Jorge did not have any constipation episodes this year. He experienced one episode of diarrhea on 6/8/17 that required the administrator of Immodium 2 mg cap PO once; Miralax was held, then restarted on 09/25/17. NO other GI related symptoms were reported or documented. His bowel elimination at present being treated with Miralax 17 gram orally, High fiber diet, and 2 tbsp. Ground Flaxseeds mixed with food at lunch. Jorge’s last lipid panel test shoed ↓Cholesterol 78 L [112-200] and ↓HDL 35 [>39]. He is currently taking Lovaza 2 gram oral cap twice a day for Dyslipidemia and a statin Lipitor 10 mg PO tab daily at bedtime for ↑ASCVD risk (Atherosclerotic Cardiovascular Disease). His last EKG on 7/20/17 indicated NRS with no acute changes, QTC
HPI: MR is a 70 y.o. male patient who presents to ER with constant, dull and RUQ abdominal pain onset yesterday that irradiate to the back of right shoulder. Client also c/o nauseas, vomiting and black stool x2 this morning. He reports that currently resides in an ALF; they called the ambulance after his second episodes of black stool. Pt reports he drank Pepto-Bismol yesterday evening without relief. Pt states that he never experienced similar symptoms in the past. Denies any CP, emesis, hematochezia or any other associated symptoms at this time. Client was found with past history gallbladder problems years ago.
Read the posted case study about Benita Vasquez and discuss the following questions: 1. What are the clinical causes of death in the story? a. Senora Vasquez died because of uncontrolled diabetes, Infected wound and diffusing kidneys. With not well-controlled diabetes and acquiring an infected burn wound makes it harder for the patient to get treatment. Thus with the condition of the patient and her current social status, she is unable to afford the treatment and medications needed to alleviate her suffering.
A 46-year-old Hispanic man presented to the clinic for a routine physical and a review of his recent laboratory studies. His medical history was significant for high cholesterol. His daily medication regimen included a multivitamin, aspirin 81 mg, and simvastatin (Zocor) 40 mg for high cholesterol. His family history was remarkable for type 2 diabetes, hypertension, and hyperlipidemia in his mother, maternal grandmother, maternal aunt, and maternal uncle. Physical examination revealed a height of 69 inches, weight of 199 pounds, body mass index (BMI) of 29.4 kg/m2, waist circumference of 36 inches and blood pressure of 125/72 mm Hg. Initial laboratory results were: total cholesterol 195 mg/dL; triglycerides 136 mg/dL; low-density lipoprotein cholesterol (LDL), 124 mg/dL; high-density lipoprotein cholesterol (HDL), 44 mg/dL; and fasting plasma glucose (FPG), 119 mg/dL. Complete blood count, renal function and liver function tests were all normal. Additional studies included an oral glucose tolerance test (OGTT) of 157 mg/dL and hemoglobin A1c (HbA1c) of 5.9%. The patient’s physical exam was unremarkable with no abnormalities noted.
CAD is a leading cause of morbidity and mortality throughout the worldwide. The prevalence of biological and metabolic risk factors were also found to be high in development of coronary artery disease. Patients with hypercholesterolemia are at increased risk to experience cardiovascular events and to die from vascular disease [2]. .Statins, among the most commonly prescribed drugs worldwide, are cholesterol let downing agents used to manage cardiovascular and coronary heart diseases and to treat hypercholesterolemia. Statin’s therapy ...
HelloFresh is a food delivery service. Like others in the food delivery industry, they deliver meal kits and recipes. They deliver a recipe sheet for you to follow, and they deliver the exact amount of ingredients you need to cook and complete the meal. HelloFresh do not advertise themselves as a food delivery company (which is fair enough), they say they are a meal kit service, but some people think this means they deliver the tools and equipment to make meals, which is not so, they only deliver the ingredients and the recipe.
If symptoms are mild then they may not require specific treatment as the symptoms can clear up by itself. Certain foods may trigger diarrhoea and bloating. They should be given lifestyle and dietary advice. They should be advised to drink plenty of fluids and eat small amounts of food throughout the day. Patients should avoid high fibre foods such as bran, beans and nuts. They may also limit their intake of milk products if they are lactose intolerant. Finally they should avoi...
Being presented with the problems in the implementation of the SAP ERP system, it is evident that Novartis Pharmaceuticals requires a comprehensive action plan that resolves key issues and the underlying problem. Refer to Exhibit A for a graphical representation of the action plan.
1) Coronary Artery Disease (CAD)/Coronary Heart Disease (CHD): In the United States, CAD accounts for one death every minute making it a leading cause of death (Kones, 2011). Individuals at risk for CAD include those with modifiable and non-modifiable risk factors. Non-modifiable risk factors for CAD include: age, race, family history. Modifiable risk factors include: hypertension, obesity, smoking, hyperlipidemia, diabetes, and minimal to no physical exercise. If untreated, CAD can lead to heart failure (Kones, 2011). Individuals with CAD may present to their primary care providers with symptoms such as: angina, shortness of breath, indigestion/heartburn, and dyspnea on exertion. Individuals develop CAD when plaque obstructs the coronary arteries
Whether it is Lipitor being used to lower cholesterol or aspirin to lower blood pressure, until the present, cardiovascular and heart diseases have been tackled by a variety of medications that address its various risk factors. However, this strategy focuses on secondary and tertiary prevention instead of heart diseases’ underlying causes. Yes, diabetes mellitus and hypertension have a concrete proven link to heart disease, but addressing them with medication only masks them and does not address the root of the problem.
(Novo 2012) In 2005, it was found that CVDs are responsible for the deaths of more than 17 million people each year, almost a third of total mortality rates, reported by the World Health Organisation (1, 2). The majority of these deaths were strongly related to Coronary Artery Disease of approximately 7.6 million. However, in the latter 15 years mortality rates in relation to CVD’s have significantly reduced according to age in develo...
Liao, J. K., (2007). Safety and efficacy of statins in Asians. American Journal of Cardiology, 99(3), 410-414. doi: 10.1016/j.amjcard.2006.08.051
It can be prevented naturally by practicing vegetarianism which refers to those who practice a diet low in meat and fish or may not consume meat products at all. Vegetarianism diet offers an advantage because people who practice or change their lifestyle to no meat consumption have lower body mass index (BMI), and can reverse the effects of atherosclerosis. (reducing, 2010). However, people have to be careful while practicing it because a poorly vegetarian diet can cause anemia, fatigue, decreased zinc, decreased vitamin C. Also it can decrease B12 and this may cause neural tube defects, congenital heart defects, dementia, and Alzheimer’s disease. It is very important to educate vegetarians to have a vitamin B supplementation to prevent another type of conditions. (reducing, 2010). There is another way to prevent or reverse heart disease by consuming seven heart nutrients which are fiber, fish oil, magnesium, vitamin D, vitamin K, zinc, and COQ10. Also, there are statin drugs such as Crestor (rosuvastatin) and Lipitor (atorvastatin) that are being prescribe to cholesterol-lowering but there is a concern about their safety and effectiveness. There is an alternative to these types of drugs. The statin alternatives are Niacin (B3) known to be effective in lowering blood cholesterol and triglyceride levels, and citrus flavones that work blocking the enzymes in the liver
Currently, John Martin is at high risk for a heart attack within the next 10 years. His blood pressure is high, HDL is low, and he is a smoker. While it has been determined that Mr. Martin does not have metabolic syndrome, it is imperative that he make the following changes in order to ensure a long, healthy life.
Six moths ago I scheduled a physical and blood work, a month later I was diagnosed with high cholesterol. My total cholesterol levels were at 250, with and LDL of 150, which puts me at a higher risk of cardiovascular illness. I was given the option of changing my eating habits with a combination of exercise to manage and lower my cholesterol levels, thus avoiding the need for medication. The dr. was very supportive, he had many helpful suggestions and showed me several ways in which I could lower my cholesterol by making simple food choices. After a long discussion I decided this was the way to go, I hate taking medication. When I reviewed the analysis report and saw that my cholesterol continues to be above the recommended range I let out a huge sigh, it took a few seconds to compose myself before I continued to look over it. This whole time I thought I had maintained my cholesterol under control, the analysis report proved that I was wrong. It is important that I make changes on how I eat. High cholesterol is indicative of cardiovascular illnesses that possibly result in serious chronic diseases. Diseases that are linked to high cholesterol are Coronary heart disease, peripheral vascular disease, diabetes and high blood pressure. The main risk from cholesterol is heart attacks. If the cholesterol remains high, it can build up overtime in the walls of the arteries forming a build up known as plaque. This plaque will cause the arteries
and loss of appetite caused by the disease itself and by treatment with AZT and