Nursing case studies cardiac
Treatment must be titrated so medications that decrease cardiopulmonary dysfunction do not interfere with treatment for vasospasm; administering diuretics to treat acute pulmonary edema, for example, could result in lowering CVP to a level that puts patients at risk for vasospasm Strippler et al.
She often presents cardiac topics to the lay public with a focus on risk factors and disease prevention. Similarly, it would seem logical that those with preexisting cardiac disease would have increased vulnerability to this kind of catecholamine surge, although a link between preexisting cardiac disease and the presence of cardiac dysfunction following SAH has not been established in our work Crago et al.
If JVD is present this would indicate right or left sided heart failure?
Cardiac case studies with answers
Adrenoceptor polymorphisms and the risk of cardiac injury and dysfunction after subarachnoid hemorrhage. Open in a separate window aDay 0—Day 2. The posttest consists of 10 questions based on the article, plus several assessment questions e. He rarely drinks alcohol and does not use street drugs. Cardiopulmonary dysfunction is just one of many complications that may occur following SAH. This test typically reveals areas of ischemia and dilation of the heart and evaluates heart function by determining EF and wall motion. Some theorize this therapy may increase the risk to cardiac muscle by preventing much needed oxygen from perfusing the heart Parr,
Nurses are in a prime position to understand how the initial cerebral insult affects multiple physiologic systems and organize and implement interventions that are designed to improve overall physical function and maximize neurologic and other system outcomes.
Prevalence of bladder, bowel and sexual problems among multiple sclerosis patients two to five years after diagnosis. Charles is a supervisor at a warehouse which he tells the nurse involves some walking but most of his day is sitting behind a desk or at a work site.
Respiratory case studies for nursing students
She remained on norepinephrine for several days and required continuous dobutamine infusion through the fourth day of her stay, when she was weaned off the medication and remained hemodynamically stable with systolic BP greater than mm Hg. The ability to identify this complication is made more difficult because risk factors are few. Summary The patients included in these case studies represent a subset of patients who experience cardiac dysfunction following SAH and the challenges such patients present to clinicians in the NVICU. The patients in this series were at different decades of life and none had a history of cardiac disease before their SAH. She has been a nurse practitioner for 12 years working with patients with heart disease. She complains of a squeezing type pain across her chest and into her left jaw area. For this reason, nurses should suspect patients admitted with aneurysmal SAH may exhibit cardiopulmonary dysfunction regardless of their risk status and use lab and ECG results as well as vital signs to trend actual or potential cardiopulmonary compromise. Nurses should be prepared for additional cardiac monitoring and medications that concomitantly prevent arrhythmias or augment cardiac output and assure adequate cerebral blood flow. The nurse administers one nitroglycering tablet sublingually. In addition, nurses should pay attention to heart rhythm, pulmonary status, intake and output, and ICP because increased ICP can potentiate more catecholamine release, furthering cardiac damage Parr, However, the exact catecholamine s responsible for initiating this sequence of events has not been identified, and the events that cause catecholamines to be released during or after an initial insult of an SAH remain unclear. Troponin elevation, a sensitive and widely accepted marker of cardiac injury, has been associated with an increased risk of cardiopulmonary complications following SAH, as well as an increased risk for delayed cerebral ischemia and poor functional outcome at discharge Naidech et al. The presence of these complications often prolongs the length of hospitalization Brouwers, ; Urbaniak et al.
A provider orders Aspirin 81 mg x 3 tabs by mouth chewed. Reversible cardiogenic shock complicating subarachnoid haemorrhage.
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