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Atrial Fib Case Study

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Atrial Fib: In atrial fibrillation, the atrial rhythm and ventricular rhythms are irregular. The atrial rhythm is greater than 400 beats/minute. The atrial activity looks erratic and irregular. Causes of Atrial fibrillation include COPD, heart failure (which EM has),hyrotoxicosis, constrictive pericarditis, ischemic heart disease, sepsis, pulmonary embolus, rheumatic heart disease, hypertension, mitral stenosis, atrial irritation, or complication of coronary bypass or valve replacement surgery. If a patients condition is stable, treatment includes drug therapy that may commonly include calcium channel blockers, and beta blockers. It may also include anticoagulation therapy, such as the Coumadin that EM is currently taking. EM is also taking
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The medications allow him to do his ADL. The patient also stated the Norco works

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It increases the risk of a stroke and heart attack. AFib can be caused by heart abnormalities, adrenaline inducing medication, or alcohol. When beating rapidly the heart can beat up to six hundred beats per minute! With every year a person with AFib grows, so does the chance of a stroke. The first step in curing AFib is to identify what he cause is.

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Therapeutic responses: decreased bleeding tendencies, decreased PT, decreased clotting time. Teach patient/ family Not to take other supplements unless directed by prescriber. The necessary foods for diet. To avoid IM inj, use soft tooth-brush, do not floss, use electronic razor until coagulating defects corrected.

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1. Does it seem that Jim has a legitimate basis for requesting another retest? According to the article Jim who did not perform well during his EMP 211 senior laboratory course, but remained eligible to test the practical examination stations. Failed the dynamic cardiology station and additionally the retest of his dynamic cardiology EMS program course practical exam.

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CIWA-Ar is a 10-item scale which numerically scores the severity of a patient’s nausea, sweating, agitation, headache, anxiety, tremor, sensory disturbances (visual, tactile, and auditory), and orientation23 to determine appropriate benzodiazepine dose. It is usually administered by a nurse and takes only a minute or two to complete. There is a maximum of 67 points and a score >18 indicates a patient is at severe risk for major alcohol withdrawal complications.5 Patients with scores <8 may be reevaluated every 8 hours, however patients with higher CIWA scores will need to be reevaluated more frequently depending on worsening or improving symptoms, sometimes requiring hourly assessments.. Hourly assessments may be quite burdensome for a floor

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The V/Q scan would show the blood clot, the blood flow restriction, and measures airflow. Barbra shouldn't take aspirin and ibuprofen because she already taking Warfarin. This would cause her blood to thin out too much and cause internal bleeding. That's why they have to watch out for bruises and purple toes and fingers.

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The patient follows the doctor’s recommendation for completing blood work to ensure the medication is consistently within the therapeutic level. Therefore, the International Normalized Ratio (INR), prothrombin time

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: GW has a history of A-fib, hypertension, and heart failure. He was admitted in 2014 where he was diagnosed with A-fib and heart failure. The past three months GW hasn’t been able to afford to pay for his various medications. This has lead to unmanaged A-fib and hypertension, resulting in his most recent admission. In addition, GW is an avid smoker, smoking around ½ pack a day.

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Soldier’s Heart is written by Gary Paulsen and is based on a true story. The story Soldier’s Heart is about a boy named Charley Goddard who wants to become a man. Charley does have soldier's heart. Soldier’s heart is a disease name that was used during the times of Civil War. it was said that although the disease was called soldier’s heart, most people did not know what the disease was.

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Cardiac causes. 4.4. Cerebrovascular causes. 4.5. Other causes.

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There are many things that can be done in order to manage atrial fibrillation such as undergoing certain procedures and taking certain medicine. With atrial fibrillation the medicine can be taken to aid with controlling the heart rate and preventing blood clots. The medication that can be used for this is amiodarone and Propafenone because they are antiarrhythmic. Antiarrhythmic drugs are use help with arrhythmias (irregular heartbeats) in the heart. Amiodarone is a group three antiarrhythmic drug which means that it works by blocking the potassium channels which then slows down the cells ability to repolarize but it has properties of all four type of antiarrhythmic.

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What additional medications can improve outcomes in a patient like Bill who has stable angina? Plavix 75 mg daily, “prasugrel (Effient) and ticagrelor (Brilinta), can help prevent blood clots from forming by making your blood platelets less likely to stick together.” (Mayo Clinic, n.d.). Moderate intensity statin therapy. Simvastatin 20 mg daily.

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NOW WHAT (modifying future outcomes) At this level, the role of Anticoagulant team has its major part in treatment of Mr Moore plus NMC’s other patients, and also the colleagues of Anticoagulant management. This aspect makes sure the optimal level of Anticoagulant therapy by evading offensive risks of haemorrhage. The reflection case exemplifies to reflect the decision that I made is so perfect but in future if I had sufficient time I could ask patient’s general practitioner for the authorisation if he or she could fund new oral anticoagulants.

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We again reported to the patient next morning. Venous blood (3 ml) was collected in a vacutainer containing clot activator gel after one hour of IV ceftriaxone administration. Serum creatinine level was estimated by the same method, and the value obtained was 0.8

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Even if the treatments are able to add

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