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    Cardiovascular Case Study: Atrial Fibrillation and Oral Anticoagulation Scenario You are the nurse working in an anticoagulation clinic. K.N. is a patient who has a longstanding irregularly irregular heartbeat (atrial fi brillation, or A-fi b) for which he takes the oral anticoagulant warfarin (Coumadin). Recently, K.N. had his mitral heart valve replaced with a mechanical valve. You know that there are different PT/INR (prothrombin time/International Normalized Ratio) goal recommendations based

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    We optimized his medical therapy, inotropic support and performed a successful cardioversion. Despite these interventions, the patient’s clinical status continued to decline with worsening fluid retention, progressive AKI (SCr 3.8mg/dl) and multiple episodes of ventricular tachycardia and ventricular fibrillation terminated by his implantable

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    Atrial Fibrillation Juli Lee Institute of technology- Clovis Introduction What is atrial fibrillation? Most physicians and people who acquired the problem usually know it as A-FIB, a shorter term for atrial fibrillation. Atrial fibrillation deals with the cardiovascular system, in particular, the heart in the body. It is defined as, “the electrical signals that control this system are off-kilter. Instead of working together the atria do their own thing, causing fast fluttering heartbeat

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    Use and abuse of Benzodiazepines Introduction Sedative-hypnotics, including benzodiazepines, are a group of drugs used to treat the symptoms of anxiety, panic disorders, and insomnia. Benzodiazepines are one of the most prescribed drugs which have abuse potential. There must be special attention toward the patient's addiction history before these agents are prescribed. An understanding of the toxicity and side effects of benzodiazepines, abuse patterns and alternative anxiolytic and hypnotic agents

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    Capstone Experience Based on QSEN Competencies: Patient Centered Care Manuel Fuentes San Joaquin Valley College Nursing Leadership RN44 Edith Amadi, RN Aurora Gumamit, DNP, CNS August 13, 2015 Capstone Experience Based on QSEN Competencies: Patient Centered Care On July 27, 2015, an issue in care occurred in the DOU during the shift of the student nurse and his preceptor. At approximately 1045, the student nurse was assisting his client secure her BiPAP mask, when this was completed the

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    Ripping, piercing, probing, prodding, slicing, poking, cutting, carving...and you won't feel a thing, thanks to the miracle of anesthesiologists. An Anesthesiologist has lot of different responsibilities, but an anesthesiologist is not just a direct job . There are different surgeries that they handle and not every surgery requires the same anesthetics. Considering the different types of anesthetics there are multitudinous of anesthesiologists. It is expected that the patients really get fidgety

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    Heart disease is a wide term that describes a range of conditions that affect your heart. These heart diseases consist of born heart defects, blood vessel diseases, and heart rhythm implications. This term can also be interchanged with the term “cardiovascular disease”, which refers to blood vessel blockage that can lead to severe effects (chest pain, heart attack, stroke). Other symptoms that affect your heart’s beat or muscles also are considered a type of heart disease. Living a healthy life and

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    History and Epidemiology of the Drug Propofol was originally available in 1986 and has been used as an anesthesia, for “short sedation in endoscopies and cardioversions, and for long-term sedations in intensive care units and also used for rapid opiate detoxification”(Bonnet, 2012). Propofol is used, unapproved by the FDA, as pain reliever for severe chronic headaches and as a sleep aid for insomnia. The Pharmacology, How does it work in the system Propofol’s actions at multiple receptor subtypes

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    Obstructive Sleep Apnea Obstructive sleep apnea is the most common form between both sleep apneas. OSA occurs when the upper airway collapse during sleep. Collapse of the upper airway may cause decreases in ventilation, but not complete cessation of it, with desaturation and arousal (hypopnea) and/or complete cessation of airflow for more than 10 seconds entitled apnea (Figure 1) 1. Common symptoms of OSA are frequent arousal, snoring, choking/gasping, daytime sleepiness, increased carbon dioxide

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    Cardiac Care Nursing Specialty Nursing is a valuable profession in which nurses provide care for individuals, families, and community groups. In order to be a successful nurse, a person has to be able to combine people skills like communication, compassion, commitment, and trust with an adequate amount of science and new technology knowledge. On the other hand, nurses are highly responsible for educating their patients about different medication, diseases, treatments, and healthy lifestyle choices

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