Essays on Nitroglycerin

Cardiovascular diseases are the illnesses of heart and blood vessels (arteries and veins) (World Health Organization). In fact, there are many different diseases of the cardiovascular system, but I would like to highlight the most common.

Arrhythmia

Arrhythmia is a condition in which the frequency, rhythm and sequence of heart contractions are violated. The symptoms occur because of various congenital anomalies, acquired diseases of the cardiovascular system, as well as under the influence of vegetative, hormonal or electrolyte disturbances and as a result of the adverse drug action. Violated heartbeat, weakness and fainting are frequent companions of arrhythmia. The diagnosis ...

Acute coronary syndrome is an umbrella term for a group of clinical symptoms indicative of acute myocardial ischemia. These conditions include non-ST-segment elevation myocardial ischemia (NSTEMI), unstable angina, and ST-segment elevation myocardial infarction (STEMI). These conditions are high-risk manifestations of atherosclerosis in the coronary artery and significant causes of utilization of emergency services and hospitalization (Kumar and Cannon, 2009). STEMI causes 30% of all acute coronary syndromes in Australia (Harper and Lefkovits, 2010). This paper will describe the expected presentation, pathophysiology, ECG findings, pre-hospital management, and initial 24-hour management of STEMI in hospitals settings. These aspects will be described ...

Directions

The provided case study illustrates the case of one Mr. Red Smart, a hospitalized, elderly diabetic patient who equally suffers from hypertension and a host of other medical conditions. Mr. Red uses crutches due to an earlier fall and he experiences a sharp pain at home and falls unconsciousness and upon the doctors diagnosis, Myocardial infarction (MI) is detected. He is admitted to the hospital for three weeks but he considers to return home contrary to his family opinions. He also suffers from memory lapses.

Scenario

Red is a 60 year old man who lives with his elderly wife aged ...

Introduction

The discussions in this biomedical ethics case study involving the death of a patient named Mr. Paul Mills during his stay at one of the hospitals in Halifax, Nova Scotia will focus on whether Dr. Nancy Morrison’s decision to help end the patent’s suffering by injecting nitroglycerin into the IV line in an unsuccessful attempt to decrease blood pressure and thereby end the patient’s suffering and on a separate instance, injecting potassium chloride a few minutes prior to the patient’s point of expiration. It is important to note that this paper will not focus on ...

PHYSICAL EXAM:

You will be expected to write up your response as follows: List of Differential Diagnoses [rank ordered] A. Congestive Heart Failure B. Angina C. Hypercholesterolemia D. Myocardial Infarction

E. Diabetes Mellitus

F. with Grade II diastolic heart failure.

G. Hypertriglyceridemia

H. GERD I.

J. Hypertension

Leading hypothesis : Congestive Heart Failure Active Alternative hypotheses Must not miss diagnoses [critical rule outs] Congestive Heart Failure Angina Hypertriglyceridemia Hypercholesterolemia Most common diagnoses [reasonable alternatives] GERD Hypertension Diabetes Mellitus Presumptive Diagnosis [assumption] Congestive Heart Failure

Treatment Plan

Non-pharmacologic / lifestyle interventions (provide rationale) • Modify Diet. - Advance to a low-sodium, low-cholesterol, low-fat, solid diet as tolerated R: to minimize metabolic demands ...