, Creatinine- 1.3, Pertinent diagnostic results: Chest X-ray: pulmonary edema and cardiomegaly, cardiac catheterization, EKG: atrial fibrillation. Lists of Medications: Amoxicillin, Docosate sodium, Labetalol HCL, Lamotrigine (lamictal). Allergies: Macrobid Code status: Full code Vital Signs: T 99.2F, oral P 80, regular B/P 186/100 SaO2 100% Weight- 160lbs. Ht. 5’5 List 3 pertinent medications given by you on your shift. List actions and indications, side effects, and nursing considerations: |Name: |Amoxicillin | |Action and indications. |Binds to bacterial cell wall, causing cell death, spectrum of amoxicillin is broader than penicillin. Treatment...
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