Ellen Diane Windham 11/8/15 Case Study: CHF Helen Montgomery * An 83-year-old female presents to ambulance crew after an episode of sudden weakness. A GP is on scene and has assessed the patient, deciding on hospital admission by ambulance as a matter of urgency. History Patient became very weak and was put to bed by NOK. Her breathing became very laboured and the NOK called for the local GP out-of-hours
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for subtle color change, which can be associated and indicate irregular blood flow caused by atrial fibrillation (Pogorelc, D. 2014, September 3). In the United States atrial fibrillation affects nearly three million Americans, which is the occurrence of the upper and lower chambers (the atriums and ventricles) out of sync each time the heart beats (Pogorelc, D. 2014, September 3). Atrial fibrillation is not one of those conditions that are difficult to diagnose, it is readily diagnosed and treated
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Formulation of the search question: Question: Cardiac monitoring post DC (Direct current) cardioversion – does this intervention reduce the number of adverse incidents? The background to this question begins with the notion that whilst some policies and protocols are evidence-based, some are developed from opinions of clinical staff within institutions without evidence. An example is the routine cardiac monitoring of patients following DC cardioversion. It seems reasonable to think that if
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Rhythm Recognition Exercise-induced arrhythmias can be determined by answering similar questions to those posed when evaluating an ECG at rest: * What is the atrial rhythm? In the normal heart, P waves should be clearly identifiable because they occur prior to every QRS complex. Identification of a P wave may be difficult at high heart rates during exercise because the P wave may be superimposed on the T wave of consecutive beats. * What is the ventricular rhythm? In the normal heart the
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Heart Attacks in Youth Jennifer Velasquez HCS/457 January 16, 2012 Michelle Clemons Heart Attacks in Youth Headlines across the country are similar to a headline recently in La Center, Washington: Eighth Grader Collapses During First Day of Basketball Practice. Children collapsing during sporting events are becoming fairly common around the country. According to Caldwell (2011), “Studies show that 175 to 233 deaths occur each year among high school athletes” (para. 3). Most individuals
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Demo 2 Patient Monitoring System Through Internet Patient Monitoring System through Internet is system used to track off the patient’s health statue. For example some this system will inform the doctor with patient’s heart’s pumping rate, blood’s pressure rate, and many other necessary things. Each activity in the body have different signal in this system so the doctor can differentiate each activity for what it belongs for. For instance if the activity was for brain’s signals it will be
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happened after 8 b t ? i h th d ft beats PMT termination algorithm attempted to terminate the tachycardia 1 2 3 4 5 6 7 8 PVARP EXTENSION TO 400MS Why didn’t it terminate the tachycardia ? NCAP Interval of I t l f 300ms Atrial pacing without capture due To atrial refractoriness resulting in Triggerring of PMT again Ongoing PMT Now that we believe that
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Cardiopulmonary Arrest PNCI - Learner Robert Johnson Age: 60 Weight: 70 kg Base: Stan D. Ardman Patient History Past Medical History: Hypertension well-controlled by medication, hypercholesterolemia and obesity; minor car accident three weeks ago in which he sustained whiplash Allergies: No known drug allergies Medications: Lopressor (metoprolol), Zocor (simvastatin) Code Status: Full Code Social/Family History: Married with two adult children who live locally; Does not smoke, drink or
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PULSELESS ELECTRICAL ACTIVITY Pulseless electrical activity refers to a cardiac arrest situation in which a heart rhythm is observed on the electrocardiogram that should be producing a pulse but is not. Under normal circumstances, electrical activation of the cardiac muscle cells precedes mechanical contraction of the heart. Pulseless electrical activity is also referred to as PEA or, by the older term, electromechanical dissociation. Pulseless electrical activity is the clinical condition characterized
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conduction of electricity in the heart that causes abnormal heart rhythms. There are a number of arrhythmias but not all of them are treated with defibrillation. The only “shockable” arrhythmias are pulseless ventricular tachycardia and ventricular fibrillation. Both of these arrhythmias may cause cardiac arrest. Ventricular tachycardia is the fast, regular beating of the ventricles. During this arrhythmia, there is decreased blood that is pumped through the circulation because there is also a little
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