Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN: 9780134580999
Author: Elaine N. Marieb, Katja N. Hoehn
Publisher: PEARSON
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How many symptoms of heart attack, stroke, and cardiac arrest do you know of? Do you think you could determine if someone was having a cardiac emergency in real life?
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- Assume a person has had a widowmaker heart attack. Sketch out (i.e. draw) a diagram of the heart and coronary blood vessels and explain what is happening during this evenTarrow_forwardHypertension increases afterload for the heart which in turn a-decreases Stroke Volume b-increases Stroke Volume c-increases Cardiac Output d-increases Venous Returnarrow_forwardMr Rupinder Patel is a 70 year old retired businessman. He has a past medical history of Congestive Cardiac Failure (CCF). This developed after he experienced a two myocardial infarctions 8 years ago. Both ventricles were affected. The death of his wife 2 years ago has led to Rupinder experiencing several episodes of depression which has been exacerbated by his sons both moving to Western Australia for work. The loneliness and sadness makes it difficult for him to be concordant with his CCF management and sustain the necessary lifestyle adjustments required to prevent exacerbations. This has resulted in several admissions to hospital for management and review of his CCF. For this current admission, Mr Patel was referred to hospital by his Nurse Practitioner, after recently rapidly gaining weight (currently 110kg), since his previous visit. The time now is 0800 and you have just come on for your morning shift. Mr Patel has been on the ward for only two hours after spending…arrow_forward
- Mr EE, aged 44, has been admitted to A&E experiencing what he thought to be a myocardial infarction. He has no history of heart disease. An ECG shows no abnormalities and all other tests point to Mr EE suffering a panic attack. The duty psychiatrist is called and Mr EE says that he feels worthless and does not want to live. He is quite aggressive. He also says that he struggles to sleep. Depression and panic disorder are diagnosed. The suggestion is to prescribe diazepam 5mg tds to reduce anxiety and risperidone 2mg bd to reduce aggression. Comment on the current treatment plan and make suggestions if appropriate. Why would fluoxetine be a poor choice? Comment on the use of pregabalin in patients with underlying anxietyarrow_forwardIf the patient is given a beta blocker, which of the following would best describe the actions of this drug with the patient’s current condition? This drug would help reduce clot size This drug would reduce long term effects of remodeling and decrease oxygen demand This drug would help increase coronary dilation This drug would increase preload and increase cardiac output and blood pressurearrow_forwardChoose all the statements that are correct. When the heart beats, first the right side of the heart contracts, and then the left side of the heart contracts. That is one heartbeat. The sympathetic nervous system speeds up the heart rate and the parasympathetic system slows down heart rate. M Bradycardia is when the heart beats faster than normal. The SA node is the pacemaker of the heart. Coronary arteries deliver blood to the muscle of the heart. A heart attack is a myocardial infarction. The ECG (EKG) has a QRS wave that represents ventricular depolarization (the message to tell the ventricle to contract. The heart needs nerve stimulation in order to contract.arrow_forward
- Define Cardiovascular Disease (CVD) in your own words. Name three risk factors for CVD. Do you have any of these risk factors? If so, what lifestyle changes can make to improve your heart health? How can physical activity improve heart health?arrow_forwardYou are working in cardiopulmonary rehabilitation. It is your patient, Dave’s, first day of rehab. Dave had a heart attack 45 days ago. He is 40 years old and feels comfortable and confident enough to walk on a treadmill or ride a bike. Upon talking with Dave, you learn that he regularly exercised up until his heart attack. He completed resistance training 3 days/week at his local gym and would play tennis with friends several days each week. He can walk comfortably without an assistive device on flat surfaces at his own speed. You need to determine Dave’s VO2 in order to create a correct exercise prescription. Would you test this person, yes or no? If yes, please indicate what protocol you would choose and whether or not the test would be maximal or submaximal? Please include your rationale.arrow_forwardMolly Carpenter, a 44-year-old female client,is admitted with an embolic stroke, and the cardiologist ordered a transesophageal echocardiogram (TEE). The client refused to sign the informed written consent when the cardiologist presented it to the client. The client has a shaky voice, she complains of palpitations, and there is visible diaphoresis present on Molly’s forehead. Molly is pacing back and forth in the room and her eyes are dilated. The vital signs include T, 98°F; BP, 140/90 mmHg; HR, 110 beats/minute; RR, 28 breaths/minute. The cardiologist talked with the client, stating that the test needs to be done to clearly find out if there are any blood clots in the heart that could travel and cause a future stroke. The client recognizes the test is needed but stated she is freaked out by the thought of a tube being shoved down her throat. The LPN/LVN needs to provide nursing interventions to reduce Molly’s anxiety so she can learn more about the TEE and comfort measures that will…arrow_forward
- What’s the meaning of cardiologyarrow_forwardWhy is it necessary to check more than one vital sign on a patient? This Is for Medical Detectivearrow_forwardA person showing signs and symptoms of a heart attack will often: Panic and faint Deny that they are having a heart attack Take a nap to relieve pain None of the abovearrow_forward
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