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Hypovolemic shock
Stages of hypovolemic shock
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Mr. T was in a serious car accident and suffered severe blood loss. He probably went through a hypovolemic shock. Hypovolemic shock is a condition that occurs when an individual looses more than one-fifth of the body’s blood. This amount of blood loss makes it nearly impossible for the heart to pump enough blood into the body, which may eventually lead to organ failure. This condition requires medical attention immediately. Hypovolemic shock results from sudden blood loss from the body. Large amounts of blood loss can occur because of: bleeding from severe cuts or wounds, bleeding from traumatic injuries caused from accidents, internal bleeding, or bleeding from the digestive tract. Blood carries oxygen and other essential substances to the organs and tissues. When a large amount of bleeding occurs, there is not enough blood in circulation for the heart pump efficiently . There might be a point where the body loses body fluids faster than it …show more content…
The symptoms of hypoxia vary, but the most symptoms of this condition are: changes in skin color, confusion, cough, fast heart rate, rapid breathing, and shortness of breath.
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The factors presented indicate that the 57-year-old woman is affected by myocardial ischemia. Myocardial ischemia takes place when blood flow to the heart is reduced, preventing it from accepting sufficient oxygen. The diagnostic tests expected for this condition are: electrocardiogram, echocardiogram, nuclear scan, coronary angiography, cardiac CT scan, and a stress test. The risk factors for the woman’s condition, myocardial ischemia, are: tobacco, diabetes, high blood pressure, high blood cholesterol, high blood triglyceride level, obesity, and lack of physical activity. Some of these risk factors mentioned, are relevant to the patient. The woman reported that she has a history of cigarette smoking, primary hypertension, high cholesterol, and type II
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.
Also, hypoxia, which is a lack of oxygen, is another pathological physiological outcome of sepsis as less oxygen is reaching the tissue; this is due to the fact that there is less oxygen in the blood.
A complete blood count was done for this patient upon admission in order to give a baseline to help guide his care. The blood count was also done to show how his hematological system was affected by the trauma that he suffered in the motor vehicle accident he was in. If the patient was hemodynamically unstable, he may have needed blood transfusions to bring his blood counts up. White blood cells could help to tell is the patient has an infection in his surgical wound. The patient also underwent surgery to correct the injury to his spine, causing more blood to be lost in the process. The platelet, hemoglobin, and hematocrit counts could help to show in the future if the patient is suffering from internal bleeding after the surgery he had.
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
Gibb’s model (1988) first describes the event, so my description of the event is: Mr X was admitted to the medical assessment unit (MAU) from the A+E (accident and emergency) department, with a preliminary diagnosis of a T.I.A. (transient ischemic attack) and dysphasia. Ross and Wilson (1996) describe this as, caused by small...
Septic shock is a condition and/or state of hypoperfusion that derives from another condition called sepsis; Sepsis the infection of the bloodstream. In order to acquire septic shock one must obtain an infection of the bloodstream. Any type of pathogen can cause that infection. The main factor is bacteria and while fungi and viruses have been known to be able to cause septic shock the occurrence is much more rare than through bacteria.The cause of septic shock lies within
Hypovolemic shock specifically causes the cardiovascular system to fail from a significant loss of blood volume, the cause of which can occur from hemorrhage or other methods of severe fluid loss. This lack in blood volume is what causes the failure of the cardiovascular system and oxygen delivery, and this fluid loss occurs, the body experiences hypovolemic shock in three sequential stages to try and maintain adequate blood flow throughout the body. These stages are named compensated, decompensated, and irreversible (Wang
Some blood tests may also be required. From these tests, the diagnosis of cardiomyopathy can be made.
The hereditary risk factors for cardiovascular disease are primarily those of which individuals are unable to control, the ones for which they are born with. These risk factors would include an individual’s sex, race, age, and genetics. One out of every five males has some form of cardiovascular disease and the same applies for females. More women than men have cardiovascular disease in this country, but this is only due to the fact that there are more women within the U.S. population (Weiss and Lonnquist, 2011). Men percentage wise are at a higher risk than women. There is a somewhat reduced probability for females to have cardiovascular disease before menopause. This is believed by medical researchers and scientists to be directly related to the natural hor...
One of the leading causes of death in the United States is heart disease. “Approximately every 29 seconds one American will have a heart attack, and once a minute one American will die from a heart attack” (Ford-Martin and Odle, 915). According to the Gale Encyclopedia of Alternative Medicine men over the age of 45 and women over the age of 55 are considered at risk for heart disease. Heart disease is a major cause of death. It is beneficial to individuals who seek to prevent heart disease to recognize the risks leading to heart attacks as they are one of the primary indications of developing heart disease; especially those that fall into the at risk age groups. These risks consist of some that cannot be changed such as heredity risks, or those that can change such as smoking habits. It is very important to know these specific risks for prevention and to understand the symptoms of heart attacks, such as sweating or the feeling of weakness so if these or other symptoms occur people are aware. Finally heart disease treatment is of vital importance if you experience a heart attack so you can learn how to prevent another one from occurring.
...smoking, high cholesterol diet, age, gender, sedentary lifestyle, contraceptives and hormone replacement therapy. Nurses can fill significant treatment gaps in the risk factor management of patient with coronary heart disease. “Cardiac rehabilitation programs including nursing education exert a beneficial effect on patients’ quality of life, exercise capacity, lipid profile, body mass index, body weight, blood pressure, resting heart rate, survival rate, mortality rate and decreased myocardial infarction risk factors.” ( Health Science Journal, 2012). Healthcare professionals should discuss with the patients therapeutic lifestyle changes, emphasizing the role of diet in heart disease. Nurses should provide information and teaching about medications to lower cholesterol levels and also discuss the relationship between diabetes, hypertension and CAD.
Our patient has 4 of the 5 risk factors: low HDL, high triglycerides, high fasting blood glucose, and central obesity. Because of this, she does seem to have metabolic syndrome. With metabolic syndrome concomitant disease states occur that the patient may have, including PCOS, and hypothyroidism.
Although a person’s tolerance to hypoxia (lack of oxygen) varies. The more serious stage is high-altitude cerebral edema, also known as HACE, brain swelling that is potentially fatal. Which is “The lack of oxygen can directly damage brain cells. In addition, the walls of blood capillaries begin to leak at high altitudes, and the leaked fluid can cause dangerous swelling, pressing the brain outward against the rigid skull. Sometimes the optic nerves swell so badly they bulge into the back of the eye, degrading vision and causing retinal hemorrhages. Meanwhile blood, concentrated from dehydration and thickened by increased numbers of red blood cells, clots more easily. This clotting, along with the hemorrhage from the thinned capillaries, can cause a stroke. A climber with HACE may experience amnesia, confusion, delusions, emotional disturbance, personality changes and loss of consciousness.” (Fields). Joe stated there was two minds within him arguing. The voice was commanding and always right. He had to get to a glacier and the voice told how to go about it. This how you know Joe was experienced delusions from the lack of food, water, oxygen, and suffering from a broken leg and betrayal from
Myocardial infarction occurs when the coronary arteries are blocked by a blood clot. It is commonly known as “heart attack”. The heart needs its own constant supply of oxygen and nutrients to work properly. Two coronary arteries delivery oxygenated blood to the heart, and if one of these two arteries fail or become blocked, then a portion of the heart will not acquire the necessary oxygen. This clot could be because of CAD (coronary artery disease), which happens when the inner walls of the coronary arteries thicken because of build up of cholesterol, fatty deposit, calcium among other elements that are carried in the blood (Boston Scientific, 2009).
Syncope is defined as a temporary loss of consciousness as a result of rapidly decreased blood flow and oxygen to the brain (Morag). Syncope is more commonly known as fainting, but includes much more than just that. Someone with syncope loses consciousness easier and more frequently than normal people. Syncope can affect all genders, ages, and races. There are many different types of this illness, such as vasovagal, situational, orthostatic hypotension, acute myocardial infarction (heart attack), cardiac (cardiopulmonary), and neurally mediated syncope, with the most common type being vasovagal (Morag, “Syncope.,” “Syncope (Fainting)”). Doctors must be absolutely sure that the patient has syncope because there have been many reported cases