Homework Answers
Pulse and blood pressure are vitals of life,which provides information about the functioning of cardiovascular and accessory system
Blood pressure gives information,pressure of blood to wall of blood vessels which is normally 120 mm of hg is systolic and 80mm of hg is diastolic
If pressure of blood in blood vessels is below than required known as hypotension and higher than normal known as hypertension
Blood pressure is maintained by following physiology
1 baro receptor and strech receptor -these are nerve endings located in aortic arch and coronary sinus and very sensitive to pressure in arteries
2 anti diauretic hormon -vasopressin control bp directly by vascular volume
3 renin angiotensin system
All above system maintains the blood pressure in human body
In the stress situation system is affected by vascular diameter in the influence of epinephine and norepinephine which may cause increase and decrease blood pressure and compensate by compansatory machanism
Pulse denotes contraction and relaxation of heart or heart rate,which is normal average is 72 beat per min.
Heart rate less than 60 beat per min.is known as bradycardia and more than 100 beat per min.is tachycardia
Heart rate is regulated by conductive system of heart which has av node ,sa node ,purkinje fibers contributes in transmission of wave of energy
Pulse rate ,pattern ,rhythm are changed according to pathology or changes in other system
Human body has compensatory machanism which is used when deviation occur
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-Shannon is a nurse. Why does she take a pulse and a BP at arteries? Under...
Over the last week Abigail's heart failure has worsened and she has developed pneumonia. While you...
Over the last week Abigail's heart failure has worsened and she has developed pneumonia. While you are assessing the patient you now hear bilateral crackles, note 1+ pitting edema. She has dyspnea with any exertion, and is having difficulty eating. Her VS are: BP 178/100, HR 100 and irregular, RR 26 and labored and with a pulse ox of 90% on 3L of oxygen. The US of her leg was negative for DVT, but she continues to complain of pain...
case study- heart failure- potassium/digoxin 6. Why should the nurse assess Shirley for digitalis toxicity? List...
case study- heart failure- potassium/digoxin
6. Why should the nurse assess Shirley for digitalis toxicity? List the signs and symptoms of digitalis toxicity. What is the normal blood therapeutic range of digitalis? y was referred to the he alth care provider because of her serum potassium deficits and ita effects on digitalis. A repeat potassium was completed, and the result was 2.8 mEg/L. A liter of 5% Dextrose in water with KCL 40 mEq was administered over four hours. 7....
Who is at highest risk for liver disease? What is the portal circulation? How/Why does portal...
Who is at highest risk for liver disease? What is the portal circulation? How/Why does portal hypertension occur? What role do the collateral vessels play in portal hypertension? Elevations of which 2 LFT are indicative of generalized liver inflammation? Which of these 2 tests is specific to the liver? Why does the albumin level help assess liver function? Why is PT (prothrombin time) a liver function test? Why might the GTT be elevated? What 2 diseases might the alkaline phosphatase...
77 year-old female presents to ER with shortness of breath • States she did not take...
77 year-old female presents to ER with shortness of breath • States she did not take her heart medications for last 48 hours- was not able to refill her prescriptions • Complains of difficulty breathing; she had to “sleep in the chair” last night • States she has some swelling in her feet that is worse than usual Medical history: type 2 DM, CHF, MI 2015, osteopenia, osteoarthritis Allergies: bananas, kiwi fruit, Cipro Medication list Lasix 40 mg PO BID...
One-year later Mrs. Prather presents to the ED complaining of dyspnea, especially at night. She states...
One-year later Mrs. Prather presents to the ED complaining of dyspnea, especially at night. She states that she sleeps better when sitting in her recliner. Review of Systems: (what patient tells you) Skin: no changes in hair, no changes with nails Mental Health: no current feelings of sadness, no sleep disturbances, no suicidal ideations Neurological: no light-headedness, no dizziness, no paresthesia to feet & hands, no balance problems Head and neck: no headache, no neck pain, no stiffness Eyes: no...
Date: Name ck female. She is admitted at midnight with a diagnosis of Harriett is a...
Date: Name ck female. She is admitted at midnight with a diagnosis of Harriett is a 59 year old black female. She is admitte eezing type pain across her chest and into her left Chest Pain She complains of a squeezing type pain across her che jaw area ssure-200/110, Pulse-128 beats per minute: Respirations- 26 Vital signs are: Blood Pressure-200/110, Pulse-128 beats re.99.8: Saturation of Oxygen-86% on room air pain level 9/10 ards per minute: Temperature-99.8; Saturation of Oxygen During...
Case Study: Pamela Pamela is 27 years old and pregnant for the first time. She is in excellent health, is a marathon run...
Case Study: Pamela Pamela is 27 years old and pregnant for the first time. She is in excellent health, is a marathon runner and works as legislative aide in State Assembly. She began her prenatal care with ob-gyn practice where she had received her well-woman care for the past 3 years. She liked the doctors very much and kept all of her appointments. She and her husband Ramon were thrilled to see their baby on ultrasound and Pamela was looking...
Jane Scott, 21 years old, comes to the health-care provider to determine what she can do...
Jane Scott, 21 years old, comes to the health-care provider to determine what she can do for mild dysmenorrheal. She states that this is not incapacitating, but creates discomfort during the first cky of her menses. She states that she does not want anything that makes her sleepy and that she has not tried any over-the-counter drugs. After further discussion with Ms. Scott, the health-care provider suggests that she try aspirin or ibuprofen as a beginning drug to see how...
Background Jeraldine Yates is a 70-year-old woman originally from Alabama. She lives alone and is able to manage herself...
Background Jeraldine Yates is a 70-year-old woman originally from Alabama. She lives alone and is able to manage herself independently. She is active in her community and church. Mrs. Yates was admitted to the hospital two months ago with heart failure. Since her discharge, a visiting nurse visits every other week to assess for symptoms of heart failure and see that Mrs. Yates is continuing to manage well on her own. Case Study The visiting nurse stops in to see...
Background Jeraldine Yates is a 70-year-old woman originally from Alabama. She lives alone and is able...
Background Jeraldine Yates is a 70-year-old woman originally from Alabama. She lives alone and is able to manage herself independently. She is active in her community and church. Mrs. Yates was admitted to the hospital two months ago with heart failure. Since her discharge, a visiting nurse visits every other week to assess for symptoms of heart failure and see that Mrs. Yates is continuing to manage well on her own. Case Study The visiting nurse stops in to see...
Over the last week Abigail's heart failure has worsened and she has developed pneumonia. While you are assessing the patient you now hear bilateral crackles, note 1+ pitting edema. She has dyspnea with any exertion, and is having difficulty eating. Her VS are: BP 178/100, HR 100 and irregular, RR 26 and labored and with a pulse ox of 90% on 3L of oxygen. The US of her leg was negative for DVT, but she continues to complain of pain...
case study- heart failure- potassium/digoxin
6. Why should the nurse assess Shirley for digitalis toxicity? List the signs and symptoms of digitalis toxicity. What is the normal blood therapeutic range of digitalis? y was referred to the he alth care provider because of her serum potassium deficits and ita effects on digitalis. A repeat potassium was completed, and the result was 2.8 mEg/L. A liter of 5% Dextrose in water with KCL 40 mEq was administered over four hours. 7....
One-year later Mrs. Prather presents to the ED complaining of dyspnea, especially at night. She states that she sleeps better when sitting in her recliner. Review of Systems: (what patient tells you) Skin: no changes in hair, no changes with nails Mental Health: no current feelings of sadness, no sleep disturbances, no suicidal ideations Neurological: no light-headedness, no dizziness, no paresthesia to feet & hands, no balance problems Head and neck: no headache, no neck pain, no stiffness Eyes: no...
Date: Name ck female. She is admitted at midnight with a diagnosis of Harriett is a 59 year old black female. She is admitte eezing type pain across her chest and into her left Chest Pain She complains of a squeezing type pain across her che jaw area ssure-200/110, Pulse-128 beats per minute: Respirations- 26 Vital signs are: Blood Pressure-200/110, Pulse-128 beats re.99.8: Saturation of Oxygen-86% on room air pain level 9/10 ards per minute: Temperature-99.8; Saturation of Oxygen During...
Jane Scott, 21 years old, comes to the health-care provider to determine what she can do for mild dysmenorrheal. She states that this is not incapacitating, but creates discomfort during the first cky of her menses. She states that she does not want anything that makes her sleepy and that she has not tried any over-the-counter drugs. After further discussion with Ms. Scott, the health-care provider suggests that she try aspirin or ibuprofen as a beginning drug to see how...
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