Aortic Valve Replacement Case Study

In general he is a not acutely ill appearing male. His neck veins were elevated to the angle of the jaw. He had no thyromegaly or lymphadenopathy. His lungs were clear to auscultation. His heart was regular rate and rhythm with an S3 and an S4. His PMI was laterally displaced by 1 cm. His abdomen was (full), slightly distended and had a positive fluid wave. He had no pitting edema in the abdominal exterior wall. His rectal exam was heme-negative. His extremities showed 4+ pitting edema up to his knees and in his feet

tells you that he began feeling changes in his heart rhythm about 10 days ago. He has hypertension

Pulse rate is at 72. The blood pressure was 140 / 95,which is suggestive of high blood pressure and related to his medical history. No heart murmur was noted, and no other abnormalities were noted.

no further medication changes. K.N. is instructed to fi nish the remaining 2 days of

Elevated urine microalbumin/creatinine ratio. His last labs in January did show a mild increase. I will recheck that along with a basic metabolic panel and inform him of those results. A copy of them will be sent to Dr. Dourdoufis, as

She also uses Acetaminophen 500 mg tablet. Beside that resident takes Actonel DR 35 mg tablet, which is equivalent to Risedrontate, which are bisphosphonates medication use in the prevention or the treatment of Osteoporosis. Resident also takes Escitalopram 10 mg tablet, which are antidepressant medicines uses for general anxiety disorder. Another medicine that the resident takes is Furosemide, it is equivalent to Lasix, and it is loop diuretic medication uses for edema with cognitive heart failure however, asses the resident input and output daily to determine the fluid loss. Resident takes potassium chloride for the treatment or the prevention of hypokalemia. Trazodone is another medication resident takes which is for her depression. Resident takes Ipratropium and use for chronic obstructive pulmonary disease. Pulmicort is also another medicine this resident takes and is use to prevent asthma attacks. Last, is Salbutamol and is use for prevention of exercise –including acute

Personally I’ve had them all. I get my gene for my disease from my mother’s side. It isn’t a 100% accurate but my mother’s relatives are the only side that has heart issues, such as a reverse heart at berth that needed extensive heart surgery to flip it around. Every person that has aortic valve stenosis can't take medicine to cure the disease. They must have surgery, depending on how bad the back flow of blood is. In conclusion, this is my report on aortic valve

My clients resting heart rate was 69 putting him in the above average category. This meant

There were no early or late postoperative deaths and we achieved 100% follow-up for included patients. No patient had aortic valve replacement after one year. Preoperatively the mean ejection fraction in group S was 62.33±4.39% while in group R was 59.53±6.10%, the width of the regurgitant jet in group S was 34.67±2.72 % and in the group, R was 35.73±1.87 % ( p-value non-significant). Postoperatively after 1 year follow up the width of the regurgitant jet in group S increased significantly to 37.27±4.67% ( p > 0.5) while in group S almost remained unchanged 34.73±4.13% ( p <

even fatal to patients. When the malformations of the valve reach a critical point in

Due to heart valve replacement surgery being a risk of death, patient life expectancy is a major criterion to be considered. Life expectancy, ability to take anticoagulants, compliance and available facilities for monitoring INR, lifestyle, risk of bleeding, patient preference, and risk of reoperation should all be considered in choosing a valve substitute, although in clinical practice patient age is most often the determining factor. Studies have shown that age between 60-65 years is when the benefits of mechanical valves shift to favor the use of bioprostheses (Silberman, 2008).

A seventy-five-year-old patient is ordered to take digoxin an anti-arrhythmic drug, coumadin an anticoagulant, lasix which is a loop diuretic, and a K-Dur which is a postassium chloride supplement. For each of these medications, I will explain the drug name and therapeutic category, the dosage size and schedule, the route and technique of administration, the expected therapeutic response and when it should develop, the non-drug measures to enhance the therapeutic responses if applicable, the probable duration of treatment, the method of drug storage, the signs and symptoms of major adverse effects, the major drug to drug and drug to food interactions, who to contact if there were any adverse reactions, and

health. Most of his exercise has been aerobic in nature with only a small amount of resistance

I agree and also put that Mr. Smith could have primary aldosteronism as his diagnosis. His potassium levels should be checked right away since this electrolyte has a profound effect on the heart when it is not within normal limits. Some patients may or may not have low potassium with this disease. According to Galati, Hopkins, Cheesman, Zhuk, & Levine (2013) “indications for screening have been expanded with recognition that many patients with primary aldosteronism do not have hypokalemia and that the disease may be familial” (421). Mr. Smith does complain of muscle weakness however and because of this would lead me to believe that in his case he probably does have low potassium. Depending on what Mr. Smith’s blood results show I would then

Throughout the testing process, Mr. Gee put forth a sufficient amount of effort and concentration. In addition, he was open and engaged, as he discussed his medical conditions freely. The measures were completed in a room with adequate temperature, lighting, and free from distractions.