John black is a 58 year old mechanic that has prosthetic heart valves and is on warfarin. He is coming for his teeth cleaning and the dentist ask his physician about antibiotic prophylaxis. According to the AMA, what are the high risk cardiac conditions where antibiotic prophylaxis is needed? If he needs an antibiotic what classes are acceptable and which are not?
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- Using a cardiovascular risk assessment tool, create a fictitious patient who has three different risk factors for heart disease. Specify what those risk factors are and include relevant lab valves, blood pressure reading, and lifestyle choices. Then, describe specific actions the patient must complete to reduce those risk factors. This assignment should include at least three written portions. The first part is a description of the patient and an explanation of those three risk factors. Next, describe the evidence of those risk factors: relevant lab valves, blood pressure readings, and lifestyle choices. Finally, the last part should be an explanation of what the patient should do to reduce those risk factors. Submit this written assignment to this dropbox. You may use any cardiovascular risk assessment tool you like from the internet, just make sure you cite it in your citations. Download the RUBRICPreview the document to see how you will be scored for this assignment.Match the type of capillary with the organs/tissue it is found in: A. kidney, intestine, pineal B. muscles, lungs C. liver, spleen, bone marrow D. brain select A B C D 1. continuous capillary select A B C D 2. continuous, with no gaps, wrapped in glial cells select A B C D 3. fenestrated capillary select A B C D 4. sinusoid capillaryCompare and contrast the role of the LPN in the hospital setting and in the long term care setting - how are medications dispensed and what safety measure are in place?
- Search the internet and find two articles that discuss the VA Choice program and theproblems it has had. What are these problems, and how could they be fixed?Nifedipine is an antihypertension medication that is also used to reduce the workload on the heart. The study below compares the effects of two different types of capsules used to administer the drug to patients (GITSred line, and Cotracten Xblue line). Each graph shows changes with time following initial administra- tion of the capsules. Figure A compares the levels of nifedipine in the blood with each capsule type. The ability of the different cap- sules to reduce workload on the heart by altering blood pressure or heart rate is shown in Figures B and C, respectively. Are elevated plasma levels of nifedipine(above 10 ng/mL) required for the drug to perform its actions? Source: M. J. Brown and C. B. Toal. 2008. Formulation of long-acting nifedipine tablets influences the heart rate and sympathetic nervous system response in hypertensive patients. British Journal of Clinical Pharmacology 65:646652.Nifedipine is an antihypertension medication that is also used to reduce the workload on the heart. The study below compares the effects of two different types of capsules used to administer the drug to patients (GITSred line, and Cotracten Xblue line). Each graph shows changes with time following initial administra- tion of the capsules. Figure A compares the levels of nifedipine in the blood with each capsule type. The ability of the different cap- sules to reduce workload on the heart by altering blood pressure or heart rate is shown in Figures B and C, respectively. Which type of capsule would you expect to have fewer side effects? Source: M. J. Brown and C. B. Toal. 2008. Formulation of long-acting nifedipine tablets influences the heart rate and sympathetic nervous system response in hypertensive patients. British Journal of Clinical Pharmacology 65:646652.
- You are assigned to care for an 80-year-old man admitted to the hospital yesterday with acute coronary syndrome who had an emergent percutaneous coronary intervention with a stent placement. When you walk into his room, he states, “That last nurse gave me a medication I don’t think I was supposed to have. She told me it was metoprolol, but it looked different from the metoprolol I got yesterday.” You note that the patient’s heart rate is now 56 beats per minute (bpm), although the previous day it had been between 72 and 88 bpm. According to the patient’s chart, he received the prescribed dose of metoprolol 4 hours ago. The prescribed dosage of this medication was not changed; it was the same yesterday. What actions should be taken? Should this information be communicated to your supervisor? What is the care priority for the patient? What evidence supports or does not support disclosure of medication administration errors to patients? What steps would you take and in what order56. A 42-year-old man who has angina pectoris comes to a physician who is an investigator in a clinical trial of a new antianginal medication. The cardiologist explains the study to the patient and then asks him if he would like to participate. The patient refuses. Which of the following is the most appropriate next step for the physician? A) Continue care of the patient B) Encourage the patient to get a second opinion about his angina therapy C) Transfer care of the patient to another physician in the same practice who is not an investigator in the project D) Transfer care of the patient to another practice that is part of the same managed care planAmir Yazdani is being assessed in the orthopaedic preadmission clinic 6 weeks prior to a knee arthroplasty. He asks to donate some of his own blood to ensure he doesn't receive a transfusion from a stranger. How would you respond to Amir's request? Explain to Amir that there is no chance he will require a blood transfusion, so predeposit autologous donation is not indicated in his specific situation Explain to Amir that predeposit autologous donation is only recommended for patients that are likely to refuse a transfusion and discuss if he would be willing to accept donated blood Explain to Amir why predeposit autologous donation is not recommended, including that it may increase the chance of him requiring a transfusion, and that it does not reduce all the risks associated with transfusion Predeposit autologous donation is an excellent strategy to reduce the risks associated with transfusion. Provide Amir with a referral to enable him to have his blood collected one month prior to…