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Conclusion for congestive heart failure
Case study 2 congestive heart failure and cardiomyopathy
Congestive heart failure case study 3
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Recommended: Conclusion for congestive heart failure
When looking at Dr. Maxwell’s case, it is evident that he is a clear victim of congestive heart failure. Dr. Maxwell’s medical history is the first piece of evidence that he has congestive heart failure. In fact, his medical history is very consistent with the pathophysiology of the disease. According to the Nelms et. al., pre- existing health issues are what lead to the initiation of this disease. 1 Comparing this to Dr. Maxwell’s medical history, we see that he has a long-standing history of coronary artery disease, hypertension, mitral valve insufficiency, and previous myocardial infarction. His history is consistent with the pathophysiology due to the fact that his past medical conditions are conditions in which worsen the condition, and function, of the heart. Moving on, we also discover …show more content…
Cardiac cachexia is a form of wasting that occurs due to congestive heart failure. According to the Nelms et. al., the major factor adding to this is the lack of blood being pumped down to the digestive system.1 There is overall, a lack of stimulation which in turn affects a person’s desire to eat.1 One of the most important things to do in order to treat this condition is by consuming a diet that meets the needs of the patient. For instance, probably the most important things to consider is sodium restriction. According to UCSF Medical Center, this is important because it lessens the strain on the organs under stress.6 Although everyone works differently, “2,000 mg” is typically the level that most people are told to stay around.7 However, according to Nelms et. al., people can be told to stick to even lower limits.1 For instance, the Nelms et. al. claims that people have been given the okay for “1000 mg”.1 In the case of Dr. Maxwell, he appears to have a lower sodium reading in his chart. Perhaps this is due to his lack of consumption of foods and his use of substitute
759. Mr. Miller is likely presenting with an acute myocardial infarction. Based on his past medical history of hypertension, hyperlipidemia, obesity, and diabetes, along with his current symptoms of chest pain, shortness of breath, pale skin with beads of sweat on the forehead, as well as elevated lab 's Troponin, CK, and CK-MB, he is most likely presenting with an acute myocardial infarction.
It was to this respect that, the search could detect ‘’hypertension’’ as the leading risk factor for heart disease. And this preceded three quarters of heart failures cases as compared to coronary artery disease, which led to most heart failures in less than 40% of the cases. Also, an increase in left ventricular end-diastolic diameter became a mirror to the Framingham study as incident heart diseases in the individuals who are free from myocardial infarction. Although studies have shown that, the manifestation of heart failures can be present without the left ventricular systolic dysfunction, other risk factors could lead to that. Also, they (Framingham study) were able to detect ‘’too much of cholesterol’’ as a link to cardiovascular diseases. Moreover, research believed that has elevated among certain heart diseases such as coronary heart often leads to stroke, too high blood pressure among numerous patients. Having said that, the search discovered ‘’obesity’’ also as a concomitantly with hypertension which elevates lipids and diabetes versus questions on smoking behavior. Having said that, these risk factors are believed to have attributed to heart diseases. Therefore, it became a national concern to the general US population and that of the fourth director of Framingham heart study, William Castelli
My clinical rotation for NURN 236 is unique in that all patients I care for at Union Memorial Hospital in Baltimore, Maryland have a diagnosis of heart failure (HF). HF occurs when the heart is unable to pump adequate blood supply, resulting in insufficient oxygen and nutrients to the tissues of the body (Smeltzer, Bare, Hinkle, and Cheever, 2012). Approximately 670,000 Americans are diagnosed with HF each year and is the most common hospital discharge diagnosis among the elderly (Simpson, 2014). Moreover, according to the Centers for Medicare and Medicaid Services (CMS), HF is the leading cause of 30-day hospital readmission followed by acute myocardial infarction (AMI) and pneumonia (medicare.gov|Hospital Compare, 2013).
Client Profile: Lane Bronson is a 55 year old male with a history of angina, hypertension, Type 2 diabetes, COPD, and sleep apnea. He comes to the physican’s office complaining of worsening shortness of breath. His skin tone is grey, and his angina is worsening. Previously stable, he now does not get relief from rest or nitroglycerin. The physician called 911 and had Mr. Bronson directly admitted to the hospital.
My cholesterol was 699.83 mg, and since it is hard to determine between HDL and LDL through a food tracking application there was no Daily Recommended Intake. Yet, for a 2,000-calorie diet, it suggests 653mg as a maximum. I should reduce my cholesterol levels, because high cholesterol levels can increase risk of heart disease and stroke due to the plaque that can build up in the arteries. My total fat levels were 251% above my Daily Recommended Intake, and I should reduce total fat intake. Of the fat intake, I should reduce saturated fat the most, which was 138% of my Daily Recommended Intake. Saturated fats can increase risk for heart disease by increasing blood cholesterol. To reduce my fat intake I can replace foods like hamburgers with a leaner cut of meat, or chicken. I can reduce fat levels by using less butter to cook my meals, and less cheese. A good option would be a whole grain bread with turkey deli meat, which only has 1.4g of fat per serving. My sodium levels are also abnormally high; I consumed 7,053 mg of sodium, which is 5,553 mg over my Daily Recommended Intake. High sodium diets can increase blood pressure, which can lead to heart disease. To reduce sodium in my diet I can consume less packaged products, mostly meat products and choose a freshly cooked option. I should stay clear of frozen vegetables that have “fresh frozen” because they do not include added sodium. When deciding condiments, I should stay clear of high sodium products such as ketchup, soy sauce, dips and mustard. An easy away to identify food with recommended sodium levels in a grocery store is the “American Heart Association’s Heart-Check mark”. I consume a supplemental protein shake after each workout within thirty minutes to maximize my recovery and absorption of protein. I also have 25g of supplemental whey protein, and 40 grams of casein protein. Both of these products are
Congestive Heart Failure is when the heart's pumping power is weaker than normal. It does not mean the heart has stopped working. The blood moves through the heart and body at a slower rate, and pressure in the heart increases. This means; the heart cannot pump enough oxygen and nutrients to meet the body's needs. The chambers of the heart respond by stretching to hold more blood to pump through the body or by becoming more stiff and thickened. This only keeps the blood moving for a short while. The heart muscle walls weaken and are unable to pump as strongly. This makes the kidneys respond by causing the body to retain fluid and sodium. When the body builds up with fluids, it becomes congested. Many conditions can cause heart failure, and they are Coronary artery disease, Heart attack, Cardiomyopathy, and conditions that overwork the heart.
As mentioned previously we can do without food for weeks but without oxygen, we will die within a few minutes this is why nutrient imbalance is given second priotiy.Our bodies need a balanced nutritious diet to produce, substitute and repair cells and tissues; produce energy to stay warm and movement; carry out chemical processes such as the digestion of food and protect against infection and recover from sickness. (Fao, n.d.)Without balanced nutrition we won’t have the necessary energy to perform our ADLs. If we look at Mr Cooper he has a background of reflux and hypercholesterolemia. Mr Cooper has a high risk of nutrition imbalance due to inadequate nutrients due to constant vomiting up of foods, indigestion, and feeling of fullness in the upper abdomen all of which leads to loss of appetite thus loss of essential nutrients. (Nanda nursing care plan, 2012) Hypoxia also has an anorexic effect and is a key catabolic stimulus. (Mason, Parker and Lott,
... patients with heart failure: Impact on patients. American Journal of Critical Care, 20(6), 431-442.
left ventricular function and heart failure.” Clinical Investigative Medicine. 31.2 (2008): E90-E97. Web. 15 Feb. 2014.
Dilated cardiomyopathy accounts for approximately 15% of heart failure cases in the under 75s (“Chronic Heart Failure”). Patients with Dilated cardiomyopathy are usually unaware of the disease until they experience the signs and symptoms of heart failure or they develop an arrhythmia.
Tesla Motors Case Study Tesla Motors is a company that produces and sells automobiles. Tesla is not an old automobile company. Tesla specializes in all electric cars that run 100 percent on battery and focuses on the future. Tesla is looking into the future and realizes that fossil fuels will eventually run out. Tesla is moving toward a zero-emission future for the better.
On March 18th, 1953 Penny Donald was born she was very quiet,shy, and loving. On May 23th, 1951 Dennis Maxwell was born he was very outgoing, social, and open. These two went to Westfield High school in 1969 together and never crossed path’s. On graduation night all seniors went to a party and Penny and Dennis met each other, they dated for a while, then eventually got married in 1981. Penny and Dennis Maxwell had a son in 1987 named Charles. Charles was born premature, he had to stay in the hospital for two weeks before he could go home. Two weeks later Charles came home with his parents. Charles grew up as a sick child, he had pneumonia. Dennis worked as a construction worker and Penny was at home with Charles. Dennis and Penny knew that
These wastes are derived from the liquid and food that the individual had consumed. In cases of compromised kidney function, the kidneys are no longer able to remove or filter wastes in the normal way. This means that wastes are left to accumulate in the bloodstream. When this scenario takes hold, it can negatively impact the patient 's electrolytes, therefore, positive action has to be taken to optimize the situation. When patients follow a renal diet it can help to slow down the advancement of total kidney failure, and ameliorate kidney function. Along with chloride and potassium, sodium represents one of the body 's main three electrolytes. The latter manipulate the fluids with enter and leave the body’s cells and tissues. Therefore, patients with renal disease must monitor their intake of electrolytes. Keeping a daily food dairy is essential (Nephcure), and will be of great benefit to the dietitian who can pinpoint certain details.
The kidneys are a bean-shaped organ in the human body and they have different functions and are of vital importance for it. The kidneys are the pair of organs, which are able to regulate the reabsorption of ions such as potassium, sodium and calcium, which are fundamental substances for the cell. Furthermore, they are involved in the reabsorption of nutrients in the bloodstream and they can regulate the acidity of the blood. Besides the regulation of the fluids and ions, the kidneys are also responsible for the regulation of many different hormones that are involved in homeostasis and metabolism. Because of their importance in the regulation of substances in the body, when the kidneys stop working properly all the body is influenced by that creating disequilibrium in the maintenance of homeostasi...
Does withholding knowledge pursue dreams and opportunities? Wystan Hugh Auden, an Anglo-American poet, pursued his dreams and made them into reality. W.H. Auden was one of the leading literacy of the 20th century. Auden’s ideas of poetry came from his environmental experience with war and political turmoil. Not only Auden had writing and English skills, he also understood science and engineering. Furthermore, Wystan Auden had an influential early life, His education led him to success, and being inspired by the poetic justice of English made him a powerful man.