NurseReview.Org Angioplasty Vs. Bypass
•
32 likes•3,953 views
This document compares angioplasty and bypass surgery for treating blocked coronary arteries. It provides details on the procedures, risks, and nursing care involved. Angioplasty uses a catheter to insert a small balloon or stent to open narrowed arteries, while bypass surgery detours blood flow around blockages using a grafted vein or artery from another part of the body. Both procedures aim to improve blood flow to the heart muscle but carry risks of complications like bleeding, heart attack, or the repaired artery renarrowing over time.
Report
Share
Report
Share
Recommended
Coronary Artery Bypass Graft
This presentation provides information about the role of RT in handling patients who had undergone Coronary Artery Bypass Graft
Coronory angiography
Coronary angiography is an x-ray examination of the heart's blood vessels. A small tube called a catheter is inserted into a blood vessel in the groin or arm and guided to the heart. A contrast dye is injected through the catheter to make the blood vessels visible on x-rays called angiograms. Preparation for coronary angiography involves explaining the procedure to the patient, obtaining consent, checking blood work and vital signs, preparing the insertion site, and providing psychological support and pre-medication. During the procedure, the patient's position and hemodynamics are monitored and contrast is injected to visualize the coronary arteries. Afterward, the sheath is removed, the site is dressed, and the patient is monitored
Cardiac catheterization
a slide show from http://theblogger911.blogspot.com and http://sellerfriend.blogspot.com created by theblogger911 about Cardiac catheterization
Echocardiogram Basics
Echocardiography uses ultrasound to produce images of the heart. Sound waves are transmitted through a transducer and reflected off heart structures to create pictures. A standard echocardiogram begins with the parasternal long axis view and additional views are obtained by tilting the transducer. A transesophageal echocardiogram inserts the transducer down the throat for clearer images of posterior heart structures. Stress echocardiography images the heart during exercise to reveal lack of blood flow not seen at rest.
Coronary angiogram
Coronary angiography is a procedure that uses dye and x-rays to see how blood flows through the coronary arteries of the heart. It is the gold standard for evaluating coronary artery disease and can identify the location and severity of any blockages. A coronary angiogram involves inserting a catheter into the heart and injecting dye so that blockages are highlighted on x-ray images. Potential complications are rare but can include heart attack, stroke, or kidney injury from the dye. The results of the angiogram are used to determine if further procedures like angioplasty or bypass surgery are needed.
Holter monitoring
A Holter monitor is a portable device worn for 24-48 hours that continuously records heart activity through electrodes placed on the skin. It is used to diagnose conditions like valvular heart disease, CAD, arrhythmias, and pacemaker malfunctions. Proper nursing management during the procedure includes documenting attachment/removal times, encouraging activity logging, and avoiding interference. Risks are generally low but may include skin irritation.
Nursing management of patient with chronic neurological problems
1) Parkinson's disease is a progressive nervous system disorder that causes movement problems like tremors and stiffness. It worsens over time.
2) It occurs worldwide and is more common in older ages and males. Genetic and environmental factors can increase risk.
3) Symptoms are diagnosed based on medical history and neurological exam. Treatments include medications like carbidopa-levodopa and surgery like deep brain stimulation for advanced cases.
Cardioversion
Cardioversion is a procedure that uses electric shock or drugs to convert an abnormal heart rhythm back to normal. There are two main types - electrical cardioversion, which delivers a synchronized electric shock, and pharmacological cardioversion, which uses antiarrhythmic drugs. Electrical cardioversion can be elective or emergency, while pharmacological cardioversion utilizes various classes of drugs like beta blockers, sodium channel blockers, and calcium channel blockers to restore normal rhythm. The document outlines the differences between cardioversion and defibrillation, indications and contraindications for cardioversion, recommendations, procedure steps, complications, and drug options for pharmacological cardioversion.
Recommended
Coronary Artery Bypass Graft
This presentation provides information about the role of RT in handling patients who had undergone Coronary Artery Bypass Graft
Coronory angiography
Coronary angiography is an x-ray examination of the heart's blood vessels. A small tube called a catheter is inserted into a blood vessel in the groin or arm and guided to the heart. A contrast dye is injected through the catheter to make the blood vessels visible on x-rays called angiograms. Preparation for coronary angiography involves explaining the procedure to the patient, obtaining consent, checking blood work and vital signs, preparing the insertion site, and providing psychological support and pre-medication. During the procedure, the patient's position and hemodynamics are monitored and contrast is injected to visualize the coronary arteries. Afterward, the sheath is removed, the site is dressed, and the patient is monitored
Cardiac catheterization
a slide show from http://theblogger911.blogspot.com and http://sellerfriend.blogspot.com created by theblogger911 about Cardiac catheterization
Echocardiogram Basics
Echocardiography uses ultrasound to produce images of the heart. Sound waves are transmitted through a transducer and reflected off heart structures to create pictures. A standard echocardiogram begins with the parasternal long axis view and additional views are obtained by tilting the transducer. A transesophageal echocardiogram inserts the transducer down the throat for clearer images of posterior heart structures. Stress echocardiography images the heart during exercise to reveal lack of blood flow not seen at rest.
Coronary angiogram
Coronary angiography is a procedure that uses dye and x-rays to see how blood flows through the coronary arteries of the heart. It is the gold standard for evaluating coronary artery disease and can identify the location and severity of any blockages. A coronary angiogram involves inserting a catheter into the heart and injecting dye so that blockages are highlighted on x-ray images. Potential complications are rare but can include heart attack, stroke, or kidney injury from the dye. The results of the angiogram are used to determine if further procedures like angioplasty or bypass surgery are needed.
Holter monitoring
A Holter monitor is a portable device worn for 24-48 hours that continuously records heart activity through electrodes placed on the skin. It is used to diagnose conditions like valvular heart disease, CAD, arrhythmias, and pacemaker malfunctions. Proper nursing management during the procedure includes documenting attachment/removal times, encouraging activity logging, and avoiding interference. Risks are generally low but may include skin irritation.
Nursing management of patient with chronic neurological problems
1) Parkinson's disease is a progressive nervous system disorder that causes movement problems like tremors and stiffness. It worsens over time.
2) It occurs worldwide and is more common in older ages and males. Genetic and environmental factors can increase risk.
3) Symptoms are diagnosed based on medical history and neurological exam. Treatments include medications like carbidopa-levodopa and surgery like deep brain stimulation for advanced cases.
Cardioversion
Cardioversion is a procedure that uses electric shock or drugs to convert an abnormal heart rhythm back to normal. There are two main types - electrical cardioversion, which delivers a synchronized electric shock, and pharmacological cardioversion, which uses antiarrhythmic drugs. Electrical cardioversion can be elective or emergency, while pharmacological cardioversion utilizes various classes of drugs like beta blockers, sodium channel blockers, and calcium channel blockers to restore normal rhythm. The document outlines the differences between cardioversion and defibrillation, indications and contraindications for cardioversion, recommendations, procedure steps, complications, and drug options for pharmacological cardioversion.
CABG Bsc nursing
Coronary artery bypass grafting (CABG) is a surgical procedure that improves blood flow to the heart. During CABG, a healthy blood vessel is grafted to bypass blocked coronary arteries and restore blood flow to the heart muscle. The internal thoracic artery, radial artery, and saphenous vein are common graft conduits. The procedure requires general anesthesia and opening the chest via median sternotomy. Grafts are sewn to the coronary arteries above and below the blockages to reroute blood flow around them. Post-operative care focuses on monitoring for bleeding, arrhythmias, and other complications. Nursing care involves assessing the patient, providing wound care, managing pain, and educating on lifestyle changes and
IABP
The document summarizes information about the intra-aortic balloon pump (IABP), which is a circulatory assist device used to support the left ventricle through counterpulsation. It describes how the IABP works by inflating and deflating a balloon catheter timed to the cardiac cycle to displace aortic blood. It provides details on patient criteria, device set-up, monitoring, complications, and weaning from the IABP.
Cardiac emergencies
This document discusses various cardiac emergencies including myocardial infarction, angina pectoris, congestive cardiac failure, sudden cardiac arrest, cardiac tamponade, and cardiogenic shock. It provides details on the causes, symptoms, diagnostic measures, and management of these conditions. Specifically, it describes angina pectoris as chest pain caused by partial blockage of the coronary arteries, acute myocardial infarction as damage to the heart muscle caused by a blockage of blood supply, and cardiac tamponade as a life-threatening condition where fluid builds up in the space between the heart muscle and the sac surrounding the heart. The document emphasizes the importance of early recognition, CPR, defibrillation and medications in managing cardiac arrest and
ABG Analysis ppt
This document provides information about arterial blood gas (ABG) analysis, including the nurse's role in ABG testing. It discusses the importance of ABG interpretation for critically ill patients. The document outlines the six-step process for ABG interpretation and lists common acid-base disorders. It also defines an ABG test, describes normal ABG values, indications for testing, sample collection points and techniques, equipment used, and potential complications of ABG sampling. The overall goal is to help nurses understand ABGs and properly perform arterial punctures to obtain blood samples.
Echocardiogram
Echocardiography uses ultrasound to create images of the heart. The main types are transthoracic and transesophageal echocardiograms. Transthoracic echocardiograms image the heart non-invasively from the chest, while transesophageal echocardiograms pass an ultrasound probe down the esophagus for clearer images. Doppler echocardiography assesses blood flow velocity and direction. Echocardiography is used to evaluate heart structures and function, detect abnormalities, and help diagnose conditions like heart valve problems, heart muscle diseases, and blood clots.
Cardiovascular assessment
1) The document reviews the anatomy and physiology of the cardiovascular system and describes methods for assessing cardiovascular status including health history, physical exam techniques like inspection, palpation, percussion and auscultation, and diagnostic tests.
2) The physical exam involves assessing things like vital signs, jugular vein pulsations, heart sounds and murmurs auscultated over the precordium.
3) Diagnostic tests discussed include electrocardiograms, echocardiograms, stress tests and cardiac catheterization.
coronary artery disease
This document discusses the nursing management of patients with cardiovascular diseases and conditions. It covers ischemic heart disease, arrhythmias, heart failure, valvular heart diseases, congenital heart diseases, hypertension, and other cardiac issues. Specific focus is given to coronary artery disease/ischemic heart disease, including its definition, risk factors like smoking and diabetes, pathophysiology involving atherosclerosis and plaque formation, methods of prevention and restoration of blood flow like PCI, and medical therapies including aspirin, beta blockers, calcium channel blockers, and nitrates. Surgical options like PTCA, stenting, atherectomy, and CABG are also mentioned.
Cardiac assessment ppt
The document provides information on assessing cardiovascular health. It defines key terms like systolic and diastolic blood pressure. It describes how to inspect the eyes, skin, chest and edema during assessment. Methods of assessment include measuring blood pressure, taking a health history, and auscultating the heart to identify sounds like S1, S2, murmurs or gallops. A thorough assessment can help identify risk factors for cardiovascular disease.
Kidney trnaplantaion
“Renal transplantation is the surgical implantation of a human kidney from a compatible donor in a recipient”.
Nursing Care of Clients with Hypertension
The document discusses hypertension, including definitions of systolic and diastolic blood pressure, factors that affect blood pressure such as cardiac output and vascular resistance, short and long-term regulation of blood pressure, classifications of hypertension, risk factors, signs and symptoms, diagnostic tests, treatment goals and lifestyle modifications to control hypertension such as weight loss, exercise, sodium restriction, and moderation of alcohol intake. It provides information on hypertension for healthcare professionals to educate patients.
Temporary Pacemaker Slides
Pacemakers are electronic devices that can be used to initiate a heartbeat when the heart's intrinsic electrical system cannot effectively generate an adequate heart rate. There are temporary pacemakers, which are used until the underlying condition resolves, and permanent pacemakers. A pacemaker system consists of a pulse generator and pacing leads. The pulse generator delivers electrical pulses through the leads to stimulate the heart. Pacemakers can pace one or both chambers of the heart and are programmed with settings for rate, output, and sensitivity. Nurses monitor for pacemaker function and complications and educate patients on pacemaker care.
Coronary angioplasty : simplified
This document provides an overview of percutaneous coronary intervention (PCI) including:
- A brief history of PCI and the development of stents.
- Clinical factors that can influence PCI outcomes like diabetes, kidney disease, and ability to tolerate dual antiplatelet therapy.
- Equipment used in PCI like guide catheters, guide wires, and balloon catheters.
- Medications given during and after PCI like aspirin, P2Y12 inhibitors, and GP IIb/IIIa inhibitors to prevent clotting and restenosis.
- Considerations for PCI in different clinical scenarios like UA/NSTEMI, STEMI, and adjunctive diagnostic devices that can
Nursing management patient with Myocardial infraction
1) The document discusses nursing management of patients experiencing myocardial infarction (MI or heart attack).
2) MI occurs when an area of the heart muscle is permanently damaged due to reduced blood flow in a coronary artery, usually caused by a ruptured atherosclerotic plaque blocking the artery.
3) Nursing management of MI focuses on minimizing damage to heart muscle, preserving heart function, preventing complications, and educating patients on risk factor modification and self-care post-MI.
PTCA
Percutaneous transluminal coronary angioplasty (PTCA) and coronary artery bypass graft (CABG) are procedures to treat coronary artery disease. PTCA involves inserting a catheter with a tiny balloon into a blocked coronary artery. The balloon is inflated to compress fatty deposits and enlarge the artery. Sometimes a stent is placed to keep the artery open. CABG is used for more severe or multi-vessel disease. A healthy blood vessel is grafted around blockages to bypass them and restore blood flow to the heart. Both procedures help relieve chest pain but CABG has better long-term outcomes for more extensive disease.
Coronary angiography
Coronary angiography remains the gold standard for detecting coronary artery disease. The technique was first performed in 1958 by Dr. Mason Sones at the Cleveland Clinic. Coronary angiography allows visualization of the coronary arteries, branches, and anomalies to precisely locate lesions. It provides information needed for coronary interventions. The procedure involves accessing the femoral or radial artery and advancing a catheter into the heart to inject contrast dye and image the arteries. It can detect blockages but has limitations like vessel overlap that may obscure lesions. Complications are rare but can include artery damage, embolism, or arrhythmias.
Introduction to ICU Basics in ICU
The intensive care unit (ICU) provides specialized monitoring and treatment for critically ill patients. There are various types of ICUs depending on the specific medical needs, such as surgical ICU, cardiac ICU, and pediatric ICU. The ICU is equipped to provide life support and closely monitor vital functions through equipment like cardiac monitors, ventilators, and invasive pressure monitors. Patients admitted to the ICU typically have critical illnesses, organ failures, or require major surgery and post-operative care. The ICU aims to optimize life support and adequate monitoring through the use of specialized equipment, monitoring devices, catheters, drains, and medical staff expertise.
Angioplasty & Stents
This document discusses angioplasty, which is a minimally invasive procedure to mechanically widen blocked or narrowed blood vessels caused by conditions like atherosclerosis and hypertension. It describes different types of angioplasty used to treat blockages in coronary arteries, peripheral arteries, carotid arteries, and renal arteries. The procedure involves passing a balloon catheter into the blocked vessel, inflating the balloon to crush blockages, and sometimes implanting a stent to keep the vessel open. Risks include reaction to contrast dye, bleeding, heart attack, and infection. Most patients are monitored after angioplasty and prescribed anti-clotting drugs during recovery.
Cardiac catheterization at a glance (including instruments, view, dye)
1. Cardiac catheterization involves inserting flexible tubes into the heart chambers under fluoroscopic guidance for diagnostic or therapeutic purposes. It was first performed in animals in 1844 and in humans in 1929.
2. Diagnostic catheterization provides hemodynamic and anatomical data to evaluate congenital heart defects. Therapeutic uses include closing defects, valvuloplasty, angioplasty, and pacemaker insertion. Prognostic catheterization assesses outcomes after procedures.
3. Equipment includes catheters, guidewires, sheaths, and fluoroscopy. Vascular access is typically through the femoral vessels. Precautions are taken to prevent complications like infection, bleeding, or arrhythmia.
CABG
This document provides an overview of coronary artery bypass graft (CABG) surgery. [1] It defines CABG as a procedure that grafts arteries to bypass blockages in the coronary arteries and improve blood flow to the heart. [2] It discusses the pre-operative, intra-operative, and post-operative nursing management of patients undergoing CABG, including assessment, interventions to ensure patient safety and comfort, and monitoring for complications during recovery. [3] The objectives are for students to understand the CABG procedure, indications, nursing care involved, and potential complications.
Coarctation of aorta
commonly used for medical students, and helpful to use this ppt to study for them, and also a common man can understand very easily what is coarctation of aorta.
Angioplasty
The document discusses coronary angioplasty, including what it is, why it is performed, and where it should be performed. It is a minimally invasive procedure to open blocked or narrowed coronary arteries by inflating a balloon to reshape the plaque or deploying a stent. It is primarily used for myocardial infarction and chronic stable angina. The optimal treatment is primary PCI within 90 minutes of diagnosis for STEMI patients. However, challenges exist for performing primary PCI in the dispersed population served by Raigmore Hospital due to its small cardiology team and long drive times for some patients.
Angiography and Angioplasty
This document discusses angiography and angioplasty procedures. It explains that angiography uses imaging techniques to visualize blood vessels, while angioplasty widens narrowed vessels. The document outlines different types of each procedure and describes how they are performed. It also discusses stents, which are used to prop open vessels after angioplasty and discusses advantages and disadvantages of various stent materials.
More Related Content
What's hot
CABG Bsc nursing
Coronary artery bypass grafting (CABG) is a surgical procedure that improves blood flow to the heart. During CABG, a healthy blood vessel is grafted to bypass blocked coronary arteries and restore blood flow to the heart muscle. The internal thoracic artery, radial artery, and saphenous vein are common graft conduits. The procedure requires general anesthesia and opening the chest via median sternotomy. Grafts are sewn to the coronary arteries above and below the blockages to reroute blood flow around them. Post-operative care focuses on monitoring for bleeding, arrhythmias, and other complications. Nursing care involves assessing the patient, providing wound care, managing pain, and educating on lifestyle changes and
IABP
The document summarizes information about the intra-aortic balloon pump (IABP), which is a circulatory assist device used to support the left ventricle through counterpulsation. It describes how the IABP works by inflating and deflating a balloon catheter timed to the cardiac cycle to displace aortic blood. It provides details on patient criteria, device set-up, monitoring, complications, and weaning from the IABP.
Cardiac emergencies
This document discusses various cardiac emergencies including myocardial infarction, angina pectoris, congestive cardiac failure, sudden cardiac arrest, cardiac tamponade, and cardiogenic shock. It provides details on the causes, symptoms, diagnostic measures, and management of these conditions. Specifically, it describes angina pectoris as chest pain caused by partial blockage of the coronary arteries, acute myocardial infarction as damage to the heart muscle caused by a blockage of blood supply, and cardiac tamponade as a life-threatening condition where fluid builds up in the space between the heart muscle and the sac surrounding the heart. The document emphasizes the importance of early recognition, CPR, defibrillation and medications in managing cardiac arrest and
ABG Analysis ppt
This document provides information about arterial blood gas (ABG) analysis, including the nurse's role in ABG testing. It discusses the importance of ABG interpretation for critically ill patients. The document outlines the six-step process for ABG interpretation and lists common acid-base disorders. It also defines an ABG test, describes normal ABG values, indications for testing, sample collection points and techniques, equipment used, and potential complications of ABG sampling. The overall goal is to help nurses understand ABGs and properly perform arterial punctures to obtain blood samples.
Echocardiogram
Echocardiography uses ultrasound to create images of the heart. The main types are transthoracic and transesophageal echocardiograms. Transthoracic echocardiograms image the heart non-invasively from the chest, while transesophageal echocardiograms pass an ultrasound probe down the esophagus for clearer images. Doppler echocardiography assesses blood flow velocity and direction. Echocardiography is used to evaluate heart structures and function, detect abnormalities, and help diagnose conditions like heart valve problems, heart muscle diseases, and blood clots.
Cardiovascular assessment
1) The document reviews the anatomy and physiology of the cardiovascular system and describes methods for assessing cardiovascular status including health history, physical exam techniques like inspection, palpation, percussion and auscultation, and diagnostic tests.
2) The physical exam involves assessing things like vital signs, jugular vein pulsations, heart sounds and murmurs auscultated over the precordium.
3) Diagnostic tests discussed include electrocardiograms, echocardiograms, stress tests and cardiac catheterization.
coronary artery disease
This document discusses the nursing management of patients with cardiovascular diseases and conditions. It covers ischemic heart disease, arrhythmias, heart failure, valvular heart diseases, congenital heart diseases, hypertension, and other cardiac issues. Specific focus is given to coronary artery disease/ischemic heart disease, including its definition, risk factors like smoking and diabetes, pathophysiology involving atherosclerosis and plaque formation, methods of prevention and restoration of blood flow like PCI, and medical therapies including aspirin, beta blockers, calcium channel blockers, and nitrates. Surgical options like PTCA, stenting, atherectomy, and CABG are also mentioned.
Cardiac assessment ppt
The document provides information on assessing cardiovascular health. It defines key terms like systolic and diastolic blood pressure. It describes how to inspect the eyes, skin, chest and edema during assessment. Methods of assessment include measuring blood pressure, taking a health history, and auscultating the heart to identify sounds like S1, S2, murmurs or gallops. A thorough assessment can help identify risk factors for cardiovascular disease.
Kidney trnaplantaion
“Renal transplantation is the surgical implantation of a human kidney from a compatible donor in a recipient”.
Nursing Care of Clients with Hypertension
The document discusses hypertension, including definitions of systolic and diastolic blood pressure, factors that affect blood pressure such as cardiac output and vascular resistance, short and long-term regulation of blood pressure, classifications of hypertension, risk factors, signs and symptoms, diagnostic tests, treatment goals and lifestyle modifications to control hypertension such as weight loss, exercise, sodium restriction, and moderation of alcohol intake. It provides information on hypertension for healthcare professionals to educate patients.
Temporary Pacemaker Slides
Pacemakers are electronic devices that can be used to initiate a heartbeat when the heart's intrinsic electrical system cannot effectively generate an adequate heart rate. There are temporary pacemakers, which are used until the underlying condition resolves, and permanent pacemakers. A pacemaker system consists of a pulse generator and pacing leads. The pulse generator delivers electrical pulses through the leads to stimulate the heart. Pacemakers can pace one or both chambers of the heart and are programmed with settings for rate, output, and sensitivity. Nurses monitor for pacemaker function and complications and educate patients on pacemaker care.
Coronary angioplasty : simplified
This document provides an overview of percutaneous coronary intervention (PCI) including:
- A brief history of PCI and the development of stents.
- Clinical factors that can influence PCI outcomes like diabetes, kidney disease, and ability to tolerate dual antiplatelet therapy.
- Equipment used in PCI like guide catheters, guide wires, and balloon catheters.
- Medications given during and after PCI like aspirin, P2Y12 inhibitors, and GP IIb/IIIa inhibitors to prevent clotting and restenosis.
- Considerations for PCI in different clinical scenarios like UA/NSTEMI, STEMI, and adjunctive diagnostic devices that can
Nursing management patient with Myocardial infraction
1) The document discusses nursing management of patients experiencing myocardial infarction (MI or heart attack).
2) MI occurs when an area of the heart muscle is permanently damaged due to reduced blood flow in a coronary artery, usually caused by a ruptured atherosclerotic plaque blocking the artery.
3) Nursing management of MI focuses on minimizing damage to heart muscle, preserving heart function, preventing complications, and educating patients on risk factor modification and self-care post-MI.
PTCA
Percutaneous transluminal coronary angioplasty (PTCA) and coronary artery bypass graft (CABG) are procedures to treat coronary artery disease. PTCA involves inserting a catheter with a tiny balloon into a blocked coronary artery. The balloon is inflated to compress fatty deposits and enlarge the artery. Sometimes a stent is placed to keep the artery open. CABG is used for more severe or multi-vessel disease. A healthy blood vessel is grafted around blockages to bypass them and restore blood flow to the heart. Both procedures help relieve chest pain but CABG has better long-term outcomes for more extensive disease.
Coronary angiography
Coronary angiography remains the gold standard for detecting coronary artery disease. The technique was first performed in 1958 by Dr. Mason Sones at the Cleveland Clinic. Coronary angiography allows visualization of the coronary arteries, branches, and anomalies to precisely locate lesions. It provides information needed for coronary interventions. The procedure involves accessing the femoral or radial artery and advancing a catheter into the heart to inject contrast dye and image the arteries. It can detect blockages but has limitations like vessel overlap that may obscure lesions. Complications are rare but can include artery damage, embolism, or arrhythmias.
Introduction to ICU Basics in ICU
The intensive care unit (ICU) provides specialized monitoring and treatment for critically ill patients. There are various types of ICUs depending on the specific medical needs, such as surgical ICU, cardiac ICU, and pediatric ICU. The ICU is equipped to provide life support and closely monitor vital functions through equipment like cardiac monitors, ventilators, and invasive pressure monitors. Patients admitted to the ICU typically have critical illnesses, organ failures, or require major surgery and post-operative care. The ICU aims to optimize life support and adequate monitoring through the use of specialized equipment, monitoring devices, catheters, drains, and medical staff expertise.
Angioplasty & Stents
This document discusses angioplasty, which is a minimally invasive procedure to mechanically widen blocked or narrowed blood vessels caused by conditions like atherosclerosis and hypertension. It describes different types of angioplasty used to treat blockages in coronary arteries, peripheral arteries, carotid arteries, and renal arteries. The procedure involves passing a balloon catheter into the blocked vessel, inflating the balloon to crush blockages, and sometimes implanting a stent to keep the vessel open. Risks include reaction to contrast dye, bleeding, heart attack, and infection. Most patients are monitored after angioplasty and prescribed anti-clotting drugs during recovery.
Cardiac catheterization at a glance (including instruments, view, dye)
1. Cardiac catheterization involves inserting flexible tubes into the heart chambers under fluoroscopic guidance for diagnostic or therapeutic purposes. It was first performed in animals in 1844 and in humans in 1929.
2. Diagnostic catheterization provides hemodynamic and anatomical data to evaluate congenital heart defects. Therapeutic uses include closing defects, valvuloplasty, angioplasty, and pacemaker insertion. Prognostic catheterization assesses outcomes after procedures.
3. Equipment includes catheters, guidewires, sheaths, and fluoroscopy. Vascular access is typically through the femoral vessels. Precautions are taken to prevent complications like infection, bleeding, or arrhythmia.
CABG
This document provides an overview of coronary artery bypass graft (CABG) surgery. [1] It defines CABG as a procedure that grafts arteries to bypass blockages in the coronary arteries and improve blood flow to the heart. [2] It discusses the pre-operative, intra-operative, and post-operative nursing management of patients undergoing CABG, including assessment, interventions to ensure patient safety and comfort, and monitoring for complications during recovery. [3] The objectives are for students to understand the CABG procedure, indications, nursing care involved, and potential complications.
Coarctation of aorta
commonly used for medical students, and helpful to use this ppt to study for them, and also a common man can understand very easily what is coarctation of aorta.
What's hot (20)
Nursing management patient with Myocardial infraction
Nursing management patient with Myocardial infraction
Cardiac catheterization at a glance (including instruments, view, dye)
Cardiac catheterization at a glance (including instruments, view, dye)
Viewers also liked
Angioplasty
The document discusses coronary angioplasty, including what it is, why it is performed, and where it should be performed. It is a minimally invasive procedure to open blocked or narrowed coronary arteries by inflating a balloon to reshape the plaque or deploying a stent. It is primarily used for myocardial infarction and chronic stable angina. The optimal treatment is primary PCI within 90 minutes of diagnosis for STEMI patients. However, challenges exist for performing primary PCI in the dispersed population served by Raigmore Hospital due to its small cardiology team and long drive times for some patients.
Angiography and Angioplasty
This document discusses angiography and angioplasty procedures. It explains that angiography uses imaging techniques to visualize blood vessels, while angioplasty widens narrowed vessels. The document outlines different types of each procedure and describes how they are performed. It also discusses stents, which are used to prop open vessels after angioplasty and discusses advantages and disadvantages of various stent materials.
Tkd nursing guidelines_percutaneous
Nursing Interventions
- Explain the procedure step-by-step using simple language.
- Encourage the patient to express fears and provide reassurance.
- Help patient cope with anxiety through relaxation techniques.
- Be supportive, compassionate and available to patient.
- Distract patient's attention from procedure through conversation.
NURSING DIAGNOSIS - 2
KNOWLEDGE DEFICIT(33-38)
DIAGNOSTIC CRITERIA CAUSE AIM
(Symptoms and Signs)
- Asking questions about the - Lack of knowledge - Increasing the
procedure, medications, about the procedure, patient's knowledge
follow
Mace
Acute coronary syndrome (ACS) describes conditions caused by reduced blood flow in the coronary arteries including unstable angina, NSTEMI, and STEMI. ACS is caused by formation of blood clots on top of plaque in the arteries. Several studies showed that medications like antiplatelets, anticoagulants, and GP IIb/IIIa inhibitors can reduce complications of ACS when used with procedures like percutaneous coronary intervention or fibrinolytic therapy. Long-term outcomes are improved with early invasive management compared to initial medical management alone.
Ziram (Ramipril Tablets)
Ziram (Ramipril Tablets), is an angiotensin-converting enzyme (ACE) inhibitor, which is used to treat high blood pressure (hypertension) and congestive heart failure. ACE inhibitors decreases your body’s production of substances that could raise your blood pressure and thus relax the muscles around small arteries (arterioles). The arterioles expand and allow blood to flow through more easily. This reduces blood pressure.
SUSTAINED LOW EFFICIENCY DAILY DIALYSIS (SLEDD)
This document discusses sustained low-efficiency daily dialysis (SLEDD) for treating acute kidney injury (AKI) in critically ill patients. SLEDD is a hybrid therapy that combines aspects of continuous renal replacement therapy and intermittent hemodialysis. It allows for a reduced ultrafiltration rate and prolonged treatment duration to maximize dialysis dose while maintaining hemodynamic stability. The document outlines the indications for SLEDD, including patients at risk of disequilibrium or with borderline cardiovascular stability. Preliminary studies suggest SLEDD is a safe and effective option for AKI patients otherwise unsuitable for standard therapies.
Catheter Based Intervention and Surgical Management of Peripheral Arterial Oc...
Dr. Omar P. Haqqani, MD discusses the details of catheter based blood vessel intervention, focussed on management of peripheral arterial disease (PAD).
Vascular interventions atalar- johns hopkins
This document discusses vascular interventions guided by MRI, including:
1) Early experiments with intravascular MRI to image arteries and plaques.
2) The technical challenges of MRI-guided balloon angioplasty and stent placement, such as developing MRI-compatible devices and monitoring procedures.
3) Examples of MRI-guided balloon angioplasty, stent placement, and plaque imaging in human studies.
4) The potential for MRI to guide new treatments like gene therapy delivery to diseased arteries.
Angioplasty
Angioplasty and stenting techniques have been used since the 1960s to treat blockages in the large blood vessels. The document outlines the history and development of these procedures for treating subclavian artery stenosis. It provides an overview of the techniques, including using balloons to dilate lesions and placing stents to treat residual narrowing or dissections post angioplasty. Images show examples of a subclavian stenosis treated successfully with angioplasty and stenting. The conclusion states that these endovascular procedures are highly effective for treating large vessel stenoses, with long-term results of 70-90% patency when stents are used.
Unipril (Ramipril) ppt
Unipril is an antihypertensive medication containing ramipril that is presented as a treatment for hypertension, congestive heart failure, reducing cardiovascular risk, and proteinuric nephropathy. It works by inhibiting the angiotensin converting enzyme, thereby reducing blood pressure. Studies show Unipril reduces cardiovascular events in high-risk patients, provides the highest survival rate among ACE inhibitors for heart attack patients, and offers beneficial effects for diabetic patients by reducing cardiovascular death and events. It also effectively improves parameters in chronic nephropathy and eliminates the need for dialysis with long-term use.
SAGES Resident Course Cleveland
This document discusses techniques for performing safe laparoscopic cholecystectomy to avoid bile duct injury. It emphasizes obtaining the "critical view of safety" during surgery, which involves clearly exposing the two structures entering the gallbladder without exposing the common bile duct. Failure to obtain this view and excessive traction on structures are common causes of bile duct injury. If injury occurs, prompt recognition and repair by an expert is important to avoid complications. New minimally invasive approaches for hepatopancreaticobiliary surgery are also discussed.
Below the knee intervention; balloons or stents
This document discusses endovascular interventions for below-the-knee peripheral artery disease. It reviews the use of plain balloon angioplasty, bare-metal stents, drug-eluting stents, and drug-coated balloons. While balloon angioplasty alone has high restenosis rates, bare-metal stents provide improved outcomes but drug-eluting stents have been shown to further reduce restenosis and reintervention rates compared to bare-metal stents. Drug-coated balloons have potential benefits but large clinical trials have produced mixed results regarding their efficacy compared to plain balloon angioplasty. The optimal treatment remains an area of ongoing investigation.
Role of the Periop Clinical Nurse Specialist
Discover what it takes to be a Perioperative Clinical Nurse Specialist. This presentation is from AORN's webinar which describes the role of the perioperative CNS, RN. Receive 0.5 contact hours by registering for the webinar replay and successfully completing the evaluation. The webinar is available at http://bit.ly/1aROqKI.
Interested in obtaining the new CNS-CP nursing credential? Learn valuable test-taking strategies and more through a CNS-CP Certification Exam Preparation Course: http://bit.ly/GQ5Yy0.
Peri operative nursing
This document discusses perioperative nursing. It describes the three phases of perioperative care - preoperative, intraoperative, and postoperative. In the preoperative phase, the responsibilities of the operating room nurse include assessing the patient physically and emotionally, ensuring understanding of the surgery and consent, completing legal documentation, and providing teaching. Key considerations in preoperative nursing include assessment, determining readiness for surgery, and ensuring availability of the healthcare team. The roles and responsibilities of team members like the circulating nurse and scrub nurse are also outlined.
Safe laparoscopic cholecystectomy finale
Safe Laparoscopic Cholecystectomy Techniques that are discussed here are based on current literature and Evidence Based Medicine guidelines and reviews.
Dialysis
This document provides an overview of dialysis, including its principles and applications. Dialysis is the process of separating molecules through a semi-permeable membrane based on differences in diffusion rates. It works by restricting the passage of larger molecules in a sample solution while allowing smaller molecules to diffuse through the membrane into a buffer solution. Regenerated cellulose membranes of varying molecular weight cut-off are commonly used. Dialysis has many applications, including hemodialysis to remove waste from blood, microdialysis for medical analysis, and electrodialysis to transport ions between solutions.
I’M Hemodialysis Nurse
The document outlines the roles and responsibilities of a hemodialysis nurse. The nurse administers safe nursing care to patients receiving hemodialysis treatments using proper procedures and knowledge of end-stage renal disease (ESRD) and its treatment. Key duties include delivering nursing care via the nursing process, practicing according to standards and guidelines, initiating and revising patient care plans, assisting patients and health care teams to determine goals and improve care, and documenting medications and care accurately. The nurse must also follow safety, infection control, and administrative procedures and continually update their own knowledge and skills.
Dapt after pci how long SEPT 2016
Coronary stenting is a standard procedure during percutaneous coronary intervention (PCI) that mechanically scaffolds vessels to maintain patency. While it addresses limitations of balloon angioplasty like abrupt closure and restenosis, stenting carries risks of restenosis and stent thrombosis. Numerous studies show stenting reduces these risks compared to angioplasty alone. Guidelines recommend dual antiplatelet therapy (DAPT) with aspirin and a P2Y12 inhibitor for at least 12 months after stenting to prevent thrombosis, but extending DAPT beyond 12 months increases bleeding risks. Recent trials found prolonged DAPT beyond 12 months reduced ischemic events but increased major bleeding, with an uncertain effect on mortality. Factors
New pharmocological agents in the management of angina nicorandil
Nicorandil is a potassium channel activator used to treat angina. It works by dilating both epicardial coronary arteries through its nitrate-like properties as well as peripheral coronary arterioles through potassium channel activation. This dual mechanism of action decreases myocardial oxygen demand and increases supply. Nicorandil has been shown to be effective in treating stable and unstable angina, improving outcomes in acute myocardial infarction when administered before reperfusion, and preventing the no-reflow phenomenon during percutaneous coronary intervention. It provides cardioprotection through ischemic preconditioning with a good safety profile.
Laparoscopic Resection for Rectal Cancer
Laparoscopic colectomy was slow to gain acceptance compared to laparoscopic cholecystectomy due to concerns over its steep learning curve, costs, operating time, and whether it could achieve the same oncological outcomes as open surgery. While short-term benefits like less blood loss, faster recovery, and lower morbidity have been shown, long-term oncological data is still lacking and conversion rates are high, particularly for rectal resections. Randomized trials show no differences in short-term outcomes or quality of life, but higher positive circumferential resection margin rates for laparoscopic anterior resection.
Viewers also liked (20)
Catheter Based Intervention and Surgical Management of Peripheral Arterial Oc...
Catheter Based Intervention and Surgical Management of Peripheral Arterial Oc...
New pharmocological agents in the management of angina nicorandil
New pharmocological agents in the management of angina nicorandil
Similar to NurseReview.Org Angioplasty Vs. Bypass
Angioplasty Vs. Bypass
Angioplasty and coronary artery bypass grafting (CABG) are procedures used to treat coronary artery disease. Angioplasty involves inserting a catheter into the artery and using a balloon to widen the artery. Sometimes a stent is placed to keep the artery open. CABG involves taking a blood vessel and using it to bypass the blocked portion of the coronary artery. Both procedures aim to improve blood flow to the heart muscle but angioplasty has risks of closure or renarrowing while CABG has risks of death, restenosis, or graft failure. Nursing care involves pre-op preparation, monitoring the patient during the procedure, and post-op recovery support.
Coronary artery disease
Coronary artery disease results from the development of atherosclerosis, where plaque builds up in the coronary arteries, reducing blood flow to the heart. Risk factors include elevated cholesterol, smoking, hypertension, diabetes, and family history. Diagnosis involves tests like electrocardiograms, stress tests, and imaging of the arteries. Treatment options include lifestyle changes, medications, angioplasty and stenting, atherectomy, and coronary artery bypass grafting. Nursing care focuses on monitoring for complications, educating on risk factor management, and supporting recovery.
Heart care
This document provides information on various cardiac procedures including:
- Coronary angiography and angioplasty/stenting to open blocked arteries
- Balloon valvuloplasty to widen a narrowed heart valve
- Pacemaker implantation
- Cardiac surgery such as coronary artery bypass grafting and valve replacement/repair
It describes what happens before, during, and after these procedures, including potential risks, recovery process, and lifestyle changes needed for cardiac health.
Myocardial infarction
Myocardial infarction, also known as a heart attack, occurs when blood flow to the heart is blocked, damaging heart muscle tissue. The blockage is usually due to a buildup of plaque in the coronary arteries. Risk factors include age, gender, family history, smoking, hypertension, diabetes, obesity, diet, stress, and high cholesterol. Symptoms include chest pain and discomfort, shortness of breath, nausea, and fatigue. Diagnosis involves ECG, cardiac enzyme tests, and coronary angiography. Treatment includes medications to open arteries, prevent clotting, and reduce blood pressure and cholesterol, as well as procedures like angioplasty, stenting and coronary artery bypass grafting to restore blood flow.
Angioplasty
#angioplasty
introduction
indication
contraindication
this is us full in physiotherapy student and mbbs student
Angioplasty & Stenting Explained.pptx
Coronary artery disease (CAD) is a cardiovascular condition which is characterised by the blockage of the coronary arteries that supply blood to the heart. The treatment of CAD includes Angioplasty and stenting which are minimally invasive procedures. These procedures restore blood flow to the heart.
ANGIOPLASTY final.docx
Introduction
Definition
Indications
Uses
Contraindications
Types of cardiac cauterization
Preparation
Procedure
Post angioplasty procedure
Complication
Risk factors
Recovery
Life style changes
Cardiac rehabilitation
Nursing care management
Pre-catheterization care
intra-catheterization care
Post-catheterization care
Nurse care plan
Reference
Heart surgery
Medicity Hospital is a top multispecialty and super specialty hospital located in Navi Mumbai, Maharashtra. It has a wide range of medical specialties and uses state-of-the-art equipment to provide advanced medical care, including for heart conditions. Various procedures are described to treat blocked heart arteries through non-invasive or minimally invasive means like angioplasty, atherectomy, stents, and ablation, or more invasive bypass surgery. The reasons and goals of these procedures are to improve blood flow and oxygen supply to the heart muscle, relieve chest pain, and reduce the risk of heart attack.
CABG
Coronary artery bypass grafting (CABG) is a type of surgery that improves blood flow to the heart. It's used for people who have severe coronary heart disease (CHD), also called coronary artery disease.
Report on Replacement of Heart bypass surgery by NAnorobots
This document describes how nanorobots could potentially replace heart bypass surgery. It begins with an overview of bypass surgery and its side effects. It then discusses the structure and blood flow of the heart. Next, it explains the need for bypass surgery when coronary arteries are blocked. Finally, it outlines the routine procedure for bypass surgery. The key information is that a nanorobot could remove coronary artery blockages without surgery by entering through a small incision and using nano-components to navigate to the site of plaque buildup. This would avoid the 4-6 hour operation and long recovery process of traditional bypass surgery.
Cardiovascular surgeries-CABG,TYPES,CARDIOPULMONARY BYPASS MACHINE
This document discusses different types of cardiac surgery including reparative, reconstructive, and substitutional procedures. It provides details on open heart surgery and how the cardiopulmonary bypass machine works during surgery. The two main types of coronary artery bypass grafting surgery covered are on-pump open heart surgery and minimally invasive/off-pump surgery. On-pump surgery requires stopping the heart and using the bypass machine while off-pump surgery is done on the beating heart without use of the machine.
Dr. gautam angioplasty
Heart bypass is one of two techniques used in the treatment of coronary heart disease. The other is angioplasty and stenting. We explain the difference.
CABGD, or heart bypass, is one of two techniques used in the treatment of CHD. The other is percutaneous coronary intervention (PCI), often called angioplasty and stenting. Both aim to improve the flow of oxygen-rich blood to the heart. The first heart bypasses were done in the 1960s, and the UK’s first coronary angioplasty was done in 1980, followed by the first coronary stent insertion in 1988.
Angioplasty is a minimally invasive method of widening a coronary artery. It uses a balloon catheter to widen the artery from within, and a stent is usually placed in the artery to keep it open. No anaesthetic is needed (although the patient may be offered sedation), and patients can often go home the same day or the next day.The number of people having heart bypass has decreased by about a third in the past 10 years, which is linked to the development of drug-eluting stents that are used during PCI. Drug-eluting stents have a polymer coating that slowly releases a drug over time to help prevent the blockage from recurring.
The recovery time for angioplasty is much quicker than heart bypass, but angioplasty is not advisable for everyone with CHD. For example, people who have triple-vessel disease are recommended to have heart bypass, and if you have diabetes, heart bypass offers better survival outcomes. Angioplasty is often used for people with less-severe coronary artery disease.
When making a decision on whether heart bypass or angioplasty is indicated, doctors have guidelines and a scoring system to help them. It’s also important to involve the patient and their family in order to determine what the best option for the patient is.
Angioplasty
Angioplasty is a minimally invasive procedure used to open blocked blood vessels by inserting a balloon catheter and inflating the balloon to compress plaque and widen the vessel. It is commonly used to treat coronary artery disease and heart attacks. During angioplasty, a balloon is guided to the blockage where it is inflated to open the artery. Sometimes a stent is placed to keep the artery open. Angioplasty allows faster treatment of heart attacks with good long-term outcomes and is generally safer than alternative procedures like bypass surgery.
Interventional+Procedures
The document provides an overview of several interventional procedures for treating valve diseases, including percutaneous aortic valve replacement, percutaneous mitral valve repair, percutaneous coronary intervention (PCI), coronary artery bypass grafting (CABG), cardiac devices like implantable cardioverter defibrillators (ICDs), cardiac resynchronization therapy (CRT), and artificial hearts. Key procedures discussed include replacing the aortic valve through a catheter in the femoral artery, repairing the mitral valve with a small metal clip, and implanting devices like ICDs, CRT pacemakers, and temporary artificial hearts.
Coronary angioplasty (1)
The document discusses coronary angioplasty, a minimally invasive procedure to open blocked coronary arteries. It involves inserting a catheter into the heart and inflating a small balloon to widen narrowed arteries. A stent may also be inserted to keep the artery open. The document outlines the indications, contraindications, procedure steps, risks, postoperative care and complications of coronary angioplasty and stent placement.
Surgical treatment of myocardial ischemia
Myocardial ischemia occurs when blood flow to the heart is reduced, preventing it from receiving enough oxygen. This is usually due to a partial or complete blockage of the coronary arteries. Myocardial ischemia can damage the heart muscle and reduce its ability to pump efficiently. Treatment involves medications to improve blood flow as well as minimally invasive procedures like balloon angioplasty and stenting or bypass surgery. Coronary artery bypass grafting involves taking a healthy blood vessel and grafting it to the coronary artery past the blockage to bypass it.
CABG.pptx
Coronary artery bypass grafting (CABG) is a surgical procedure used to treat coronary heart disease by diverting blood around narrowed arteries to improve blood flow to the heart. The main objectives are to control ischemic symptoms, prevent heart attack, and prolong life. Candidates typically have significant left main coronary artery stenosis, triple vessel disease, or unstable angina. The internal mammary artery is the preferred graft due to its long-term patency. The saphenous vein is also commonly used but has a declining patency over time. On-pump CABG uses cardiopulmonary bypass to divert blood flow while grafting, while off-pump CABG grafts the arteries on the beating heart without bypass.
ptca rfa ppt.pptx, PTCA RFA, Percutaneous translu
Percutaneous transluminal coronary angioplasty (PTCA) is a minimally invasive procedure used to open blocked coronary arteries and restore blood flow to the heart. During PTCA, a catheter with a deflated balloon at the tip is inserted into the blocked artery and inflated to compress the plaque and widen the artery. Stents may be placed to help keep the artery open. The procedure aims to improve blood supply and relieve symptoms caused by coronary artery disease.
aneurysm.pptx
An aneurysm occurs when a localized weakening in the wall of an artery causes it to balloon outward. The most common types are berry aneurysms, which are small and spherical, and fusiform aneurysms, which elongate a portion of the artery. Left untreated, aneurysms can rupture due to high blood pressure, causing hemorrhage. Diagnosis involves physical exams and imaging tests. Treatment may involve open or endovascular surgery to reinforce or replace the weakened portion of the artery. Strict post-op care is needed to prevent complications and allow for healing.
CORONARY ARTERY BYPASS GRATF ,,,,CARDIAC INTERVENTION ,,,
Coronary artery bypass grafting (CABG) is a major surgery to bypass blockages in the coronary arteries. Nearly 400,000 CABG procedures are performed annually in the US. During the surgery, veins or arteries from other parts of the body are grafted below the blockages to restore blood flow to the heart muscle. Post-operatively, patients are monitored closely for complications such as bleeding, arrhythmias, infection, and organ dysfunction. Nursing care involves pre-operative teaching, monitoring the patient during and after surgery, and managing complications to optimize recovery.
Similar to NurseReview.Org Angioplasty Vs. Bypass (20)
Report on Replacement of Heart bypass surgery by NAnorobots
Report on Replacement of Heart bypass surgery by NAnorobots
Cardiovascular surgeries-CABG,TYPES,CARDIOPULMONARY BYPASS MACHINE
Cardiovascular surgeries-CABG,TYPES,CARDIOPULMONARY BYPASS MACHINE
CORONARY ARTERY BYPASS GRATF ,,,,CARDIAC INTERVENTION ,,,
CORONARY ARTERY BYPASS GRATF ,,,,CARDIAC INTERVENTION ,,,
More from Nurse ReviewDotOrg
NurseReview.Org - Study Skills and Test Strategies for the New Nursing Student
The document provides strategies and tips for nursing students to effectively study, take tests, and manage stress and anxiety around exams. It discusses different learning styles, note-taking techniques, time management, critical thinking, Bloom's taxonomy, and approaches to multiple choice, true/false, essay and open book tests. The key strategies emphasized include developing a study plan, using objectives to guide learning, applying critical thinking and the nursing process to study, and maintaining a positive mindset to overcome test anxiety.
NurseReview.Org - Introduction to Mechanical Ventilation
This document provides an overview of mechanical ventilation, including indications for use, key terms, types of ventilation modes, complications, and weaning from ventilation support. It describes positive pressure ventilation as the primary method, using controlled and supportive ventilation modes. Controlled modes deliver set tidal volumes and rates while supportive modes rely on patient triggering. Complications include ventilator-induced lung injury from excessive pressures or volumes and ventilator-associated pneumonia. Successful weaning depends on patient stability in ventilation, oxygenation, cardiovascular function and psychological state.
Test Taking Strategies For Nursing Students
1) The document provides test taking strategies for nursing students, including identifying critical thinking as the cornerstone of functioning in society and applying the nursing process to test questions.
2) It recommends preparing for tests by reading material before class, taking notes during lecture, and outlining notes according to concepts like ABCs and Maslow's hierarchy of needs.
3) The document reviews components of test questions and provides examples of questions and answers to demonstrate strategies for identifying correct responses and distractor answers.
NurseReview.Org - Nursing Management of the Adult Client with Neurologic Alte...
This document provides an overview of nursing management for adult clients with neurologic alterations. It discusses anatomy and physiology of the nervous system, common health problems like altered level of consciousness and increased intracranial pressure. Diagnostic studies and neurological assessments are outlined. Intracranial pressure complications like cerebral herniation, diabetes insipidus, and SIADH are covered. Medical management goals and nursing interventions for conditions like altered level of consciousness and increased intracranial pressure are summarized.
NurseReview.Org - Identification of Shock
This document discusses the identification and treatment of various types of shock states. It defines hypovolemic, distributive, cardiogenic, and septic shock and their clinical manifestations. Early diagnosis is key, involving history, physical exam assessing vital signs, perfusion, and urinary output. Treatment focuses on establishing airway, supplying oxygen, restoring circulating volume with fluids, and using vasopressors to improve cardiac output as needed based on the type and severity of shock. Children in particular can maintain blood pressure while showing signs of poor peripheral perfusion.
NurseReview.Org - Vital Signs
The document discusses vital signs including temperature, pulse, respiration, blood pressure, and oxygen saturation. It provides details on assessing and measuring each vital sign, including appropriate techniques and normal ranges. Key considerations for taking vital signs include establishing a baseline, monitoring for changes, and factors that could affect readings.
NurseReview.Org Thorax & Lungs
The document provides information on the anatomy and physiology of the thorax and lungs. It describes the structures of the thoracic cage including ribs, sternum, and vertebrae. It details the lobes and fissures of the lungs, as well as the mechanics of respiration including gas exchange. It also outlines the process for examining the chest including inspection, palpation, percussion, and auscultation of breath sounds.
NurseReview.Org - The Sensory System
The document summarizes the sensory system examination process. It describes preparing the client and using various tools like cotton balls and tuning forks to test light touch, pain, temperature, vibration and position sense. It explains how sensory impulses travel along two pathways and notes common dermatome patterns. Abnormal findings are noted and how to further examine any areas of decreased or altered sensation.
NurseReview.ORg - Specimen Collection
Nurses are often responsible for collecting various specimen types including urine, stool, sputum, wound drainage and blood. It is important to ensure patient comfort, privacy, and to provide clear instructions. Specimens must be properly labeled, timed, and transported promptly to the laboratory. Common urine tests include urinalysis and urine culture and sensitivity tests to detect infections. Stool, sputum, and other specimens also provide information to diagnose various health conditions.
NurseReview.Org - Skin Hair & Nails
The document summarizes the structure and functions of skin, hair, and nails. It describes the three layers of skin - the epidermis, dermis, and subcutaneous layer. The epidermis is protective and stratified, while the dermis provides support. Hair comes in two types - vellus and terminal hair. Glands in the skin include sebaceous and sweat glands. Nails are made of keratin and can provide signs or clues. The main functions of skin are protection, perception, temperature regulation, identification, communication, wound repair, absorption, and excretion.
NurseReview.Org - Safety Basic Body Mechanics
The document discusses several topics related to patient safety and nursing, including proper body mechanics, moving and positioning patients, falls prevention, and use of restraints. It emphasizes that safety should be the top priority in patient care. Proper techniques like applying body mechanics principles can help prevent injuries to both patients and nurses when moving or lifting patients. Restraints should only be used as a last resort when less restrictive alternatives have failed and with appropriate documentation and monitoring.
NurseReview.Org - Reflexes
The document discusses the neurology system reflexes, including the four main types: deep tendon, superficial, corneal, and visceral. It describes the reflex arch and how tapping a tendon activates sensory fibers that trigger a reflex response in the muscle. Abnormal reflexes can help locate pathologic lesions in the central nervous system.
NurseReview.Org - Proprioception & Cerebellar Function
The document discusses the three major motor pathways in the central nervous system and the types of movements mediated by each. The pathways are the corticospinal or pyramidal tract which mediates voluntary, skilled movements, the extrapyramidal tracts which maintain muscle tone and control body movements, and the cerebellar system which coordinates movement and maintains equilibrium and posture. It also describes tests to assess the motor system including muscle tone, strength, coordination and balance.
NurseReview.Org - Mental Status Assessment
The document discusses the components and purpose of a mental status exam. It outlines the key areas examined which include appearance, behavior, cognition, and thought processes. Developmental considerations are also important to assess for infants, children and aging adults. The mini-mental state examination is a standard tool used to evaluate cognitive functioning with 11 questions that takes 5-10 minutes to administer.
NurseReview.Org - Muscoloskeletal System
The musculoskeletal system consists of bones, muscles, joints, and cartilage that work together to allow for movement, provide support for standing, and protect internal organs. Key functions include bone marrow production and mineral storage. There are over 200 bones and joints include synovial joints that allow movement between bones covered in cartilage. Ligaments and bursae also support joints. Muscles make up 40-50% of body weight and contract to produce movement. The document provides details on assessing each body region including inspection, palpation, range of motion testing, and muscle strength testing to evaluate the musculoskeletal system.
NurseReview.Org - Head Neck Regional Lymphatics
The document focuses on the anatomy of the head, neck, and regional lymphatics. It describes the structures of the skull including the 8 cranial bones that protect the brain and sensory organs. It also discusses the face, neck muscles and range of motion. Additionally, it lists the 10 pairs of lymph nodes in the head and neck region including preauricular, occipital, submental and jugulodigastric nodes. The document also provides instructions for inspecting, palpating and auscultating the trachea and thyroid gland.
NurseReview.Org - Heart & Neck Vessels
The document describes the anatomy and physiology of the heart and major blood vessels in the neck and chest. It covers the location of the heart, chambers, valves, conduction system, heart sounds and pulses. It also discusses the carotid arteries, jugular veins, and techniques for examining the peripheral vascular system including inspection, palpation, percussion and auscultation.
NurseReview.Org - Introduction To Physical Assessment
This document discusses the importance of physical assessment in health care. It outlines the nursing process, which involves assessing patients through subjective and objective data collection. Key parts of assessment include inspection, percussion, palpation, and auscultation. Proper priority setting and critical thinking are important to analyze the data, make an accurate diagnosis, and develop an appropriate plan of care. Effective communication skills are also essential to collect information and address various factors that can impact the assessment process.
NurseReview.Org - Infection Control Handwashing
http://NurseReview.Org for more slides! You also my want to join our forum at http://Forum.NurseReview.Org
NurseReview.Org - Isolation Nursing Precautions
The document discusses various methods for preventing the spread of infection, including isolation procedures and barrier precautions. It outlines different types of isolation like standard precautions, droplet precautions, and airborne precautions. Guidelines are provided for setting up isolation rooms and properly donning and doffing personal protective equipment. Sterile technique and various methods for sterilizing medical equipment are also summarized.
More from Nurse ReviewDotOrg (20)
NurseReview.Org - Study Skills and Test Strategies for the New Nursing Student
NurseReview.Org - Study Skills and Test Strategies for the New Nursing Student
NurseReview.Org - Introduction to Mechanical Ventilation
NurseReview.Org - Introduction to Mechanical Ventilation
NurseReview.Org - Nursing Management of the Adult Client with Neurologic Alte...
NurseReview.Org - Nursing Management of the Adult Client with Neurologic Alte...
NurseReview.Org - Proprioception & Cerebellar Function
NurseReview.Org - Proprioception & Cerebellar Function
NurseReview.Org - Introduction To Physical Assessment
NurseReview.Org - Introduction To Physical Assessment
Recently uploaded
Travel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff offers comprehensive travel health services, including vaccinations, travel advice, and preventive care for international travelers. Our expert team ensures you are well-prepared and protected for your journey, providing personalized consultations tailored to your destination. Conveniently located in Cardiff, we help you travel with confidence and peace of mind. Visit us: www.nxhealthcare.co.uk
Cervical Disc Arthroplasty ORSI 2024.pptx
Indication and installation of a mobile cervical disc prosthesis. Benefits of the PRODISC C VIVO mobile disc prosthesis (Centinel Spine)
NARCOTICS- POLICY AND PROCEDURES FOR ITS USE
This document outlines policies and procedures for handling narcotic and controlled drugs in NABH accredited hospitals.
Public Health Lecture 4 Social Sciences and Public Health
Sociology, Anthropology and Psychology as applied to Public Health
Pollen and Fungal allergy: aeroallergy.pdf
Pollen and Fungal allergy: aeroallergy.pdfChulalongkorn Allergy and Clinical Immunology Research Group
Pollen and Fungal allergy
Presented by Chaloemchai Chumsaengchotsakul, MD.
June 14, 2024Breast cancer: Post menopausal endocrine therapy
Breast cancer in postmenopausal women with hormone receptor-positive (HR+) status is a common and complex condition that necessitates a multifaceted approach to management. HR+ breast cancer means that the cancer cells grow in response to hormones such as estrogen and progesterone. This subtype is prevalent among postmenopausal women and typically exhibits a more indolent course compared to other forms of breast cancer, which allows for a variety of treatment options.
Diagnosis and Staging
The diagnosis of HR+ breast cancer begins with clinical evaluation, imaging, and biopsy. Imaging modalities such as mammography, ultrasound, and MRI help in assessing the extent of the disease. Histopathological examination and immunohistochemical staining of the biopsy sample confirm the diagnosis and hormone receptor status by identifying the presence of estrogen receptors (ER) and progesterone receptors (PR) on the tumor cells.
Staging involves determining the size of the tumor (T), the involvement of regional lymph nodes (N), and the presence of distant metastasis (M). The American Joint Committee on Cancer (AJCC) staging system is commonly used. Accurate staging is critical as it guides treatment decisions.
Treatment Options
Endocrine Therapy
Endocrine therapy is the cornerstone of treatment for HR+ breast cancer in postmenopausal women. The primary goal is to reduce the levels of estrogen or block its effects on cancer cells. Commonly used agents include:
Selective Estrogen Receptor Modulators (SERMs): Tamoxifen is a SERM that binds to estrogen receptors, blocking estrogen from stimulating breast cancer cells. It is effective but may have side effects such as increased risk of endometrial cancer and thromboembolic events.
Aromatase Inhibitors (AIs): These drugs, including anastrozole, letrozole, and exemestane, lower estrogen levels by inhibiting the aromatase enzyme, which converts androgens to estrogen in peripheral tissues. AIs are generally preferred in postmenopausal women due to their efficacy and safety profile compared to tamoxifen.
Selective Estrogen Receptor Downregulators (SERDs): Fulvestrant is a SERD that degrades estrogen receptors and is used in cases where resistance to other endocrine therapies develops.
Combination Therapies
Combining endocrine therapy with other treatments enhances efficacy. Examples include:
Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer.
Endocrine Therapy with mTOR Inhibitors: Everolimus, an mTOR inhibitor, can be added to endocrine therapy for patients who have developed resistance to aromatase inhibitors.
Chemotherapy
Chemotherapy is generally reserved for patients with high-risk features, such as large tumor size, high-grade histology, or extensive lymph node involvement. Regimens often include anthracyclines and taxanes.
biomechanics of running. Dr.dhwani.pptx
The biomechanics of running involves the study of the mechanical principles underlying running movements. It includes the analysis of the running gait cycle, which consists of the stance phase (foot contact to push-off) and the swing phase (foot lift-off to next contact). Key aspects include kinematics (joint angles and movements, stride length and frequency) and kinetics (forces involved in running, including ground reaction and muscle forces). Understanding these factors helps in improving running performance, optimizing technique, and preventing injuries.
Giloy in Ayurveda - Classical Categorization and Synonyms
Giloy, also known as Guduchi or Amrita in classical Ayurvedic texts, is a revered herb renowned for its myriad health benefits. It is categorized as a Rasayana, meaning it has rejuvenating properties that enhance vitality and longevity. Giloy is celebrated for its ability to boost the immune system, detoxify the body, and promote overall wellness. Its anti-inflammatory, antipyretic, and antioxidant properties make it a staple in managing conditions like fever, diabetes, and stress. The versatility and efficacy of Giloy in supporting health naturally highlight its importance in Ayurveda. At Planet Ayurveda, we provide a comprehensive range of health services and 100% herbal supplements that harness the power of natural ingredients like Giloy. Our products are globally available and affordable, ensuring that everyone can benefit from the ancient wisdom of Ayurveda. If you or your loved ones are dealing with health issues, contact Planet Ayurveda at 01725214040 to book an online video consultation with our professional doctors. Let us help you achieve optimal health and wellness naturally.
Call Girls In Mumbai +91-7426014248 High Profile Call Girl Mumbai
Call Girls In Mumbai +91-7426014248 High Profile Call Girl Mumbai
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
une 2024 Oncology Cartoons By Dr Kanhu Charan Patro
Debunking Nutrition Myths: Separating Fact from Fiction"
In a world overflowing with diet trends and conflicting nutrition advice, it’s easy to get lost in misinformation. This article cuts through the noise to debunk common nutrition myths that may be sabotaging your health goals. From the truth about carbohydrates and fats to the real effects of sugar and artificial sweeteners, we break down what science actually says. Equip yourself with knowledge to make informed decisions about your diet, and learn how to navigate the complexities of modern nutrition with confidence. Say goodbye to food confusion and hello to a healthier you!
Ageing, the Elderly, Gerontology and Public Health
Challenges associated with ageing from a public health perspective
Pharmacology of 5-hydroxytryptamine and Antagonist
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
How to choose the best dermatologists in Indore.
The skin is the largest organ and its health plays a vital role among the other sense organs. The skin concerns like acne breakout, psoriasis, or anything similar along the lines, finding a qualified and experienced dermatologist becomes paramount.
How to Control Your Asthma Tips by gokuldas hospital.
Respiratory issues like asthma are the most sensitive issue that is affecting millions worldwide. It hampers the daily activities leaving the body tired and breathless.
The key to a good grip on asthma is proper knowledge and management strategies. Understanding the patient-specific symptoms and carving out an effective treatment likewise is the best way to keep asthma under control.
Top Travel Vaccinations in Manchester
Travel vaccination in Manchester offers comprehensive immunization services for individuals planning international trips. Expert healthcare providers administer vaccines tailored to your destination, ensuring you stay protected against various diseases. Conveniently located clinics and flexible appointment options make it easy to get the necessary shots before your journey. Stay healthy and travel with confidence by getting vaccinated in Manchester. Visit us: www.nxhealthcare.co.uk
Medical Quiz ( Online Quiz for API Meet 2024 ).pdf
This quiz was conducted as a promotional event for the 2024 Annual Meet of Kerala Chapter of API.
More than 20 participants took part everyday !
Recently uploaded (20)
Travel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff: Health Advice for International Travelers
Public Health Lecture 4 Social Sciences and Public Health
Public Health Lecture 4 Social Sciences and Public Health
Giloy in Ayurveda - Classical Categorization and Synonyms
Giloy in Ayurveda - Classical Categorization and Synonyms
Call Girls In Mumbai +91-7426014248 High Profile Call Girl Mumbai
Call Girls In Mumbai +91-7426014248 High Profile Call Girl Mumbai
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
Debunking Nutrition Myths: Separating Fact from Fiction"
Debunking Nutrition Myths: Separating Fact from Fiction"
Ageing, the Elderly, Gerontology and Public Health
Ageing, the Elderly, Gerontology and Public Health
Pharmacology of 5-hydroxytryptamine and Antagonist
Pharmacology of 5-hydroxytryptamine and Antagonist
How to Control Your Asthma Tips by gokuldas hospital.
How to Control Your Asthma Tips by gokuldas hospital.
Medical Quiz ( Online Quiz for API Meet 2024 ).pdf
Medical Quiz ( Online Quiz for API Meet 2024 ).pdf
NurseReview.Org Angioplasty Vs. Bypass
- 1. COLLEGE OF NURSING CABANATUAN CITY WESLEYAN UNIVERSITY – PHILIPPINES
- 2. ANGIOPLASTY VS. BYPASS SURGERY
- 3. ANATOMY AND PHYSIOLOGY
- 5. ANGIOPLASTY
- 13. Coronary angioplasty: Blockage in a coronary artery
- 19. How Well It Works Angioplasty relieves chest pain and improves blood flow to the heart. If restenosis occurs, another angioplasty or bypass surgery may be needed.
- 25. BYPASS