Coronary Syndrome Process to Decrease the Usage of Oxygen Administration A1&2 - Currently at Mercy San Juan Medical Center there is a policy in place regarding the care of patients presenting with Acute Coronary Syndrome (ACS). This Policy consists of four basic nursing treatments and a time sensitive intervention goal. The 4 nursing treatments are summarized by the acronym M.O.N.A (morphine, oxygen, nitroglycerin and aspirin). The goal is for every patient that is presenting with ACS is to be on
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CONTRAINDICATIONS: ● Hypersensitivity; ● Concurrent use of MAO inhibitors or MAOlike drugs (linezolid or methylene blue); ● Concurrent use of pimozide; ● Congenital long QT syndrome, bradycardia, hypokalemia, hypomagnesemia, recent myocardial infarction, decompensated heart failure (↑ risk of QT interval prolongation); ● Concurrent use of QT interval prolonging drugs SIDE/ADVERSE EFFECTS: CNS: NEUROLEPTIC MALIGNANT SYNDROME UICIDAL THOUGHTS pathy onfusionrowsiness , S ,
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Beta Blockers After Myocardial Infarction Clinical Scenario The acute care nurse practitioner on the cardiology service treats a 67 year-old-male admitted after recovering from an acute ST-Elevation Myocardial Infarction (STEMI). His risk factors include obesity, Type II diabetes mellitus, and family history. Upon exam the patient asks why he has not been started on a beta blocker yet. He explains further that when his brother had a “heart attack” in 2005, he was immediately placed on a beta
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Med Surge Process Paper Nur122-201 Human Needs in Health and Illness II Patient is an 80 year old female and her initials are ERH. She is a white, protestant, widow who currently lives at home with her daughter-in-law and grand-daughter. They live in a rancher style home with a wide landing and steps that enable her to use her walker to ambulate in her home. Her birthdate is June 14, 1931. During the initial assessment with the patient, she said that she was formerly employed with the Singer
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symptoms for a specific illness. Nursing care of an older adult requires a through assessment of acute, chronic or complex illnesses. Illness in older adults is complicated by numerous medical problems and the physical changes of aging. Identification of an illness can be overlooked simply because symptoms might be reported vaguely. Multiple overlapping factors such as environmental, sociologic, physiologic and psychologic aspects need to be considered in the nursing assessment. It’s essential that
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Heart Failure Prevention Daniel Ruiz Grand Canyon University: NRS-429V March 16, 2014 Heart Failure Prevention There has begun a shift from acute care in the hospital setting to a more preventative approach, taking place in the community. With this shift, nurses will be taking a more involved role in preventing disease and promoting health. As healthcare evolves and changes over time, so has the role of the nurse. They will be seeing an increase in their responsibilities in implementing
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nurse encourage a patient, who is status post myocardial infarction, to make immediate and permanent behavior changes in his or her eating habits and activity levels especially when the patient views these changes to be insurmountable? Provide a nursing diagnosis with interventions and outcomes to assess the patient's behavior changes. A nurse can motivate and encourage a patient to change their everyday life style by educating, and passing on care notes to them to read about. There are also many
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improved due to the advancement of health care. Nurses must be educated and knowledgeable in order to understand and treat the complicated physical, emotional, physiological, and mental health needs of older adults. Illness in older adults can be multifaceted due to the multiple medical problems and physical changes of aging. As a nurse, it is imperative to have an adequate knowledge of atypical symptoms when taking care of elderly patients. Health care staff can easily misdiagnose an elderly
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and changing technique in the health care field. The hope of pet therapy is that during visits to the hospital it will help divert parent and children’s attention during painful procedures. Thus making the visit a more enjoyable and tolerant experience. It also examines the possible effect of lowering blood pressure on individuals who recently suffered a myocardial infarction or experience cardiovascular problems. Studies show that individuals living in a nursing home or monitored community of similar
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significantly from person to person. As heart function is a measure of preload, contractility, and after load the etiology of CHF include causative agents that effect one or more of these three variables. These agents include coronary artery disease, myocardial infarction, myocarditis or endocarditis, heart valve disorders, arrhythmias, pulmonary hypertension, pulmonary
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