ACE Inhibitor medications such as Lotensin are angiotensin converting enzyme inhibitors. This can be used in conjunction with loop diuretics. This classification of drugs works by inhibiting the production of angiotensin II. This inhibition results in vasodilating therefore reducing arterial pressure, venous pressure, preload, and afterload on the heart. Ace inhibitors also decrease aldosterone formation which reduces sodium absorption and water retention. Reduced aldosterone puts Johnas at risk for hyperkalemia, a side effect of ACE inhibitors This can be used to treat his high blood pressure and tachycardia by reducing the need for compensation. This will allow his heart to also reach the oxygen demands and by reducing the preload this will …show more content…
This would be a surgical procedure that replaces his diseased heart with a new one. Some risks include rejection of new organ. The recipient should be given immunosuppressant medications to reduce these chances. Suppressing the immune gives you a higher risk of infection. Also according to the U.S Department of health & human Services an average of 22 people a day die waiting for a transplant.
Maybe an alternative:Some risks of a heart transplant surgery include rejection of the new organ and infection. In order to lessen the risk of rejection immunosuppressants should be given. However, suppressing the immune system increases the risk for infection. According to the US Department of Health & Human Services, an average of 22 people a day die waiting for a transplant.
If he is not a candidate for transplant, or while the patient is waiting for one, a Ventricular Assist Device (VAD) should be implanted. This works as a mechanical pump for the ventricles. He will need a BI- VAD for left and right heart failure. There will be two VAD devices placed bellow his heart, where tubes will be attached from these dives to his ventricles. The left VAD will have a tube on the left ventricle and another stemmed from VAD to Aorta. The pump will receive the blood from the left ventricle, and it will travel through the device and pump to the other tube attached to the Aorta and continue to the rest
Ace Inhibitors are used to treat hypertension and congestive heart failure (CHF). Most of the drugs that are Ace Inhibitors have the common ending –pril. It inhibits an enzyme; that decreases the tension of blood vessels and the blood volume, thus lowering blood pressure. Lotensin (benzapril) comes in tablets and is used for oral administration. It is one of the ace inhibitors that are indicated for treating hypertension. There is warning while using Lotensin when pregnant, it indicates to stop using immediately when pregnancy is detected. Vasotec (enalpril) comes in tablets and injection. It is indicated for the treatment of hypertension and is effective alone or in combination with other Ace Inhibitors agents, especially thiazide-type diuretics. There is a warning for fetal toxicity; when pregnancy is detected; stop using.
Ally most likely has used ACE inhibitors and Beta blockers in the past and will be using them again.. The ACE inhibitors are vasodilators with the capability to widen the blood vessels allowing the blood pressure to lower down while improving the blood flow and decreasing the workload of the heart (WEbMD, 2017). Lisinopril is anangiotensin converting enzyme. This drug is used to treat high blood pressure, heart failure, helps to preent kidney failure --due to high blood pressure and diabetes. It is also used to prevent further damage and scarring of the muscles (Medicine Net, 2017). Another Ace inhibitor is Benazepril. It is used with hydrochlothiazide, at times, to treat high blood pressure. It can also be used to treat heart failure. Beta blockers are medications that lower your blood pressure.Beta blockerd work by blocking the effects of the hormone epinephrine. Two types of Beta blockers are Metoprolol relaxes blood vessels and slows down the heart rate and Nebivolol, which response to nerve impulses in certain parts of the body,like the heart (Mayo Clinic Staff). This helps to lower heart beats and decrease the blood pressure (Mayo Clinic Staff,
Oz (New York Heart Transplant surgeon) says “they (the families of the brain dead patient) can’t deal with the fear, however irrational, that the true end of their loved one will come when the heart is removed” (Dr. Oz, 7). This premise leads up to the main claim since it states why there aren’t enough donors in the world and why there is a long transplant waiting list too. Also it helps explain that even though the patient is brain dead, you should still treat them as a patient and have some
There are four different categories of treatment: lifestyle changes, surgical procedures, non-surgical procedures, and medications. Lifestyle changes include having a healthy diet; increasing physical activity; eliminating cigarettes, alcoholic beverages, and illicit drugs; and getting enough rest and sleep; losing excess weight. These lifestyle changes are to lower the patient’s blood pressure, cholesterol, and reducing any other future medical conditions. There are also surgical options to help cure, prevent, or control cardiomyopathy. Surgical method include a septal myectomy, surgically implanted devices, and a heart transplant. A septal myectomy is used to specifically treat hypertrophy cardiomyopathy which is where the heart muscle cells enlarge and cause the walls of the ventricles to thicken. The thickening of the walls may not affect the size of the ventricles but instead may affect the blood flow out of the ventricle. Usually along with the ventricles swelling, the septum in between the ventricles can become enlarged and block the blood flow causing a heart attack. When medication is not working well to treat hypertrophic cardiomyopathy, a surgeon will open the chest cavity and remove part of the septum that is blocking blood flow. Surgically implanted devices include a pacemaker, a cardiac resynchronization therapy device, a left ventricular assist device, and an implantable
Dealing with alcohol withdrawal, Atenolol can be used as an addition to tradition alcohol withdrawal treatment to help make the results more effective. In relation to anxiety disorders, atenolol is usually used in small stress reactions, minor panic disorders, and generalized anxiety syndrome. Results are most easily obtainable in patients who have bodily anxiety, as opposed to the mind, and helps reduce trembling and rapid heart beat. Atenolol also had a large affect on cardiac illnesses. In the most common, angina pectoris, atenolol is used to decrease the amount of repeated attacks and to prevent any immediate death. Atenolol is best effective on middle-aged or teenagers, and to those with high blood pressure and heart rate as a result of exercise. The other major heart sickness is congestive heart failure. Giving Atnolol to a person with congestive heart failure must be taken with much care and precauution. One should start with low doses at first, and as time passes, increase the intake gradually. Overall, it affects the heart and circulatory system to either lessen the effect of or prevent any type of cardiovascular illness that may cause serious and/or permanent damage to the body. But how exactly does the medication work?
Organ transplantation is the process of surgically transferring a patient with end-stage organ failure to a healthy, compliant organ. This can be done when a patient’s organ has ceased working, or when the organ does not meet its opportune function. In the article Organ Transplantation: The Process, the author claims that end-stage organ failure can be the product of cardiomyopathy, cirrhosis, chronic obstructive pulmonary disease, coronary heart disease, cystic fibrosis, hepatitis, diabetes, hypertension, idiopathic pulmonary disease, and short gut syndrome.. Multiple organs can be transplanted at one time. In order for a patient to get a transplant, the patient as well as the donor, have to go through a series of tests.
Human organ transplantation is known as the removal of a living tissue or organ from one individual by surgical operation, and it is placed into another individual, with the aim of improving the health of the recipient. It was started in the 1930s. In 1933, human renal graft was tried out by Voronoy, a Russian scientist, and it has vastly advanced since then. Human organ transplant is now viewed as treatment rather than experiments as they can now be performed more safely. This has been seen by the remarkable improvement on the medical care of patients with organ failures i.e heart disease, cirrhosis and renal failure.
In the late 1800’s it was discovered that papa-amino-phenol, could reduce fever, but the drug was too toxic to use. A less toxic extract called phenacetin was later found to be just as effective but also had pain-relieving properties. In 1949, it was learned that phenacetin was metabolized into an active but also less toxic drug, acetaminophen. Since then, acetaminophen has been sold under many over the counter brand names, most popular being Tylenol.
They have now invented a “beating heart transplant.” It consists of a mechanical system to keep the heart beating, while it is being transferred to the candidate. Statistics have proven that these candidates have a higher recovery rate, because of the “beating heart.” Throughout reading above, it is a given that organ donation is vital to saving lives, but it is not deemed proper to be made mandatory.
Applying this ethical theory, the 5-year-old patient has many more years of life ahead of him/her and that organ transplantation will result in a healthy, vibrant, productive individual. Whereas, with the 75-year-old patient, they may remain in fragile health despite a successful transplantation, and they are approaching life expectancy. Therefore, the most good will come from choosing organ transplantation for the 5-year-old
One single organ donor can save the lives of eight people and that same donor can help to improve health conditions of fifty other people as said by an article on facts about donation. Organ donation is when a living or deceased person's organs are taken out by medical physicians and surgically inserted into another person's body to help improve their health condition. The receiver and donor of the organ are not the only people affected by the transplant. Families of the donor will often become relieved knowing that their loved one will be continuing to help needy people even after they are gone and the families of the receiver will also sleep better knowing that there is still a chance that someone could help the medical status of their loved one. Organ transplant has also overcome many scientific challenges. Jekyll’s actions in Dr.
Organ Transplantation is often the best way of saving human life when a vital organ
...t cannot be ignored. Uncontrollable hypertension can be very dangerous as it may lead to many other diseases such as heart failure, stroke and diabetes. Therefore, people should have medical check-up regularly on hypertension. As written above, the pathophysiology of hypertension is due to renin-angiotensin-aldosterone-system. Others like cardiac output and peripheral resistance and endothelial dysfunction can be also related to the pathophysiology of hypertension. Drug like losartan is used to treat hypertension. It acts on the renin-angiotensin-aldosterone-system by competing with angiotensin II to bind to AT1 receptors and thus stopping the production of aldosterone that would increase the blood pressure. Lastly, this drug should be taken accordingly with the advices from doctors and pharmacists as some people may have undergo side effects and allergic reactions.
Alcohol consumption will need to be discontinued, especially if this is a cause. Moderate exercise should be encouraged within the limitations of the patient (Bennett). Medical treatment is generally aimed at relieving symptoms of heart failure and improving cardiac output. Patients are often given medications such as ACE inhibitors and Beta-blockers. Antiarrhythmic drugs, implantable defibrillators, and pacemakers are other treatments used for dilated cardiomyopathy patients. Anticoagulants are also an important treatment for dilated cardiomyopathy patients due to the increased risk of developing thrombus from poor systolic function, atrial fibrillation, and poor circulatory flow. Cardiac transplantation is another treatment option but heart donors are very limited (Lily).
·Aspirin (salicylic acid acetate) is an anti-inflammatory (decreases swelling and inflammation), anti-pyretic (fever reducing), and anti-platelet (decreases platelets in the body to thin blood). Many heart treatment patients take an aspirin a day to prevent blood clotting. However, if aspirin is taken in large quantities over long periods of time, it may cause gastric ulcers or other internal damage. The molecular formula of aspirin is C9H8O4. Some examples of Aspirin are Bayer, Ecotrin, and Aspergum.