Download Clinical Coach for Nursing Excellence by Linda Campbell PhD RN CNS, Marcia A. Gilbert APRN BC PDF

By Linda Campbell PhD RN CNS, Marcia A. Gilbert APRN BC CDE, Gary Robert Laustsen PhD ARPN BC

Speed up your mastery of the real wisdom, abilities, and attitudes you must be successful as an RN. You ll locate insurance that encompasses basic options to the most typical demanding situations confronted within the place of work.

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Figure 2–1 illustrates the cyclical nature of heart failure. Figure 2–2 shows the pathophysiology of heart failure. Improve your understanding of heart failure through visualization of related pathophysiology. Picture the action of myocytes, brain natriuretic peptides (BNPs), and other compensatory mechanisms described in the following paragraphs. O. ↓ SBP ↓ Renal perfusion Myocardial dysfunction and cardiac remodeling F I G U R E 2 - 1 : Cyclical nature of heart failure. O. and ↓ SBP cause activation of baroreceptors at the left ventricle, aortic arch, and carotid sinuses CARDIAC MUSCLE ↑ hypertrophy and dilation ↑ enlarged cells ↓ contractility VASOCONSTRICTION AND FLUID RETENTION ↑ afterload ↑ BP ↑ heart rate (HR).

For example, patients may take a diuretic, beta blocker, angiotensinconverting enzyme (ACE) inhibitor, spironolactone (potassium-sparing diuretic), and digoxin. They may also take a baby aspirin or other antiplatelet drug as well as medications to lower their cholesterol, such as HMG CoA reductase inhibitor or statin, fibrates, niacin, bile acid sequestrants, ezetimibe, and plant sterols (Box 2–2). O. O. O. with ↑ O2 demand F I G U R E 2 - 3 : Compensatory mechanisms and sequelae in heart failure.

GDM first occurs in pregnant women during their third trimester. During the postpartum stage, patients may become euglycemic, continue with impaired glucose metabolism, or develop frank DM. GDM occurs in 1%–14% of all pregnancies; 60% of these women will develop type 2 DM within 15 years after gestation. Prediabetes and metabolic syndrome occur when glucose metabolism is impaired but not to the level of diabetes.

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