The patient was experiencing dizziness and had high blood pressure. The nurse assessed the patient and found their blood pressure to be elevated at 180/110. The nurse diagnosed the patient with hypertension and explained to the patient that it is a condition where blood pressure is abnormally high, putting them at risk for health problems like heart disease. The nurse's plan was to educate the patient on hypertension, identify lifestyle factors that could be contributing to it, and ensure the patient understands the importance of following their treatment plan and making healthy changes.
This Nursing care plan is based on the format of Indian nursing council according in which assessment points aren't included. The hepatitis B is a most dangerous diseases condition and it's Incubation period, 2 to 3 months.Prodronal symptoms (insidious onset): fatigue, anorexia,
transient fever, abdominal discomfort, nausea, vomiting,
headache.May also have myalgias, photophobia, arthritis, angioedema,
urticaria, maculopapular rash, vasculitis. Icteric phase occurs 1 week to 2 months after onset of
symptoms.
This Nursing care plan is based on the format of Indian nursing council according in which assessment points aren't included. The hepatitis B is a most dangerous diseases condition and it's Incubation period, 2 to 3 months.Prodronal symptoms (insidious onset): fatigue, anorexia,
transient fever, abdominal discomfort, nausea, vomiting,
headache.May also have myalgias, photophobia, arthritis, angioedema,
urticaria, maculopapular rash, vasculitis. Icteric phase occurs 1 week to 2 months after onset of
symptoms.
The presentation covers definitions, identification, Treatment goals, Special situations, Practice points, and cardinal pharmacotherapy. Session presented in NBE learning session
Hypertension- High blood pressure is a common condition that affects the body's arteries. It's also called hypertension.
If you have high blood pressure, the force of the blood pushing against the artery walls is consistently too high. The heart has to work harder to pump blood.
A condition in which the force of the blood against the artery walls is too high.
Usually hypertension is defined as blood pressure above 140/90, and is considered severe if the pressure is above 180/120.
High blood pressure often has no symptoms. Over time, if untreated, it can cause health conditions, such as heart disease and stroke.
Eating a healthier diet with less salt, exercising regularly and taking medication can help lower blood pressure.
Hypertension is rarely accompanied by symptoms, and its identification is usually through health screening, or when seeking healthcare for an unrelated problem. Some people with high blood pressure report headaches (particularly at the back of the head and in the morning), as well as lightheadedness, vertigo, tinnitus (buzzing or hissing in the ears), altered vision or fainting episodes.[23] These symptoms, however, might be related to associated anxiety rather than the high blood pressure itself.[24]
On physical examination, hypertension may be associated with the presence of changes in the optic fundus seen by ophthalmoscopy.[25] The severity of the changes typical of hypertensive retinopathy is graded from I to IV; grades I and II may be difficult to differentiate.[25] The severity of the retinopathy correlates roughly with the duration or the severity of the hypertension
Introduction and pathophysiology of hypertension in elderly. Differences among hypertension in adults and elderly in terms of symptoms, treatment consideration. Issues and Challenges among elderly patients. Stroke among Elderly population. Issues and challenges in stroke elderly population.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
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Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
1. NURSING CARE PLAN
ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION
SUBJECTIVE:
“Bakit kaya
madalas ako
mahilo?” (Why do I
always feel dizzy?) as
verbalized by the
patient.
OBJECTIVE:
♦ Request for
information.
♦ Agitated
behavior
♦ Inaccurate
follow through
of instructions.
♦ V/S taken as
follows:
T: 37.2
P: 84
R: 18
BP: 180/110
♦ Risk for
prone
behavior
related to
lack of
knowledge
about the
disease
♦ High blood
pressure (HBP)
or hypertension
means high
pressure
(tension) in the
arteries. Arteries
are vessels that
carry blood from
the pumping
heart to all the
tissues and
organs of the
body. High
blood pressure
does not mean
excessive
emotional
tension,
although
emotional
tension and
stress can
temporarily
increase blood
pressure.
Normal blood
pressure is
below 120/80;
blood pressure
between 120/80
and 139/89 is
called "pre-
hypertension",
♦ After 8 hours
of nursing
interventions,
the patient
will verbalize
understanding
of the disease
process and
treatment
regimen.
INDEPENDENT:
♦ Define and state the
limits of desired BP.
Explain
hypertension and its
effect on the heart,
blood vessels,
kidney, and brain.
♦ Assist the patient in
identifying
modifiable risk
factors like diet high
in sodium, saturated
fats and cholesterol.
♦ Reinforce the
importance of
adhering to
treatment regimen
and keeping follow
up appointments.
♦ Suggest frequent
position changes,
leg exercises when
lying down.
♦ Provides basis
for
understanding
elevations of BP,
and clarifies
misconceptions
and also
understanding
that high BP can
exist without
symptom or even
when feeling
well.
♦ These risk
factors have
been shown to
contribute to
hypertension.
♦ Lack of
cooperation is
common reason
for failure of
antihypertensive
therapy.
♦ Decreases
peripheral
venous pooling
that may be
potentiated by
vasodilators and
♦ After 8 hours of
nursing
interventions,
the patient was
able to
verbalize
understanding
of the disease
process and
treatment
regimen.
2. and a blood
pressure of
140/90 or above
is considered
high. An
elevation of the
systolic and/or
diastolic blood
pressure
increases the
risk of
developing
heart (cardiac)
disease, kidney
(renal) disease,
hardening of the
arteries
(atherosclerosis
or
arteriosclerosis),
eye damage,
and stroke
(brain damage).
These
complications of
hypertension
are often
referred to as
end-organ
damage
because
damage to
these organs is
the end result of
chronic (long
duration) high
blood pressure.
♦ Help patient identify
sources of sodium
intake.
♦ Encourage patient
to decrease or
eliminate caffeine
like in tea, coffee,
cola and chocolates.
♦ Stress importance of
accomplishing daily
rest periods.
COLLABORATIVE:
♦ Provide information
regarding
community
resources, and
support patients in
making lifestyle
changes.
prolonged sitting
or standing.
♦ Two years on
moderate low
salt diet may be
sufficient to
control mild
hypertension.
♦ Caffeine is a
cardiac stimulant
and may
adversely affect
cardiac function.
♦ Alternating rest
and activity
increases
tolerance to
activity
progression.
♦ Community
resources like
health centers
programs and
check ups are
helpful in
controlling
hypertension.