Cardiogenic shock is defined as the heart's inability to contract and pump blood efficiently due to inadequate oxygen supply to the heart. It can result from intrinsic heart problems like myocardial infarction, dysrhythmias, or valve disease, or from other causes like pulmonary embolism or bacterial infection. This leads to impaired left ventricular pumping, decreased cardiac output, and reduced tissue perfusion. Treatment involves stabilizing the patient, treating the underlying cause, increasing oxygen delivery, and improving heart function through medications, devices, or surgery. The goals are to support vital organ function and prevent further organ damage.
تم تحميل هذا الملف من
منتديات تمريض مستشفى غزة الاوروبي
http://egh-nsg.forumpalestine.com/
لتحميل اجمل واروع المحاضرات فقط قم بزيارتنا وسوف تكون من الاوائل
مع تحيات المدير العام
علاء شعت
pericardial effusion, cardiac tamponade and myocardial rupturegufuabdikadir96
consists of P.E,cardiac tamponade and myocardial rupture and describes their definitions, pathophysiologies, clinical manifestations, dx, medical-surgical mgt and nursing mgt
for more inquiries/feedback; gufuabdikadir96@gmail.com
تم تحميل هذا الملف من
منتديات تمريض مستشفى غزة الاوروبي
http://egh-nsg.forumpalestine.com/
لتحميل اجمل واروع المحاضرات فقط قم بزيارتنا وسوف تكون من الاوائل
مع تحيات المدير العام
علاء شعت
pericardial effusion, cardiac tamponade and myocardial rupturegufuabdikadir96
consists of P.E,cardiac tamponade and myocardial rupture and describes their definitions, pathophysiologies, clinical manifestations, dx, medical-surgical mgt and nursing mgt
for more inquiries/feedback; gufuabdikadir96@gmail.com
تم تحميل هذا الملف من
منتديات تمريض مستشفى غزة الاوروبي
http://egh-nsg.forumpalestine.com/
لتحميل اجمل واروع المحاضرات فقط قم بزيارتنا وسوف تكون من الاوائل
مع تحيات المدير العام
علاء شعت
Drug-induced pulmonary/ respiratory disease is any disorder occurring to the respiratory organs due to the use of medication or drugs.
Pulmonary edema is a condition by which there occurs fluid accumulation in the lungs causing the patient difficult to breathe
Excessive fluid administration in compensated and decompensated heart failure patient considered as common cause
As a result capillary hydrostatic pressure increases due to left ventricular failure.
Oncotic pressure ( pressure with which fluid moves into vessel), also plays a role.
When there is an imbalance between hydrostatic and oncotic pressure fluid accumulates in the sac
تم تحميل هذا الملف من
منتديات تمريض مستشفى غزة الاوروبي
http://egh-nsg.forumpalestine.com/
لتحميل اجمل واروع المحاضرات فقط قم بزيارتنا وسوف تكون من الاوائل
مع تحيات المدير العام
علاء شعت
Drug-induced pulmonary/ respiratory disease is any disorder occurring to the respiratory organs due to the use of medication or drugs.
Pulmonary edema is a condition by which there occurs fluid accumulation in the lungs causing the patient difficult to breathe
Excessive fluid administration in compensated and decompensated heart failure patient considered as common cause
As a result capillary hydrostatic pressure increases due to left ventricular failure.
Oncotic pressure ( pressure with which fluid moves into vessel), also plays a role.
When there is an imbalance between hydrostatic and oncotic pressure fluid accumulates in the sac
The Advanced Cardiovascular Life Support (ACLS) algorithm is a systematic, evidence-based approach designed to guide healthcare providers in the urgent treatment of: Cardiac arrest. Arrhythmias. Stroke. Other life-threatening cardiovascular emergencies.
Valvular heart disease is any cardiovascular disease process involving one or more of the four valves of the heart (the aortic and mitral valves on the left side of heart and the pulmonic and tricuspid valves on the right side of heart).
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdfTechSoup
In this webinar you will learn how your organization can access TechSoup's wide variety of product discount and donation programs. From hardware to software, we'll give you a tour of the tools available to help your nonprofit with productivity, collaboration, financial management, donor tracking, security, and more.
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
Acetabularia Information For Class 9 .docxvaibhavrinwa19
Acetabularia acetabulum is a single-celled green alga that in its vegetative state is morphologically differentiated into a basal rhizoid and an axially elongated stalk, which bears whorls of branching hairs. The single diploid nucleus resides in the rhizoid.
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
Palestine last event orientationfvgnh .pptxRaedMohamed3
An EFL lesson about the current events in Palestine. It is intended to be for intermediate students who wish to increase their listening skills through a short lesson in power point.
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
A Strategic Approach: GenAI in EducationPeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
Introduction to AI for Nonprofits with Tapp NetworkTechSoup
Dive into the world of AI! Experts Jon Hill and Tareq Monaur will guide you through AI's role in enhancing nonprofit websites and basic marketing strategies, making it easy to understand and apply.
CLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCE
Cardiogenic shock
1.
2. Cardiogenic shock is defind as heart inability to
contract & pump blood efficiently due to
inadequate supply of o2 & nutrient to the heart.
3. Old age
A history of heart attack
Coronary artery disease
Hypertension
DM
Obesity
Atherosclerosis
4. Due to intrinsic heart problem:-
MI
Dysrhythmia
Vulvular heart disease
Cardiomyopathy
Due to other cause:-
Pulmonary embolism
Pericardial temponade
Myocardial suppression due to bacteraemia
Suppress myocardial contractility due to
Hyperkalemia or Hypokalemia.
5. DUE TO ETIOLOGY
IMPAIRED PUMPING ABILITY OF THE LEFT VENTRICLE
DECREASE STROKE VOLUME INADEQUATE SYSTOLIC EMPTYING
DECREASE CARDIAC OUTPU ELEVATED LEFT VENTRICLE FILLING
PRESSURE
DECREASE BLOOD PRESSURE INCREASED LEFT ATRIAL
PRESSURE
DECREASE TISSUE PERFUSSION INCREASE PULMONARY
VENOUS PRESSURE
LACTIC ACIDOSIS INCREASE PULMONARY CAPILLARY
PRESSURE
PULMONARY INTERSTITIAL EDEMA ,INTRA
ALVEOLAR EDEMA.
8. History collection:-
Physical examination:-
Blood pressure measurement
EEG,Chest x ray
Echocardiography
Coronary Angiography
ABG analysis, CBC
Brain natriuretic peptide:- Brain natriuretic
peptide (BNP) is a peptide hormone that is released in
response to volume expansion and the increased wall
stress of cardiac myocytes. BNP helps to promote diuresis,
natriuresis, vasodilation of the systemic and pulmonary
vasculature, and reduction of circulating levels of
endothelin and aldosterone
9. GOAL:- Treat the shock first, treat underlying cause
Emergency life support:-
Provide patient extra oxygen to breath so that more
oxygen reach the lungs, heart & other body part.
Provide fluid as well as blood product to maintain vital
organ perfusion.
Arrhythmia treat with shock therapy.
Medication:-
Provide medication to increase the force of contraction of
heart.
Provide medication to increase blood pressure & heart
function
10. Anticoagulant to reduce the risk of blood cloting
Digoxin
Diuretics
Dopamine & dobutamin
Intra aortic balloon pump:- It is a device which help to
heart pump & improve blood flow.
Angioplasty & stent:- To open the narrowed or blocked
artery.
Surgery:-
Coronary artery bypass grafting:- In this surgery arteries or
vein from other part of the body are used to by pass
narrowed coronary artery.
Surgeries to repaire heart:- Any tear & injury to the heart
such as tear in one of heart chamber or a damage heart
valve should be repair to correct the problem.
Pace maker:- To pump heart artificially,Heart transplant.
11. Decreased cardiac output related to impaired
contractility due to hypertrophy cardiac muscle.
Interventions:-
ECG monitoring to detect dysrhythmia
Monitoring BP & mean arterial pressure every 30
min.
Measure & record urine output in every hour
from indwelling catheter & fluid intake.
Obtain daily weight.
12. Improving oxygenation:-
Monitor respiratory rate & rhythem every hour.
Auscultate lungs field for abnormal sound every hour.
Monitor arterial blood gas level
Administer o2 therapy to increase oxygen tension &
improve hypoxia
Elevate head of the bed 20 to 30 degree to facilitate
lungs expansion.
Maintain tissue perfusion:-
Perform a neurologic state every hour, using the GCS.
Obtain blood urea nitrogen & Creatinin blood level to
evaluate renal function
Auscultate for bowel sound every 2 hour
Assess character, rate, rhythm & quality of arterial
pulses every 2 hours.
