...Background Hypothermia (hi-po-THUR-me-uh) is a medical emergency that occurs when your body loses heat faster than it can produce heat, causing a dangerously low body temperature. The term “hypo” refers to less, and “thermia” refers to temperature. Normally, the core body temperature is 98.6 degrees F. Hypothermia occurs as your body temperature passes below 95 F (35 C). When your body temperature drops, your heart, nervous system and other organs cannot work correctly. Left untreated, hypothermia can eventually lead to severe heart and respiratory failure, and in some cases, death. Hypothermia is most often caused by long term exposure to cold weather or or and unexpected immersion into in the face of a cold stressor. Hypothermia, though, is not always the result of exposure to extremely cold outdoor temperatures. History Hypothermia has been applied therapeutically since antiquity. The Greek physician Hippocrates, the namesake of the Hippocratic Oath and arguably the world’s first modern doctor, advocated the packing of wounded soldiers in snow and ice.[3] Napoleonic surgeon, Baron Dominque Larrey recorded that officers who were kept closer to the fire survived less often than the minimally pampered infantrymen using snow and ice.[3] In modern times the first medical article concerning hypothermia was published in 1945.[3] This article focused on the effects of hypothermia on patients suffering from severe head injury. In the 1950s hypothermia established its first medical...
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...the cath lab at The term cath lab or cardiac catheterization laboratory refers to an examination room in a hospital or medical facility, in which diagnostic imaging equipment is used to view the arteries of the heat and its chambers. A cath lab is a highly sterile room, everyone has to wear, caps, gowns, mask and gloves during a procedure. Education of Cath lab nurse In order to perform the role of a cath lab nurse, one should possess a nursing degree, and a registered nurse license. A RN may opt to merely specialize in cath lab nursing. According to the not-for-profit, Cardiovascular Credentialing International, Inc. (CCI) website, a cath lab nurse should obtain the RCIS examination and credential. “CCI administers the Registered Cardiovascular Invasive Specialist (RCIS) examination. This credential has been recognized by our own society (the Society of Invasive Cardiovascular Professionals, or SICP) as the only credential for professionals working in cardiac catheterization laboratories that tests for all of the knowledge and skills that are necessary to do so.” (cathlabdigest, 2015). Role of the Cath Nurse Patient Assessment and Preparation Registered nurses who work in a cardiac catheter laboratory assist physicians with patient assessments. This includes task such as ensuring that the patient’s chart and records are updated, helping the patient to overcome fear by answering questions regarding the cardiac procedure. Patient education in a cath...
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...following cardiac arrest. Moderate hypothermia was originally reported in the 1950s with potentially favorable results, however temperatures were lower and complications were higher. The process was not studied again until the 1990s when laboratory studies showed potential benefits. Since the discovery of potential benefits there have been a plethora of research studies around therapeutic hypothermia. This eventually resulted in hospitals all across the world implementing protocols for the therapeutic hypothermia process. Universally, therapeutic hypothermia is contraindicated...
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...ACLS Provider Update/Initial BLS Stuff to do before class gets there: Start computer and projector, get out book and DVD from cabinet, get out 4-5 adult and infant mannikans, get out adult and infant BVM’s with facemask, get out personal blue mouth breathers, get out AED and rhythm simulator, get evaluation sheets and give one to each student (have them put name on it and it gets turned in after BLS session) – Jim puts test out on table at 1000 or a little after Video Set to renewal and ratio for update or initial is 2:1 They will watch sections of the video and stop to practice when given time, make sure they are counting out loud and they can move the mannikan to the floor if they need to do compressions Emphasize change to CAB, just enough bagging to get visible chest rise, minimize interruptions, allow complete recoil of chest, rotate and change out compressors every 2 minutes (when tired you are 30% less effective at compressions), no more look, listen and feel (just take less than 10 seconds to determine a pulse and breathing) 1. First practice compressions only (switch) 2. Second practice mask breathing only (switch) 3. BWM practice only (switch) 4. Put it all together ( ADULT ONLY) Watch both AED section then demonstrate AED (TURN IT ON) – in infants under 1 y/o manual defib preferred if don’t have use dose attenuator if don’t have that use normal AED, 1-8 y/o a dose attenuator preferred – if you don’t have either can use regular AED –...
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...Running Head: My Life It’s My Life, My Story Takelia Watson PSY 202 Nancy Egelko 8/3/2013 My Life I. Introduction: Thesis Statement I have always pictured my life in a different way for birth to the present II. Body Paragraph #1 A. My life in general 1) My school days 2) My heart defect and how it would affect me for life 3) Living in a single family home 4) How we became homeless III. Body Paragraph #2 B. You have to have big dreams in life; I just don’t want to be like my family. 1) I want to get my degree to become a doctor 2) Start a nonprofit organization for people like me 3) Where I hope to see myself ten years from now IV. Body Paragraph #3 1) Where I see myself now 2) How I feel about I have accomplished 3) What do I think I can improve on V. Conclusion I was told never to judge a book by its cover; I always get the big picture first. I never would have thought the story of my life would even begin like this. I have always pictured my life in a different way with happy memories from birth to the present, but if that’s how it happens then that would not be my life. In this paper I will present a brief description of my life experiences both good and bad that helped shape me into the person I am today and I will analyze some of them with the adult development theories. My story begins in the hospital with my birth. I had many problems before I was even born into the world. I had to have...
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...Angelicia Wingo 224 n Quincy ave Bradley, Il 60915 815-600-6076 braliy0025@gmail.com Education: * PCC Technical Institute Certification in Diagnostic Ultrasound/Vascular Graduated August 2006-July 2007 * University of Phoenix Online Pursuing Bachelor’s Degree Behavioral Science Present- December 2012 Work Experience Healthfair Cardiovascular Technician November 2011- Present * Performing cardiac screenings of 2-D echocardiograms, Carotid arteries, and abdominal aorta * Color flow, echo Doppler diastolic function, and measurements for echocardiogram * Color flow, Doppler, and measurement of CCA, ICA and ECA * Measurements of abdominal aorta Mid Distal and Prox. Sagittal and Transverse views | | Dr. Alaa Abdel-Meguid Echocardiography Trainee May 2007Dec2007/Present * Performing echocardiograms 2-D echocardiography, color flow, echo Doppler, Diastolic Function, M mode and Stress Echo exams for diagnostic purpose alongside lead echo tech Lisa Quick (13 Year experienced technician) * Orientate and prepare patients on procedures, complete all paperwork pertaining to scans performed Med 3000, Tinley Park, Il Collection Specialist/AR Team Lead June 2010-Present * Constantly adapt to changes in a fast-paced work environment while supervising a staff of 16 in Accounts Receivable and Collections ...
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...Burke County Middle School Science Constructive Response 6th and 7th Grade Science 6th Grade Constructed Response 1. What are the three major classifications of rocks formed on Earth? Which one would you find fossils in and why would you find fossils in this rock. Explain how fossils form. (6.E.2.4) Answer: Metamorphic Sedimentary Igneous You would find fossils in sedimentary rock Layers of soil are laid down on dead animals or plants embalming them. The minerals replace the organic matter creating the fossil. 2. Describe how the revolution of the Earth around the sun affects the seasons. Give one example supporting your answer (6.E.1.1) Answer: Revolution is defined as the orbital path a celestial body follows around the sun, or other celestial body. AS the Earth is close to the sun, the sunrays are able to reach the Earth a short distance allowing the Earth to become warmer. When the Earth moves away from the sun, the rays do not reach the earth. The Earth at a persistent distance does not allow the Earth to warm causing a change in seasons. 3. Contrast the differences between lunar and solar eclipses and the affects they have on Earth. (6.E.1.1) Answer: Lunar—Earth’s shadow hides the moon; widely visible Solar—Moon blocks the sun; visible to only certain areas of the Earth at a time. Less light available for a short period of time. 7th Grade Constructed Response 1. Explain how two brown eyed parents could...
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...Frog Heart | Exercise 1: Baseline Data Using the Horizontal Compression buttons and the scroll bar, display the data for Exercise 1 you wish to include in your report. | | ECG and Cardiac Cycle| |Time between QRS and the Startof Ventricular Contraction (s)| 1|1.48| 2|1.48| 3|1.46| 4|1.48| 5|1.48| Mean|1.47| Observe the heart and describe its behavior. Is this behavior consistent with what is shown in the data above? | | Study Questions | 1. Explain the basis for the delay between the atrial and ventricular contractions. | | 2. Describe the relationship between the ECG QRS complex and the beginning of ventricular contraction. What is the physiological significance of this relationship? | Exercise 2: Effect of temperature Using the Horizontal Compression buttons and the scroll bar, display the data for Exercise 2 you wish to include in your report. | | Effect of Temperature on Frog Heart Rate| |Temperature(°C)|Heart Rate(BPM)|CalculatedQ10|Cold|3|31.3||Room Temp|19|42.1|1.2|Warm|37|54.0|1.1||| Describe the effects that you observe of changing the temperature of the solution bathing the heart as it lies wihin the thorax. | | Study Questions | 1. How did temperature affect heart rate? What do you suppose is a consequence of being a poikilotherm? | | 2. Why is the Q10 a useful concept? | Exercise 3: Starling's law of the heart Using the Horizontal Compression buttons and the scroll bar, display the data for...
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...During the Inova Dome Experience it was clear that all procedures and protocols were outlined prior to the surgery having begun, and the RN, MSN Darla was well prepared to give us an overview of the entire aortic valve replacement process. One of the most important safety measures I observed at Inova was the role each physician, nurse, and other staff member played in the surgery. Each individual knew what was expected of him or her and was held accountable for one task or another. Within the pre-op room, the age, sex, race and other important information were listed on the patient chart along with the details of where each individual would stand or sit throughout the procedure. A short but concise rundown of the steps to follow during the procedure was written out on the whiteboard along with abbreviations for special equipment to be used. During the procedure, Darla explained each person’s duty and highlighted the role of the nurse who was in charge of making sure all medical supplies were accounted for at the end of the surgery. This included a magnetic board that held all the needles used during the procedure, all the gauze used during the procedure, tubes, tissues, etc. Next, she discussed the role of the nurse anesthetist who would keep monitoring the patient’s alertness levels to decide whether the patient needed another dose of anesthesia. In addition, Darla explained how the RN-First Hand nurses were able to physically help the surgeon perform the surgery because they...
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...The criteria for a Normal Sinus Rhythm is: • P-wave before each QRS with an interval of 0.12 to 0.20 seconds in duration. • A QRS width of 0.04 to 0.12 seconds • Q-T interval of less the 0.40 seconds. • The rate for a normal sinus rhythm is 60 to 100 beats a minute. Normal Sinus Rhythm P-R interval 0.12 to 0.20 seconds QRS duration 0.04 to 0.12 seconds Rate 60 to 100 beats a minute ________________________________________ If the rate is below 60 beats a minute but the rest is the same it is a Sinus Bradycardia. Brady- means slow.. Like your brain after you watch the Brady Bunch! Sinus Bradycardia P-R interval 0.12 to 0.20 seconds QRS duration 0.04 to 0.12 seconds Rate less than 60 beats a minute Yes... the QRS complexes look completely different... That's okay. I already said that we're all different. Relax. ________________________________________ If the rate is between 100 to 150 beats a minute with the same intervals it is a Sinus Tachycardia. Tachy- means fast. (Think of what happens to your heart rate when you sit on a tack) Sinus Tachycardia P-R interval 0.12 to 0.20 seconds QRS duration 0.04 to 0.12 seconds Rate 100 to 150 beats a minute ________________________________________ When the pattern becomes irregular with normal intervals it is a Sinus Arrhythmia Sinus Arrhythmia P-R interval 0.12 to 0.20 seconds QRS duration 0.04 to 0.12 seconds Rate 60 to 100 beats a minute, regular rhythm with periodic irregularity Atrial...
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...(Boston: Bedford/St. Martin’s, 2006). This paper follows the style guidelines in Scientific Style and Format: The CSE Manual for Authors, Editors, and Publishers, 7th ed. (2006). Page header contains abbreviated title and the page number. Headings, centered, help readers follow the organization. Hypothermia and Diving Reflex 2 ABSTRACT This paper reviews the contributions of hypothermia and the mammalian diving reflex (MDR) to human survival of cold-water immersion incidents. It also examines the relationship between the victim's age and MDR and considers the protective role played by hypothermia. Hypothermia is the result of a reduced metabolic rate and lowered oxygen consumption by body tissues. Although hypothermia may produce fatal cardiac arrhythmias such as ventricular fibrillation, it is also associated with bradycardia and peripheral vasoconstriction, both of which enhance oxygen supply to the heart and brain. The MDR also causes bradycardia and reduced peripheral blood flow as well as laryngospasm, which protects victims against rapid inhalation of water. Studies of drowning and near drowning of children and adults suggest that victim survival depends on the presence of both hypothermia and the MDR, as neither alone can provide adequate cerebral protection during long periods of hypoxia. Future research is suggested to improve patient care. INTRODUCTION Drowning and near-drowning incidents are leading causes of mortality and morbidity in both children 1 and adults...
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...The Case for Open Heart Surgery at Cabarrus Memorial Hospital Due Week 6 and worth 280 points Read “The Case for Open Heart Surgery at Cabarrus Memorial Hospital” case. Write a 4-6 page paper in which you: 1. Discuss ways the program does or does not comply with the hospital’s mission. 2. Analyze whether or not CMH has sufficient infrastructure and financial resources / leverage necessary to add the program. 3. Describe the competitive situation among other area hospitals that could impact the decision. 4. Describe the change in the service area required for the cardiovascular surgery service. 5. Discuss alternative strategies the Board should consider before making a “go / no-go” decision on the possible addition of the open heart program. Your assignment must: Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; references must follow APA or school-specific format. Check with your professor for any additional instructions. Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required page length. The specific course learning outcomes associated with this assignment are: Apply analytic skills to define strategic problems, generate and evaluate strategic alternatives, and develop implementation tactics. Use technology and information resources to research issues in the strategic...
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...Bodybuilding Anaerobic Exercise & Respiration, Muscular Growth and Supplement Intake Ajay Sabhaney, Carlen Ng, Di Wu, Kelei Xu Bodybuilding Page 1 of 59 Table of Contents 1. Introduction 2. The Body & Muscle Groups a. Muscle Growth b. Physical & Psychological Benefits of Exercising 3. Weight Training: Anaerobic Exercise Mechanics & Impact on Muscle Growth a. Energy Transformations During an Exercise b. Investigating Torque in Weight Training c. Muscles Acting as Levers d. Impulse in Weight Training e. Intensity versus Speed 4. Protein Supplementation a. Protein supplementation b. Combining Protein Supplementation 5. Cellular Respiration & Effect on Weight Training a. Glycolysis b. Aerobic Respiration c. Anaerobic Respiration (inc. lactic acid) d. Carbohydrate Loading 6. Creatine Supplementation a. An Introduction b. Lab: Effect of Phosphocreatine on Lactic Acid 7. Anabolic-Androgenic Steroids a. Reactions within the Body involving steroids b. Side Effects of Steroid Intake c. Detecting Steroids in the Human Body 8. Conclusion 9. Works Cited 10. Miscellaneous Bodybuilding Page 2 of 59 I. Introduction Exercise (essentially any form of physical exertion which results in the contraction of a muscle) has become a widespread interest over the past several years, especially in areas of weight training. While exercise is generally intended to promote good physical health, bodybuilding more specifically concentrates on building muscle mass and many individuals in society...
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...Do Not Resuscitate Orders in Pediatric Patients Ethical Issues in Healthcare Abstract Children with terminal illnesses frequently have do not resuscitate orders. Dealing with dying children, and letting them die without major intervention can be hard issues for nursing and other health care professionals to cope with, and can cause an internal ethical dilemma. The seven nursing ethical principles are discussed in regards to do not resuscitate orders, and ethical theory is applied. The ethical dilemma faced by nurses with do not resuscitate order is discussed, and how to resolve it. Do Not Resuscitate Orders in Pediatric Patients Children throughout the United States are diagnosed with terminal diseases daily. Once medical treatments begin to not further the quality of life of the child, discussions will begin with the family to consider a do not resuscitate order. A do not resuscitate order is intended to protect the patient from resuscitative efforts that are not wanted by the patient and family (Baker et al., 2010). As a charge nurse at a pediatric ventilator unit, do not resuscitate status comes into discussion frequently, and it is an uncomfortable topic for some. A do not resuscitate order on a child can cause an internal ethical dilemma for nurses. Children are seen as lively beings, and are supposed to outlive their elders. Also there are many myths surrounding do not resuscitate orders with both family members and members of the healthcare team. Some...
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...Maternal Resuscitation Aim To understand and be able to practive resiscitation of the mother and promote the positive outcomes. Resuscitation of the Mother The approach to apparently lifeless patient is the cardiopulmonary resiscitation (ABCD) drill: Rapid assessment of the Airway, Breathing, and remedy of the problems with these as they are found (search for and correct reversible causes), moving through to remedy of the absence of Circulation. 1. Ensure a safe environment for patient and rescuer. 2. Shake and Shout, if no response, call for help and return to patient. 3. Turn patient on to her back and place wedge under right side of abdomen to relieve aortocaval compression. 4. Open the Airway: Remove any obvious obstruction from mouth. Perform chin lift by placing two fingers under the point of the patient’s chin and lifting the chin forward. Jaw thrust, performed by placing fingers behind patient’s jaw and lifting jaw forward. 5. Assess Breathing for 10 seconds: Look for chest movements. Listen for breath sounds. Feel for movement of air. If the person is breathing, turn her in to the recovery position. If there is absence of breathing in the presence of an open airway, take this as an absence of circulation. Give 30 chest compressions followed by two breaths. Breaths are delivered by taking a full breath and placing your lips around the mouth and blowing steadily into the mouth. If possible, a facemask and ...
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