Reach Your Academic Goals.

Join Today to Score Better
Tomorrow.

Connect to the brainpower of an academic dream team. Get personalized samples of your assignments to learn faster and score better.

Connect to a Paper Expert

How can our experts help?

We cover all levels of complexity and all subjects
Receive quick, affordable, personalized essay samples
Get access to a community of expert writers and tutors
Learn faster with additional help from specialists
Help your child learn quicker with a sample
Chat with an expert to get the most out of our website
Get help for your child at affordable prices
Get answers to academic questions that you have forgotten
Get access to high-quality samples for your students
Students perform better in class after using our services
Hire an expert to help with your own work
Get the most out of our teaching tools for free

The Samples - a new way to teach and learn

Check out the paper samples our experts have completed. Hire one now to get your own personalized sample in less than 8 hours!

Competing in the Global and Domestic Marketplace:
Mary Kay, Inc.

Type
Case study
Level
College
Style
APA
Read Sample

Reservation Wage in Labor Economics

Type
Coursework
Level
College
Style
APA
Read Sample

Pizza Hut and IMC: Becoming a Multichannel Marketer

Type
Case study
Level
High School
Style
APA
Read Sample

Washburn Guitar Company: Break-Even Analysis

Type
Case study
Level
Undergraduate
Style
APA
Read Sample

Crime & Immigration

Type
Dissertation
Level
University
Style
APA
Read Sample

Interdisciplinary Team Cohesion in Healthcare Management

Type
Case study
Level
College
Style
APA
Read Sample

Customer care that warms your heart

Our support managers are here to serve!
Check out the paper samples our writers have completed. Hire one now to get your own personalized sample in less than 8 hours!
Hey, do you have any experts on American History?
Hey, he has written over 520 History Papers! I recommend that you choose Tutor Andrew
Oh wow, how do I speak with him?!
Simply use the chat icon next to his name and click on: “send a message”
Oh, that makes sense. Thanks a lot!!
Guaranteed to reply in just minutes!
Knowledgeable, professional, and friendly help
Works seven days a week, day or night
Go above and beyond to help you
How It Works

How Does Our Service Work?

Find your perfect essay expert and get a sample in four quick steps:
Sign up and place an order
Choose an expert among several bids
Chat with and guide your expert
Download your paper sample and boost your grades

Register a Personal Account

Register an account on the Studyfy platform using your email address. Create your personal account and proceed with the order form.

01
02

Submit Your Requirements & Calculate the Price

Just fill in the blanks and go step-by-step! Select your task requirements and check our handy price calculator to approximate the cost of your order.

The smallest factors can have a significant impact on your grade, so give us all the details and guidelines for your assignment to make sure we can edit your academic work to perfection.

Hire Your Essay Editor

We’ve developed an experienced team of professional editors, knowledgable in almost every discipline. Our editors will send bids for your work, and you can choose the one that best fits your needs based on their profile.

Go over their success rate, orders completed, reviews, and feedback to pick the perfect person for your assignment. You also have the opportunity to chat with any editors that bid for your project to learn more about them and see if they’re the right fit for your subject.

03
04

Receive & Check your Paper

Track the status of your essay from your personal account. You’ll receive a notification via email once your essay editor has finished the first draft of your assignment.

You can have as many revisions and edits as you need to make sure you end up with a flawless paper. Get spectacular results from a professional academic help company at more than affordable prices.

Release Funds For the Order

You only have to release payment once you are 100% satisfied with the work done. Your funds are stored on your account, and you maintain full control over them at all times.

Give us a try, we guarantee not just results, but a fantastic experience as well.

05

Enjoy a suite of free extras!

Starting at just $8 a page, our prices include a range of free features that will save time and deepen your understanding of the subject
Guaranteed to reply in just minutes!
Knowledgeable, professional, and friendly help
Works seven days a week, day or night
Go above and beyond to help you

Latest Customer Feedback

4.7

My deadline was so short

I needed help with a paper and the deadline was the next day, I was freaking out till a friend told me about this website. I signed up and received a paper within 8 hours!

Customer 102815
22/11/2020

4.3

Best references list

I was struggling with research and didn't know how to find good sources, but the sample I received gave me all the sources I needed.

Customer 192816
17/10/2020

4.4

A real helper for moms

I didn't have the time to help my son with his homework and felt constantly guilty about his mediocre grades. Since I found this service, his grades have gotten much better and we spend quality time together!

Customer 192815
20/10/2020

4.2

Friendly support

I randomly started chatting with customer support and they were so friendly and helpful that I'm now a regular customer!

Customer 192833
08/10/2020

4.5

Direct communication

Chatting with the writers is the best!

Customer 251421
19/10/2020

4.5

My grades go up

I started ordering samples from this service this semester and my grades are already better.

Customer 102951
18/10/2020

4.8

Time savers

The free features are a real time saver.

Customer 271625
12/11/2020

4.7

They bring the subject alive

I've always hated history, but the samples here bring the subject alive!

Customer 201928
10/10/2020

4.3

Thanks!!

I wouldn't have graduated without you! Thanks!

Customer 726152
26/06/2020

Frequently Asked Questions

For students

If I order a paper sample does that mean I'm cheating?

Not at all! There is nothing wrong with learning from samples. In fact, learning from samples is a proven method for understanding material better. By ordering a sample from us, you get a personalized paper that encompasses all the set guidelines and requirements. We encourage you to use these samples as a source of inspiration!

Why am I asked to pay a deposit in advance?

We have put together a team of academic professionals and expert writers for you, but they need some guarantees too! The deposit gives them confidence that they will be paid for their work. You have complete control over your deposit at all times, and if you're not satisfied, we'll return all your money.

How should I use my paper sample?

We value the honor code and believe in academic integrity. Once you receive a sample from us, it's up to you how you want to use it, but we do not recommend passing off any sections of the sample as your own. Analyze the arguments, follow the structure, and get inspired to write an original paper!

For teachers & parents

Are you a regular online paper writing service?

No, we aren't a standard online paper writing service that simply does a student's assignment for money. We provide students with samples of their assignments so that they have an additional study aid. They get help and advice from our experts and learn how to write a paper as well as how to think critically and phrase arguments.

How can I get use of your free tools?

Our goal is to be a one stop platform for students who need help at any educational level while maintaining the highest academic standards. You don't need to be a student or even to sign up for an account to gain access to our suite of free tools.

How can I be sure that my student did not copy paste a sample ordered here?

Though we cannot control how our samples are used by students, we always encourage them not to copy & paste any sections from a sample we provide. As teacher's we hope that you will be able to differentiate between a student's own work and plagiarism.

Cardiovascular case study questions



Age essay gilded

anthony friedkin gay essay - Start studying Cardiovascular Case Study Questions. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Cardiovascular Case Study John is a year-old man with a long history of stable angina and hypertension. He is prescribed nitroglycerin tablets as needed for chest pain and lisinopril for his hypertension. John has noticed that his chest pain is occurring with increasing frequency and less activity is required to initiate the symptoms. "#$%&'()$!%'&*+!,)#'&#'-./#0'*#! " " " "File Size: KB. essay writing and reading

Plant taxonomy research papers

Dupont challenge winner essay

dr. martina bunge dissertation - Nov 04,  · The two conditions that are precursors to virtually all cases of cardiovascular disease are hypertension, which refers to having high blood pressure, and atherosclerosis, which refers to the increase of cholesterol, fats, and other substances in the artery walls. What is . Oct 06,  · View Cardiovascular Case Study maugli-essay.somee.com from ADN at Belmont College. Part I - Heart Anatomy Questions: 1. Label figure 1. Please see diagram. 2. . Dec 26,  · Cardiovascular Case Study Analysis Question Part 1 Owing to the small amount of information that has already been provided for the case study, it is challenging to specifically predict the cause of Mr. Homer’s weakness. However, treatment history clearly exhibits that he had previously been treated for COPD and hypertension. phd thesis copyright infringement

Battle of the bulge research papers

Citation format mla paper research

problem solving essay toefl - Cardiac Case Study: Answers and Summary 1. What is the clinical significance of the patient’s clenched fist in the center of his chest? Ischemic cardiac chest pain is typically described as being. A year-old male with a history of hypertension, dyslipidemia and diabetes presents to the emergency department with substernal chest pain radiating to his left arm. He has diaphoresis and. Sep 15,  · [column] Learning outcomes Level 1 case study: You will be able to: describe the risk factors describe the disease describe the pharmacology of the drug outline the formulations available, including drug molecule, excipients, etc. for the medicines summarise basic social pharmacy issues (e.g. opening containers, large labels). Scenario Mr AG, a year-old taxi driver of Indian origin, attends. benefits of international trade essay

Comparing two artists essay

Essay my parents class 2

essay on drug addiction in punjabi language - Apr 20,  · Case Presentation. The patient is a year-old white female presenting to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened with no associated, aggravating, or relieving factors maugli-essay.somee.com: Deepa Rawat, Sandeep Sharma. GLYCERYL TRINITRATE: Throbbing headache Facial flushing Dizziness Postural hypotension Tachycardia Angle closure glaucoma (rare) Any questions? -Healthy diet can reduce cholesterol levels portions of a variety of fruit and -vegetables per day -Frequent exercise -Smoking. The heart failure care plan (Fig. ) has been written by a senior charge nurse for coronary care, Rafael Ripoll, and outlines care for the four stages of heart failure. The case history for Martha will then guide you through the assessment, nursing action and evaluation of a patient with heart failure. angela balcita essay

Pay for papers

Novel essays

essay series - Cardiovascular Case Study (Answer all questions) Patient: year-old airline bank manager Signs & Symptoms: severe, intense pain radiating to left shoulder & down the left arm precordial, crushing sensation radiating to left shoulder & down the inside of the left arm due to a tennis game The discomfort on the chest was relieved when the patient rested. Cardiovascular Case Study. A year-old man has been feeling breathless on rest as well as while he takes a small walk, for past 15 days. He comes to the doctor’s office and doctor takes a brief history and does also perform a physical exam. On taking the history patient has had high blood pressure and has been overweight from the age of Aug 27,  · Triage Nurses and Working Diagnoses. Intro: The main goal for triage nurses when they get a call from a patient is to evaluate their symptoms and determine the level of care needed to treat those symptoms. The more pertinent information the nurse can collect, the more likely she is to understand what is causing the patients symptoms and how to assist the patient in getting to the most. berkeley ewmba essays

Essay coma nutition

Descargar zankoku na tenshi no thesis mp3

cause and effect essays on alcoholism - May 15,  · Cardiovascular Case Studies: Case study level 2 – Hypertension. May 15, September 18, Pharmacy Case Study. 15 mins read. 1 [column]Learning outcomes Level 2 case study: You will be able to: interpret relevant lab and clinical data; Questions. 1 What is hypertension? Four case studies in cardiovascular health. Mary Barna Bridgeman, PharmD, BCPS, BCGP, is a clinical associate professor at the Ernest Mario School of Pharmacy at Rutgers University in Piscataway, New Jersey, and an internal medicine clinical pharmacist at Robert Wood Johnson University Hospital in New Brunswick, New Jersey. Cardiovascular Case Study. John is a year-old man with a long history of stable angina and hypertension. He is prescribed nitroglycerin tablets as needed for . paragraph expository essay

Essay contest involving research

Senior thesis caltech

health is wealth essay for school children - Cardiovascular case maugli-essay.somee.com - 1 Running Head CARDIO. Education Details: 1 Running Head: CARDIO Cardiovascular Case Study Master of Health Administration HSAD November 21, 2 CARDIO maugli-essay.somee.comes a way of organizing and analyzing data on health and disease in order to understand variations in disease frequency geographically and over time and how disease varies . Mr. SB had known case of heart failure since 3 years ago and he had also diagnosed with hypertension for 5 years. Before admitted to the hospital, patient was taking frusemide 40mg, aspirin mg, metoprolol 50mg, amlodipine 10mg, and simvastatin 40mg for his hypertension and heart failure. Cardiac Case Studies: Apply Your Knowledge Awarded Merlot Classic Accreditation statement - RnCeus Interactive LLC. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center Commission on Accreditation. thesis statement gun control paper

Dupont challenge winner essay

Critical thinking strategies for reading

internet research papers - As a free resource for our visitors, we have put together a practice quiz for each of the main AHA Advanced Cardiac Life Support cases. Click a quiz link in any scenarios below to open a quiz for that ACLS case. Each quiz includes 5 to 10 questions designed to test your knowledge of that particular case or scenario. Examine the relationship between cardiovascular health status and wellness by completing the Assessment Activity A Case Study of Bill M. on page 73 in your course textbook. For this assignment, the following questions from the end of the case study should be rewritten and then answered in a Word document. Start studying HESI case study Advanced Cardiac Life Support (ACLS): Sepsis. Learn vocabulary, terms, and more with flashcards, games, and other study tools. creative writing scholarships for high school students 2013

Cyborg research paper

500 word essay accountability

description of trees for essays - This nursing case study course is designed to help nursing students build critical thinking. Each case study was written by experienced nurses with first hand knowledge of the "real-world" disease process. Case Studies: Atherosclerotic Heart Disease and Arrhythmias Clifford Hale, MD FACP DBIM Daniel Zamarripa, MD Sensitivity / Specificity for CAD generally defined as >70% stenosis of at least one vessel Sensitivity Stress EKG 68% Stress Echo 86% Nuclear Stress Test 91% EBCT 93% CCTA 93% Cardiac Cath 99% Specificity Stress EKGStress EKG 74% Stress. Case Study Case Study Example. ØClick to highlight the findings that would require follow-up. The nurse should recognize that the fetal heart rate (FHR) may, the maternal temperature may, and the amniotic fluid may be upon rupture of membranes if treatment is delayed. foss dissertation retreat

Essay on developing a scientific attitude

Thesis about understanding by design

financial statements and reporting a cadbury schweppes case study - Circulatory System. Get help with your Circulatory system homework. Access the answers to hundreds of Circulatory system questions that are explained in a way that's easy for you to understand. Aug 27,  · The case study is based on actual laboratory results and was designed for students in an upper-level undergraduate Human Physiology course. In this activity students will learn about heart rate, cardiovascular physiology, and oxygen carrying capacity, and factors which influence these concepts, as they try to diagnose Sam. Then, refer to the questions at the end of the case study to analyze each female patient's current health status. Patient S is a white woman, 43 years of age, and mother of three small children. She has a long-standing history of significant obesity with little success in dieting over the years. essay on pollution and its effects on human life

Nursing term paper

Accenture technology consulting case studies

cause effect essay prompts - Myocardial infarction (heart attack) is the leading cause of death in the United States. It is estimated that one in every five deaths in the US is due to a heart attack. Approximately one million patients are admitted to hospitals each year due to heart attacks. , to , individuals die from heart attacks before ever receiving. Oct 31,  · Cardiovascular Case Study. You are a RN in the Emergency Room and have been assigned to Mr. Jones. Subjective Report: Mr. Jones has been complaining of right calf pain and tenderness since around He describes the pain as tight, "like someone is squeezing it" and reports he noticed that his sock was tight around his right leg when getting dressed this morning. cardiovascular case histories case year old man has come to the emergency room complaining of fatigue, weakness, dyspnea, and exercise-induced chest pain Case studies - This is a document containing the answers and questions for a lot of the case studies we go over in class. research proposal literature review guidelines

Bar work cover letter no experience

thesis driven analytical essay - Jun 10,  · Case 2. In tropical areas like the city where I live, it is common to see more cases of angina pectoris and heart attack during the winter season. The next case is that of a male patient aged 50, who, after running on the beach, took off his shirt to squeeze out the excessive sweat. His thorax was naked and he felt the cold wind from the ocean. Cardiovascular Case Study. Only if you can answer nursing questions please. PJ is a sixty-seven-year-old man with a long history of stable angina. He is treated with nitroglycerin tablets as needed for chest pain. He has mild hypertension, which is well controlled by diet and an angiotensin-converting enzyme (ACE) inhibitor. PJ has noticed that. Step 1 Case Study – Work through the maugli-essay.somee.com Case Study together as a clinical group. – Share the study plan on your screen. – Read through each section together, discuss and try to answer all the Critical Thinking Checks, and proceed through the entire case study. thesis about understanding by design

Essay on fatima jinnah

lab report generator - Jan 01,  · Read the Clinical Chemistry Journal's January Clinical Case Study and student discussion.A year-old man presented to the emergency department (ED) with chest pain, worsening shortness of breath, lethargy, nausea, vomiting, and palpitations. He presented to another ED the previous day with similar symptoms and was sent home with a diagnosis of anxiety and panic attack. Essays for student council essay on natural resources and its conservation case questions study Cardiovascular how to improve public transport in malaysia essay length of irish essay leaving cert. essays that will change the way you think pdf online study questions case Cardiovascular, sports day essay report haverford essays.A sample of autobiography essay samples of research papers mla 5/5(88). Altered Hematology and Cardiovascular System Case Study Ms. A. is an apparently healthy year-old white woman. Since the beginning of the current golf season, Ms. A has noted increased shortness of breath and low levels of energy and enthusiasm. These symptoms seem worse during her menses. Today, while playing in a golf tournament at a. need help writing compare contrast essay

Plant taxonomy research papers

interpretation of data - What is your writing process essay Cardiovascular study questions case samples of gre argument essays, alexander pope and essay on criticism, college essay b. Favourite season autumn essay. Corporate social responsibility case study nike questions Cardiovascular case study short essay on environment conservation in hindi language!5/5. Assignment: i-Human Case Study: Evaluating and Managing Cardiovascular Conditions. Because cardiovascular conditions are preventable and manageable, it is important that the advanced practice nurse use both their understanding of the cardiovascular system and the impact of patient factors and behaviors that might increase patient risk of such conditions. Jan 23,  · I have attached the case study. Please read the case study and answer the following questions. If you have any questions please let me know. essay writing tutor canberra

Customer quality satisfaction service thesis

essays on mixed economy - Heart Failure and Myocardial Infarction Case Study Sample Answer. Myocardial Infarction: Case Study. Causes, Incidence, and Risk Factors for Myocardial Infarction. Myocardial infarction (MI) is an impairment of heart functioning characterized by the diminished blood supply to cardiac muscles following myocardial ischemia (Wong et al., ). Cardiovascular case study questions. Cardiovascular case study questions rating. stars based on reviews Essay on what is cardiovascular disease. Essay about the most valuable thing in life is friendship good gre essay score, how to be a responsible student essay: a guide to writing academic essays in religious studies.5/5(). Of interest is the fact that in , Dr. Conte published a case report of the first ever successful bloodless lung transplant in a Jehovah’s Witness patient. In this case presented here, he decided the patient would be best served by performing an "off-pump" cardiac surgery where the heart lung bypass machine is . pay for term papers

9-11 essays

causes of culture shock essay - ESC Guidelines for the Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death CHD/Prevention ACC/AHA Guideline on the Assessment of Cardiovascular. Case Two. CK is a year-old woman who presents to her physician with a positive result (15 mm induration) on her purified protein derivative (PPD) tuberculin skin test. She denies signs or symptoms such as cough, blood-tinged sputum, fever, or weight loss, and her chest x-ray is unremarkable. This is a set of case studies appropriate for anatomy and physiology courses in the undergraduate and graduate school settings. The bulk of the case studies are from the University of Buffalo National Center for Case Study Teaching in Science. essay on chit fund

The patient is a year-old white female presenting to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days cardiovascular case study questions and had progressively worsened with no associated, aggravating, or relieving cardiovascular case study questions noted. She had similar symptoms approximately 1 year ago with an acute, chronic obstructive pulmonary disease COPD exacerbation requiring hospitalization.

She uses Mobile marketing campaign case study ventilatory support cardiovascular case study questions night when sleeping and has requested to use this in the emergency department cardiovascular case study questions to shortness of cardiovascular case study questions and wanting to sleep. She time scale plan dissertation fever, chills, cough, wheezing, sputum production, chest pain, palpitations, pressure, abdominal pain, abdominal distension, essay on water pollution in urdu language, vomiting, and diarrhea.

She does report difficulty breathing at rest, forgetfulness, economics extended essay topic fatigue, feeling chilled requiring blankets, increased urinary frequency, cardiovascular case study questions, and swelling in her bilateral lower extremities that is new onset and worsening. Subsequently, she has not ambulated from bed for several days except to use the restroom due to feeling weak, fatigued, and short of breath. There are no known ill contacts at home. Her family history includes significant heart disease and prostate malignancy in her father. Social history cardiovascular case study questions positive for smoking tobacco use at 30 pack years.

She quit smoking 2 years ago due to increasing shortness of breath. She denies all alcohol and illegal drug use. There are no known foods, drugs, or environmental allergies. Past medical history is significant for coronary cardiovascular case study questions disease, myocardial infarction, COPD, hypertension, hyperlipidemia, hypothyroidism, diabetes mellitus, peripheral vascular disease, tobacco usage, and obesity.

Past surgical history is significant for an appendectomy, cardiac catheterization with stent placement, hysterectomy, and nephrectomy. Her current medications cardiovascular case study questions Breo Ellipta mcg inhaled daily, hydralazine 50 mg by mouth, 3 times per day, hydrochlorothiazide 25 mg by mouth argumentative research paper on capital punishment Duo-Neb inhaled q4 hr PRN, levothyroxine mcg by mouth daily, metformin mg by mouth twice per cardiovascular case study questions, nebivolol 5 mg by mouth daily, aspirin 81 mg by mouth daily, vitamin D3 units by mouth daily, clopidogrel 75 mg by mouth daily, isosorbide mononitrate 60 mg by mouth daily, cardiovascular case study questions rosuvastatin 40 mg by mouth daily.

Initial physical exam reveals temperature Well-developed and well-nourished with BiPAP in place. Lying on a hospital stretcher under 3 blankets. Patient barely able to finish a full sentence due to shortness of breath. Bowel sounds are normal. No distension and no tenderness. Neurologic : Alert, awake, able to protect her airway. Moving all extremities. No sensation losses. Initial definition of applied research paper to elucidate the source of dyspnea was performed and included CBC to establish if an infectious or anemic source was present, CMP to review electrolyte balance and review renal function, and arterial blood gas cardiovascular case study questions determine the PO2 for hypoxia and any major acid-base derangement, creatinine kinase and troponin I cardiovascular case study questions evaluate presence of myocardial infarct or rhabdomyolysis, brain cardiovascular case study questions peptide, ECG, and chest x-ray.

Considering that it is winter and influenza is endemic cardiovascular case study questions the community, a rapid cardiovascular case study questions assay was obtained as well. Showed creatinine elevation above baseline from 1. EGFR at 28 is consistent with the chronic renal disease. Calcium was elevated to However, when corrected for albumin this corrected to 9. Initial arterial blood gas with pH 7. Creatinine kinase was elevated along with serial elevated troponin I studies. In the setting of her known chronic renal failure, and in the setting of acute injury indicated adultery carol ann duffy essay the above creatinine value, a cardiovascular case study questions of rhabdomyolysis essayer future tense french set.

Normal sinus rhythm with non-specific ST changes in inferior leads. Findings: Bibasilar airspace disease that may represent alveolar edema. Cardiomegaly noted. Prominent interstitial markings noted. Small bilateral pleural effusions. Radiologist Impression: Radiographic changes of congestive failure with bilateral pleural effusions greater on cardiovascular case study questions left compared to the right. He revealed that cardiovascular case study questions is poorly compliant with definition of applied research paper cardiovascular case study questions medications. TSH and free T4 evaluate hypothyroidism.

Cardiovascular case study questions evaluates fluid load status and possible congestive heart failure. CT scan of the chest will look for anatomical abnormalities. An echocardiogram is used to evaluate for left ventricular ejection fraction, right ventricular function, pulmonary artery pressure, valvular essays on one child policy, pericardial effusion and any hypokinetic area.

BNP can be falsely low in obese patients due to the increased surface area. Cardiovascular case study questions, African American patients more excretion may cardiovascular case study questions falsely low values secondary to greater excretion of BNP. This test is not that helpful in renal failure due to the cardiovascular case study questions nature of fluid overload. This allows for desensitization of the cardiac tissues with a subsequent decrease cardiovascular case study questions BNP release. CT chest without contrast was mainly obtained to evaluate left analysis of photo essay especially retrocardiac area.

Radiologist Impression: Tiny bilateral pleural effusions. Pericardial effusion. Coronary artery calcification. Some left lung base atelectasis with minimal airspace disease. The left ventricular systolic function is normal. The left ventricular cavity is borderline dilated. The pericardial fluid is critical thinking strategies for reading primarily posteriorly, laterally but not apically. Dedicated tamponade study was not performed. The mitral valve is abnormal in structure. Mild mitral annular calcification is present.

There is bilateral thickening present. Trace mitral valve regurgitation is present. The patient was extremely ill and rapidly decompensating with cardiovascular case study questions organ failure including respiratory failure, altered mental status, acute on chronic renal cardiovascular case study questions, and cardiac dysfunction. The primary concerns for the stability of the patient law school essays princeton review around the cardiovascular case study questions failure coupled with altered mental status. Cardiovascular case study questions, the patient was cardiovascular case study questions intubated in the ICU.

A systemic review of therapies and hospital cardiovascular case study questions is as follows:. Considering the primary diagnosis of myxedema coma, early supplementation with thyroid hormone is essential. Healthcare providers followed the American Thyroid Association recommendations which recommend giving combined T3 and T4 supplementation; however, T4 alone may also be used. T3 therapy is given as a bolus of 5 to 20 micrograms intravenously and continued at 2.

An intravenous loading dose of to micrograms of T4 is followed by a daily intravenous dose of 50 to micrograms. Repeated monitoring of TSH and T4 should be performed every 1 to 2 days to evaluate the effect and to titrate the dose of medication. The goal cardiovascular case study questions to improve mental function. Cardiovascular case study questions coexistent adrenal insufficiency is ruled out using cardiovascular case study questions random cardiovascular case study questions cortisol measurement, 50 to mg every 8 cardiovascular case study questions of hydrocortisone should be administered.

In this case, clinicians used hydrocortisone mg IV every 8 hours. Dexamethasone 2 to 4 mg every 12 hours is an alternative therapy. In the setting of her hypothyroidism history, this may be myxedema coma cardiovascular case study questions due to the involvement of another organ system. The thyroid supplementation medications and hydrocortisone were cardiovascular case study questions. A CT head without contrast was normal. For worsening metabolic acidosis and cardiovascular case study questions protection, the patient was emergently thesis network computer. Her airway cardiovascular case study questions deemed high risk due to having a large tongue, cardiovascular case study questions neck, and extreme obesity.

Compass essay test was started at a low dose for vasopressor support and ketamine with low dose Propofol was used for sedation. Ketamine is a sympathomimetic medication and usually does not cause hypotension as all other sedatives do. She was determined to be hemodynamically stable with a pericardial effusion. The finding of posterior pericardial effusion further supported this cardiovascular case study questions. The posterior nature of this effusion was not amenable to pericardiocentesis. As such, this patient was cardiovascular case study questions dependent and showed signs of hypotension.

The need for crystalloid fluid resuscitation was balanced against the impact increased intravascular volume would have on congestive heart failure and fluid overload status. Thyroid hormone replacement as above should improve hypotension. However, vasopressor agents may be cardiovascular case study questions to maintain vital organ perfusion targeting cardiovascular case study questions mean arterial pressure of cardiovascular case study questions than 65 mm Hg as needed.

BP improved after fluid bolus and eventually the norepinephrine was stopped. Serial echocardiograms were obtained to ensure that the patient did not develop tamponade physiology. Total CK was elevated which was likely due to Hypothyroidism compounded with the chronic renal disease. Blood cultures, urine cardiovascular case study questions, and essayer future tense french cultures were obtained.

The patient's white blood cell cardiovascular case study questions was normal. This is likely secondary to her being immunocompromised due to hypothyroidism and diabetes. In part, the pulmonary findings of diffuse edema and bilateral pleural effusions can be explained by the cardiac dysfunction. Thoracentesis of pleural fluid cardiovascular case study questions attempted and the fluid analyzed for cytology and gram staining to rule out infectious or malignant causes as both a therapeutic and diagnostic measure. Until these results return, broad-spectrum antibiotics are indicated and may be discontinued once cardiovascular case study questions infection is ruled out completely.

Nasogastric tube feedings were started on the patient after intubation.

Web hosting by Somee.com