Heart failure, which involves a decrease in ventricular contraction force, is a common condition. Its is caused by an initiating event (such as a heart attach/myocardial infarction) which result in damage to the cardiomyocytes.
1)Why would damaged cardiomyocytes result in reduced ventricular contraction?
2)What is end diastolic and end systolic volume? Describe what may happen to end diastolic and systolic volumes with heart failure.
The delivery of sufficient oxygen to the tissues is the basic function of cardiac output. At rest, the heart will pump out 5 Liters/min to satisfy the oxygen demand of the body’s tissues.
1)What happens to cardiac output and cardiac function during intense exercise? Why?
2)What component of the nervous system is responsible for initiating this response?
3)Why do athletes have a much greater maximum cardiac output and cardiac efficiency than non-athletes?
Maintaining client trust and goodwill. What strategies would you use to maintain the trust and goodwill you have established with Brenda?
explain the beneficial application of project management methodology in healthcare organizations. Be specific and provide examples. Describe how you would communicate the value of project management to nurses who are unfamiliar with the discipline. Propose at least two strategies for educating nurses about project management methodology and two strategies for motivating nurses to utilize project management methodology.
Critical thinking and clinical reasoning. Discuss the differences between critical thinking, clinical reasoning, and clinical decision-making.
Differentiate iron deficiency anemia and anemia of chronic disease. Discuss each disease pathophysiology in relation to hematological concepts.
1.write five complications of cholelithiasis and their explanation.
2. evidence-based nursing management for this condition at least 10 (and write the reference used).
Collaborative Caring . So my question is: Why aren’t we all taught to put “please” on our requests (orders) in medical or nursing school? And how about “thank you?”?
Identify 6 indicators that an individual is struggling emotionally that one should look out for when providing support
Upper GI Disorders: GERD and Peptic Ulcer. Etiology: Weak lower esophageal sphincter. Discuss the factors that further weaken the sphincter and increase the possibility of acid regurgitation
| The 5 General Topics of Disease Summary |
| 1. Etiology & risk factors |
| 2. Pathogenesis: The molecular mechanism of the disease process (How the disease process evolves) |
| 3. Clinical Picture: Signs& Symptoms, Sequelae, and Complications |
| 4. Diagnosis: Labs & tests (as well as screening tests and follow-up tests whenever applicable) |
| 5. Pathophysiologic rationale of treatment |
This summary should cover two topics: 1- GERD. 2- Peptic Ulcer
GERD
Etiology: Weak lower esophageal sphincter. Discuss the factors that further weaken the sphincter and increase the possibility of acid regurgitation
Clinical picture: Symptoms and their rational (wherever the acid goes certain symptoms happen: acid in the esophagus, causes heart burn, at the back of tongue, causes metallic bitter taste, pharynx, causes sore throat, larynx, causes hoarseness, carina, causes irritating cough, bronchi, causes bronchospasm)
Diagnosis: Characteristic clinical picture and 24-hour esophageal pH monitoring
Pathophysiologic rationale of treatment: PPI: Agents to reduce gastric acidity to minimize symptoms
Peptic Ulcer Disease
Etiology: H.pylori and NSAIDs are the two main causes, and also talk about ZE syndrome
Clinical picture: Symptoms of the two types of PUD (duodenal and gastric ulcers) are very similar
Diagnosis: Upper endoscopy confirms the diagnosis and tells apart the type
The pathophysiologic rationale of treatment: Deal with the cause (Avoid NSAIDs, antibiotics for H.Pylori), and reduce gastric acidity to ensure a suitable environment for the ulcer to heal
please see the instructions attached. This is the textbook information McCance, K.L., Huether, S. E. (2018) Pathophysiology: The Biological Basis for Disease in Adults and Children. (8th Ed) St. Louis, MO. Elsevier Mosby ISBN-13: 978-0323583473 ISBN-10: 9780323583473
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