#Cardiac output monitoring
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umadeochake · 2 months ago
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Global Cardiac Output Monitoring Devices Market Size: Regional Outlook and Analysis 2024-2036
Research Nester published a report titled “Cardiac Output Monitoring Devices Market: Global Demand Analysis & Opportunity Outlook 2036” which delivers detailed overview of the global cardiac output monitoring devices market in terms of market segmentation by product, type, technology, end-user, and by region.
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Further, for the in-depth analysis, the report encompasses the industry growth indicators, restraints, supply and demand risk, along with detailed discussion on current and future market trends that are associated with the growth of the market.
The global cardiac output monitoring devices market is anticipated to grow with a CAGR of ~4% over the forecast period, i.e., 2023 - 2033. The market is supply by type into invasive and non-invasive. Out of these, the invasive segment held the largest market share of 58% in the year 2022 backed by the increasing number of cardiac implant procedures and wide adoption of minimally invasive techniques that involve arterial and venous lines.
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The global cardiac output monitoring devices market is estimated to garner revenue of ~USD 1.80 Billion by the end of 2033, up from revenue of ~USD 1.19 Billion in the year 2022. The growing occurrences of traumatic injuries, followed by the surge in Chronic Obstructive Pulmonary Disease (COPD) which is a leading reason of disability and death, and escalating geriatric population are some of the major factors anticipated to drive the growth of the market in the coming years.
Regionally, the global cardiac output monitoring devices market is segmented into five major regions comprising of North America, Europe, Asia Pacific, Latin America, and Middle East & Africa. The market in the North America held the largest market share by ~40% in the year 2022 owing to the increasing prevalence of cardiovascular diseases, growing disposable income, favorable medical reimbursement policies and the escalating healthcare spending.
The research is global in nature and covers detailed analysis on the market in North America (U.S., Canada), Europe (U.K., Germany, France, Italy, Spain, Hungary, Belgium, Netherlands & Luxembourg, NORDIC [Finland, Sweden, Norway, Denmark], Poland, Turkey, Russia, Rest of Europe), Latin America (Brazil, Mexico, Argentina, Rest of Latin America), Asia-Pacific (China, India, Japan, South Korea, Indonesia, Singapore, Malaysia, Australia, New Zealand, Rest of Asia-Pacific), Middle East and Africa (Israel, GCC [Saudi Arabia, UAE, Bahrain, Kuwait, Qatar, Oman], North Africa, South Africa, Rest of Middle East and Africa). In addition, analysis comprising market size, Y-O-Y growth & opportunity analysis, market players’ competitive study, investment opportunities, demand for future outlook etc. has also been covered and displayed in the research report.
Escalating Prevalence of Cardiovascular Diseases (CVDs) to Drive the Market Growth
According to the statistics by the World Health Organization (WHO), every year, 17.9 million people worldwide lose their lives from CVDs, accounting for 32% of all deaths.
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CVDs encompasses a wide range of conditions. Some of these occur simultaneously or result to certain other conditions or diseases within the group. The heart and blood vessels are mainly affected by cardiovascular diseases (CVDs). Currently, a huge number of people have been dealing with some kind of CVD. In the United States, at least one form of heart disease affects nearly half of all adults. Therefore, the increasing number of CVDs patient is fueling the demand of cardiac output monitoring devices.
However, excessive prices of cardiac output monitoring devices, regulated insurance coverage choices, and the inclination for medicines over surgery are expected to operate as key restraint to the growth of global cardiac output monitoring devices market over the forecast period.
This report also provides the existing competitive scenario of some of the key players of the global cardiac output monitoring devices market which includes company profiling of Schwarzer Cardiotek GmbH, Edward Lifesciences Corporation, ICU Medical, Inc., Masimo Corporation, Baxter International, Inc., Medizintechnik GmbH, Getinge AB, BioTelemetry, Inc., and others. The profiling enfolds key information of the companies which encompasses business overview, products and services, key financials and recent news and developments. On the whole, the report depicts detailed overview of the global cardiac output monitoring devices market that will help industry consultants, equipment manufacturers, existing players searching for expansion opportunities, new players searching possibilities and other stakeholders to align their market centric strategies according to the ongoing and expected trends in the future.
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skyloftian-nutcase · 4 months ago
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I don’t know if the prompts can be asking for more in stories you’ve already started, but I would love to see more of the Hero of Shadow and Wild Link interacting, or more on Abel’s heart attack in the HC AU, or more interactions with Zelda and Link after they had to get married (Golden Mercy? The Imprisoning War? Not sure what that one’s called). … Or basically anything involving hurt/comfort or Hyrule, honestly. 😂
I love your writing so much, thank you for sharing it with us! < 3
Hyrule snapped his fingers in front of his friend. “Wild!”
Wild blinked, flinching and taking a step back. “S-sorry—”
“You good? Was that another—I thought the meds—”
“No,” Wild shook his head. “I—it was—sorry, I just—he—”
Wild continued to stammer, at a loss for words. What was he supposed to say? He hadn't spaced out, he'd honed in, his mind had snapped with clarity, screaming at him and wanting nothing more than to run towards the stretcher.
That man—he was—
And he was having a—
"I-I just... need to sit down for a bit," Wild finally said, walking out of the ED.
Wild had yet to fully explain everything that had happened in his past. Everyone knew he had gaps in his memory, that he'd sustained a head injury, that it made him have absence seizures, but the cause of it... the people he'd left behind because of the aftermath...
How could Wild possibly ever explain? He'd failed in his mission, and it had gotten his entire team killed. He could never face anyone from his past, let alone his—
Castle Town had promised a new life, a new beginning, especially as memories had tried to piece themselves back together and make him want to run and hide all the more. If he told everyone... then there was no more running from it.
Wild buried his face in his hands, resting on an empty stretcher in the basement. His mind screamed with anxiety as his past caught up to the present, and his heart screamed with worry over his father.
This was a nightmare.
XXX
Fable looked over her room one more time. Ambu bag? Check. Suction? Check. Defibrillator? Check. She had her maintenance IV fluid set up, the plasmolyte liter set up, the wires for the cardiac monitoring system ready to go, chest tube suction at the ready, and her little trays had all the syringes, saline flushes, blunt tips, alcohol swabs, caps, lab tubes, and everything else she could think of prepared.
She'd chart stalked the patient while he was in the OR, and she'd already gotten report from the nurse. Forty-year-old male (oh he's young, Fable thought, used to seeing far older patients) presented to the ED via EMS with chest pain and shortness of breath, STEMI confirmed with EKG, and he was sent to the cath lab. There they found multiple severe occlusions and opted for an open heart bypass surgery rather than using stents, and off to the OR he'd gone.
The surgery had gone fairly straightforward from what she could see - he'd been on bypass for about an hour, and the surgery itself had been going on for about four. He'd gotten about 500 of cell saver, 2L crystalloid, and 1 RBC, and he'd only been defibrillated once.
Just as she looked over the chart again, roll call was sent out to the unit, and she gathered her thoughts as she went to the room, awaiting the patient. He arrived a minute or so later, and the room quickly filled with Fable, the charge nurse, the tech, another nurse, the anesthesiologist, the attending surgeon, the fellow surgeon, the respiratory therapist, the ICU attending, and the nurse practitioner.
Everyone slipped into different roles and tasks fairly easily and quickly. Anesthesia handed off to the RT, who attached the ET tube to his ventilator, the tech worked on putting chest tubes to suction and getting outputs, Fable assessed her patient and looked at what drips they were on (2 of epi, 4 of levo, 0.02 of vaso, 1.5 of Dex, 1.2 of insulin), charge took the admission note while the surgeons gave report and Fable listened vaguely, her other nurse was attaching the safe set to the arterial line to collect blood for labs and an ABG, and the ICU providers listened to the report.
Vasoplegia, not too much bleeding but enough to merit product, chest tube output was a little high but not alarming, and he was cold at 35.8. Fable asked her tech to get a bear hugger, and x-ray arrived to check ET placement as the surgeons finished report. Fable stripped the chest tubes alongside the surgical fellow before they all stepped out for x-ray. ABG resulted pH 7.33, pO2 107, CO2 38, bicarb 24, and lactate 3.1. Fable opened the extra plasmolyte fluid bolus up to try and help with the lactate, which was likely indicative that the patient was dry.
The surgery team left, and Fable remained to stabilize the patient. She and her charge nurse worked on detangling the lines while the tech covered him in a warm blanket. His blood pressure was within parameters, with a mean arterial pressure greater than 65, though his systolics were in the 120s, which was right at his upper limit, so she tried weaning the levo a little, going to 3 to see what would happen, before continuing to detangle lines, get a blood sugar for the glucommander that was determining the insulin levels to give him, and obtaining cardiac output indeces. His cardiac index was 2.8, and his systemic vascular resistance indexed for his body weight was around 2600. Good CI, a little higher on the SVRI end. Perhaps she should wean the epi too, assuming his MAP tolerated it.
After about an hour, Fable felt a little less overwhelmed, and she called her charge nurse, who had left the room a good while ago alongside the rest of the team. "Have we heard anything about family?"
"He has a wife and daughter," she replied. "But they're a fair distance from here, out in Hateno. I think last we heard they were making arrangements to get here, but it wouldn't be until tomorrow morning."
Fable glanced at the clock. It was almost shift change, so night shift would have to be the ones to wake the man up, get a neuro assessment, and then hopefully extubate him.
Nodding, she went back to work. She wasn't going to wean sedation until he was warm enough, so all she had to focus on right now was stabilizing him. His labs came back and his hemoglobin was a little low, and his two mediastinal and one pleural chest tubes collectively put out about 280mL of blood. It was still a fairly high amount, mostly evenly distributed (the meds were bleeding more, but neither exceeded 100mL for the hour), but not enough to think there was an active bleed that needed surgical intervention. Not yet, at least.
Overall, he looked pretty decent.
After another hour, one blood product later, Fable finally felt like she was starting to get everything settled. Her patient's temperature was normalizing, but she was twenty minutes from shift change, so she figured it was safer to let him sleep through report and then night shift could try to figure out weaning and bathing. His lactic on his repeat ABG was improving at 2.4, so they were likely addressing all the problems.
When a transporter walked by, IV pumps in hand, she noticed him pause in front of her room. She walked over to him. "Hey. Can I help you?"
The transporter, a young man with long blonde hair tied out of his face, jumped, a little startled. "Uh, hi. Yeah. Sorry. I just..."
"What room are you looking for?" she asked helpfully. "I don't need extra channels."
"Uh, these are for 4301."
"You passed it, it's back that way."
"Right," the man nodded, looking back in the room. "Right."
Fable waited a moment, and then asked, "Can I help you with anything else?"
"Is he doing okay?" the man immediately asked.
Fable smiled. "Yeah, he's looking pretty good, I think."
"Can..." the transporter swallowed, shifting anxiously. "Can I talk to him?"
"He's pretty sedated right now," Fable answered cautiously. "Why do you want to talk to him?"
The transporter sighed in defeat. "I... he's my dad. I... haven't seen him in a long time."
His dad? Her charge nurse had said he had a daughter, not a son. Though... looking between her patient and the transporter in front of her, the family resemblance was striking.
Well, she hadn't heard of any visitor restrictions for him. "Yeah. You're not on his chart, though - can I get your name?"
The transporter sighed, putting the supplies he'd been carrying on the counter of the nurse's station. "I wouldn't be on it. My family thinks I'm dead. It's complicated."
He—uh... what?
"My name's Link," he answered her nonetheless before entering her patient's room.
Link? Huh. That was...
Wait a second.
"Hey, are you one of my brother's friends?" Fable asked as she followed him into the room.
"Your brother?"
"Link. Likes to call himself Legend to differentiate," she replied with an amused roll of her eyes.
Link gawked at her. "You're Legend's sister? He never even said he had a sister!"
"You two are alike," Fable huffed. "He doesn't particularly want a bunch of people to know he's related to me. But never mind that. Go talk to your dad."
Link stood there a moment, processing the words, before he exhaled shakily and nodded. Fable moved to the computer, working on catching up on charting to give him some privacy but also keep an eye on things. This patient's safety was her responsibility, after all.
Link seemed almost timid to approach the patient, even though he knew he was sedated. He slowly slid his hand into the older man's, shakily and quietly saying, "Hey, Papa. I... I, uh... I-I..."
Fable glanced out of the corner of her eye, seeing the young man getting tearful, and she tried to focus on her work once more.
"I missed you," Link whispered. "I'm s-sorry... about... about everything."
She heard a sniffle, and then the transporter moved quickly out of the room, offering her a brief but quick thanks before disappearing.
Fable turned towards the doorway, and then looked at her patient uncertainly. That was... odd.
Sighing, she walked up to the man, brushing hair out of his face. "Buddy, your family drama sounds almost as crazy as mine."
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sourweather · 6 months ago
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My mom is a nurse so I like to occasionally hit her up when I'm working on a fic and say something like "hypothetically if you had a patient..."
Anyway she's just given me the Adam Stanheight Post-Trap Care Plan
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[Transcript: text conversation with 'Mom'
Sender: If you had a patient whod been deprived of food for like 5 days, what would their treatment look like? I'm assuming all fluid diet at first
Mom: Probably fluids. Clear liquid advance as tolerated. Which means we would make sure he could swallow and then if he does good with fluids give him soft and if that's ok then go to whatever. If he couldn't swallow easily or chew well due to soreness or injuries or what have you, stay with soft. If they get choked we would do thick liquid and if they couldn't do that, only iv fluids and be npo. Nothing by mouth
Sender: Okay! Yeah he was basically locked in a room for five days lol so I was trying to figure out how arduous the healing process would be (aside from the mental trauma obviously) He was injured but nothing vital, he was shot in the shoulder so I mean blood loss but no organ damage or anything.
I was reading that apparently it can lead to your electrolytes getting out of whack? Something about phosphorus deficiency?
(although I suppose given the whole kidnapping thing there's definitely a chance his wound might've gotten infected but Ive already done lots of reading about bullet wound infections haha)
Mom: Is he in the er?
Sender: That's probably where the police would take him when he was found, right?
Mom: Yep. He would be getting a lot of fluids. And antibiotics probably two kinds. Tetanus shot.
Temperature control with warm fluids and warm blankets and warm room temp. Catheter for monitoring input and output. All the monitors: cardiac, oxygen saturation, blood pressure every 15 mins for 2 hours. Chest X-ray and all the labs. Probably his potassium would be high because he's dehydrated which would make him have shortness of breath chest pain dizziness...plus his mouth is probably dry and stuck to his teeth and stuff. That's the way people look when they are "found down" after some days. Covered in their urine and or poop. With low temps. Septic.
Low blood pressure. Weak as hell. From the wound infection.
This is fun for me I guess it's obvious (laughing while crying emoji)
Might even have to give vasopressors to make his blood pressure come up. If your bp is low, you aren't getting any blood to your organs.
And/or oxygen
But if he's just hungry and weak, you can actually make it without food. If you have water. But you need good calories to heal wounds. So I'm going drastic. ]
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lonelynpc · 2 months ago
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Shockable and Non-Shockable Rhythms
grey's anatomy has been lying to you. flatline is not a shockable rhythm.
automated external defibrillators (AEDs) have a safety feature that can recognise shockable and non-shockable rhythms, this is why they may not authorise a shock.
now, i know that sometimes in fics, people like to describe a flatline before administering a shock but this is incorrect so i'm making this post to show you the different rhythms and whether or not they're shockable. i hope this helps with describing how things look on a monitor.
basically though, a shock acts as a sort of reset button to return the electrical activity to normal. in non-shockable rhythms, there is nothing to be "reset".
here are the shockable rhythms:
a shockable rhythm has the best prognosis with early CPR and defibrillation, we also give epinephrine.
pulselesss ventricular tachycardia (pVT): the ventricles in the heart are contracting too quickly (tachycardia) which decreases ventricular refill, resulting in a reduction in cardiac output. basically, the heart is beating so quickly that the blood can't perfuse anymore and there's no chance for blood to re-enter the heart, meaning that a pulse cannot be palpated.
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ventricular fibrillation (VF): uncoordinated contraction of the ventricles causing disorganised electrical activity in the heart, notice that there are no identifiable QRS complexes. this is probably the most common. think erratic, disorganised.
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here are the non-shockable rhythms:
these are treated with CPR, epinephrine and correction of the cause. shocks won't do anything.
pulseless electrical activity (PEA): this is when we are unable to palpate a pulse despite the presence of sufficient electrical activity. basically, the electrical activity is not eliciting a ventricular response.
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asystole: this is flatlining. this is the cessation of electrical and mechanical activity in the heart. obviously, as a result, cardiac output and perfusion stops.
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remember the Hs and Ts for the possible causes of cardiac arrest.
go forth. enjoy. i hope this helps.
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petfurri · 3 months ago
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Captopril for Dogs: Benefits, Dosage, Side Effects, and More
Captopril for Dogs
Captopril is an angiotensin-converting enzyme (ACE) inhibitor commonly used in veterinary medicine to manage heart conditions in dogs, particularly congestive heart failure (CHF) and systemic hypertension (high blood pressure). Initially developed for human use, captopril has found its place in treating canine patients with cardiovascular issues, offering numerous benefits but also requiring careful administration and monitoring due to potential side effects.
Understanding Captopril and Its Mechanism of Action
Captopril works by inhibiting the angiotensin-converting enzyme, which is responsible for converting angiotensin I into angiotensin II, a potent vasoconstrictor. Angiotensin II causes blood vessels to narrow, leading to increased blood pressure and making the heart work harder. By blocking this conversion, captopril allows blood vessels to relax and widen, reducing the workload on the heart and lowering blood pressure. This action is particularly beneficial for dogs suffering from CHF, as it helps to improve blood flow and reduce fluid buildup in the lungs and other tissues.
Benefits of Captopril for Dogs
Managing Congestive Heart Failure (CHF): CHF is a common condition in dogs, especially in older or certain breeds like Cavalier King Charles Spaniels. Captopril helps manage CHF by reducing the resistance the heart faces when pumping blood, thus improving cardiac output and reducing symptoms like coughing, difficulty breathing, and lethargy.
Lowering Blood Pressure: For dogs diagnosed with systemic hypertension, captopril can effectively lower blood pressure, preventing damage to organs such as the kidneys, eyes, and brain, which can result from prolonged high blood pressure.
Improving Quality of Life: By easing the burden on the heart and lowering blood pressure, captopril can significantly improve a dog's overall quality of life. Dogs may exhibit increased energy levels, better appetite, and greater overall comfort as a result of treatment.
Potential Renal Protection: In some cases, captopril may offer renal protection by reducing the progression of kidney disease, particularly in dogs with proteinuria (protein in the urine), which is often associated with high blood pressure.
Dosage and Administration
The dosage of captopril for dogs must be carefully determined by a veterinarian, as it varies depending on the dog's weight, the severity of the condition being treated, and the presence of any other health issues. Captopril is usually administered orally, with or without food, typically two to three times a day.
Typical Dosage: The usual starting dose is around 0.5 to 2 mg per kg of body weight, given every 8 to 12 hours. The dosage may be adjusted based on the dog’s response to the medication and any side effects observed.
Monitoring: Regular monitoring is crucial when a dog is on captopril. Blood pressure, kidney function (via blood tests for creatinine and blood urea nitrogen levels), and electrolyte levels should be checked periodically to ensure the medication is working effectively without causing harm.
Potential Side Effects of Captopril
While captopril can be highly beneficial, it also carries the risk of side effects, particularly if not used correctly. Some of the potential side effects include:
Gastrointestinal Issues: Dogs may experience vomiting, diarrhea, or loss of appetite. These symptoms are usually mild but should be reported to the veterinarian if they persist.
Hypotension (Low Blood Pressure): As captopril lowers blood pressure, there is a risk that it may cause blood pressure to drop too low, leading to weakness, dizziness, or fainting. This is more likely to occur in dogs that are dehydrated or have other underlying health conditions.
Kidney Dysfunction: Captopril can affect kidney function, particularly in dogs with pre-existing kidney issues. It’s important to monitor kidney parameters closely during treatment to avoid exacerbating any renal problems.
Hyperkalemia (High Potassium Levels): Captopril can cause an increase in potassium levels, which can lead to dangerous heart rhythms if not managed properly. Regular blood tests are essential to monitor electrolyte levels.
Coughing: A persistent dry cough is a less common side effect but can occur due to the buildup of bradykinin, a substance that captopril can increase in the body.
Allergic Reactions: Though rare, some dogs may have an allergic reaction to captopril, manifesting as itching, rash, or swelling. Immediate veterinary attention is required in such cases.
Precautions and Considerations
Captopril should be used with caution in dogs with pre-existing kidney disease, dehydration, or electrolyte imbalances. It should not be used in dogs that are pregnant, as it can cause harm to the developing fetus. Additionally, it’s important to inform the veterinarian of any other medications the dog is taking, as captopril can interact with other drugs, including diuretics and nonsteroidal anti-inflammatory drugs (NSAIDs), potentially leading to adverse effects.
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eluvixnsarchived · 3 months ago
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'your job must be really easy since all you do is personal care' 'i couldnt do your job i couldnt spend the day wiping assholes and cleaning up shit'
did u know my ward is nurse led and there are no doctors or emergency teams so if there IS an emergency its me who will be there??? its me who will notice first bc the nurses dont spend time with patients?? did u know that if a patient is unwell and receiving help its probably bc i was paying enough attention to see it? did u know that in the last year i have been assaulted multiple times with two instances needing me to take time off work for recovery??? did u know that i have had to stand between an aggressive patient and ur dying end of life mother multiple times bc id rather get clapped than have ur moms last moments be getting whacked by a person in alcohol withdrawal? did u know i have to bc we have no security at my hospital and the big bosses refuse to give us any bc our cases of aggressive patients arent considered good enough to have the funds given to us for us to be safe?? did u know i am the frontlines person before the nurses?? i am in charge of preventing pressure sores and moisture damage and making sure ur dad doesnt fall and break his hips and feeding and encouraging fluids and personal hygiene and checking blood sugars and blood pressure and monitoring outputs and inputs and if your mom goes into cardiac arrest its ME who will be there to try and give her a fighting chance??? its me who has to constantly be aware of signs of stroke??? or uti's that can be fatal in the elderly??? I HAVE TO BE ALERT FOR SIGNS OF SEPSIS. THERE IS A ONE HOUR WINDOW TO DETERMINE WHICH WAY SEPSIS WILL GO. ONE HOUR.
'your job is so simple and easy' i will shake u like a dogs chew toy between my teeth
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mcatmemoranda · 2 years ago
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The initial management of the patient with Mobitz type II second-degree AV block depends on the presence and severity of any signs and symptoms related to the ventricular rate. Unstable patients require immediate pharmacologic therapy and, in most instances, should also receive temporary pacing to increase heart rate and cardiac output. Once the patient is hemodynamically stable, assessment and treatment for any potentially reversible causes should occur, followed by placement of a permanent pacemaker for patients without an identifiable reversible etiology.
Unstable patients — Patients with Mobitz type II second-degree AV block who are hemodynamically unstable should be urgently treated with a beta-adrenergic agonist (eg, isoproterenol, dopamine, dobutamine, or epinephrine) if myocardial ischemia is unlikely [13] and, in most instances, with temporary cardiac pacing (either with transcutaneous or, if immediately available, transvenous pacing). Atropine is generally avoided in patients with Mobitz type II second-degree AV block, as the block is generally infranodal. Rarely, atropine or other agents can worsen infranodal block by increasing sinus rate without improving conduction.
Signs and symptoms of hemodynamic instability include hypotension, altered mental status, signs of shock, ongoing ischemic chest pain, and evidence of acute pulmonary edema. Dopamine may be administered in hypotensive patients, while dobutamine is an option for patients with heart failure symptoms. This approach is similar to the patient who presents with unstable third degree (complete) AV block. (See "Advanced cardiac life support (ACLS) in adults", section on 'Bradycardia' and "Third-degree (complete) atrioventricular block", section on 'Unstable patients'.)
Stable patients — Patients with Mobitz type II second-degree AV block who are hemodynamically stable do not require urgent therapy with atropine or temporary cardiac pacing. However, Mobitz type II second-degree AV block is by nature unstable and frequently progresses to third degree (complete) AV block, so patients should be continuously monitored with transcutaneous pacing pads in place in the event of clinical deterioration. In addition, most stable patients continue to have symptoms related to the bradycardia and will require identification and treatment of any reversible causes or permanent therapy with an implantable pacemaker.
Once unstable patients have been stabilized, and while stable patients are being monitored, reversible causes of Mobitz type II second-degree AV block such as myocardial ischemia, increased vagal tone, hypothyroidism, hyperkalemia, and drugs that depress conduction, should be excluded in patients prior to implantation of a permanent pacemaker.
●Patients with Mobitz type II second-degree AV block in the setting of an acute myocardial infarction should be treated with temporary pacing and revascularization; following revascularization, most conduction abnormalities will improve or resolve and will not require permanent pacing. (See "Conduction abnormalities after myocardial infarction", section on 'Summary and recommendations'.)
●Patients with Mobitz type II second-degree AV block felt to be medication-induced should be observed while the offending agent or agents are withdrawn; such patients will often have improvement or resolution of AV block following removal of the medication.
●Patients with Mobitz type II second-degree AV block in the setting of hyperkalemia should receive therapy to reduce serum potassium levels; similarly, patients with hypothyroidism should receive thyroid replacement therapy. If Mobitz type II second-degree AV block subsequently resolves, a permanent pacemaker is not usually needed. (See "Treatment and prevention of hyperkalemia in adults" and "Treatment of primary hypothyroidism in adults".)
●Patients with Lyme carditis and associated heart block frequently do not require permanent cardiac pacing. Mobitz type II second-degree AV block typically improves to lesser degrees of AV block within one week, and more minor conduction disturbances usually resolve within six weeks. As such, while these patients may initially require temporary cardiac pacing, permanent cardiac pacing should be reserved for patients with persistent high grade AV block following an adequate course of therapy for Lyme disease. (See "Lyme carditis".)
If no reversible causes are present, definitive treatment of Mobitz type II second-degree AV block involves permanent pacemaker placement in most patients [13,17]. Dual-chamber (ie, atrioventricular) pacing to maintain AV synchrony is preferred (rather than single chamber right ventricular pacing) in most patients due to the favorable hemodynamic benefits of AV synchrony (algorithm 1). Unlike asymptomatic patients with Mobitz type I second-degree AV block who do not require any specific therapy, patients with Mobitz type II second-degree AV block have a high likelihood of progressing to symptomatic Mobitz type II second-degree AV block or complete heart block and should be considered candidates for pacemaker insertion on initial presentation
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farmacuticals · 18 days ago
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The Role of Cardiac Output Monitoring Devices in Modern Healthcare
Cardiac Output Monitoring Devices are essential in healthcare for assessing and monitoring the heart's performance by measuring the amount of blood pumped by the heart per minute. These devices are particularly useful in intensive care units, during surgeries, and in emergency situations, providing real-time data that helps medical professionals make informed decisions about patient care. By monitoring cardiac output, these devices assist in diagnosing, managing, and treating conditions such as heart failure, shock, and other critical illnesses.
The Cardiac Output Monitoring Device Market Size was projected to reach 2.73 billion USD in 2022, according to MRFR analysis. It is anticipated that the market for cardiac output monitoring devices would increase from 2.85 billion USD in 2023 to 4.2 billion USD in 2032. During the projected period (2024-2032), the cardiac output monitoring device market is anticipated to increase at a CAGR of approximately 4.4%.
Size and Market Share of Cardiac Output Monitoring Device
The Cardiac Output Monitoring Device market has experienced steady growth over recent years due to an increasing prevalence of cardiovascular diseases, advances in healthcare technology, and the rising demand for minimally invasive monitoring techniques. The market size for these devices is significant and is projected to continue growing as healthcare providers worldwide emphasize enhanced patient monitoring and outcome optimization. The market share is currently dominated by a few major players, with new competitors entering as demand increases, particularly in regions like North America, Europe, and Asia-Pacific. This growth trajectory is supported by rising healthcare expenditures and the integration of artificial intelligence and machine learning for more precise data analysis in cardiac output monitoring.
Cardiac Output Monitoring Device Analysis
An analysis of the Cardiac Output Monitoring Device market reveals a diverse range of device types, including invasive, minimally invasive, and non-invasive technologies. Invasive devices, such as pulmonary artery catheters, have long been the standard, providing accurate measurements directly from the heart. However, minimally invasive and non-invasive devices, like ultrasound-based Doppler devices, have become increasingly popular due to lower associated risks and improved patient comfort. Key players in the industry are focused on enhancing device accuracy, reducing invasiveness, and ensuring data reliability, which is essential for clinical decision-making. This market analysis also shows that hospitals and diagnostic centers are the primary end-users, with increasing demand from ambulatory care centers and outpatient facilities as cardiac output monitoring technology becomes more portable and user-friendly.
Cardiac Output Monitoring Device Trends
The Cardiac Output Monitoring Device market is influenced by several key trends, including technological advancements, patient preference for non-invasive procedures, and the rise in chronic diseases such as hypertension and diabetes that impact cardiovascular health. Recent developments in digital health technology, such as wearable monitoring devices, are expected to revolutionize the market, offering a convenient option for continuous monitoring without hospital admission. Another significant trend is the integration of artificial intelligence, which allows for more precise data analysis, helping healthcare providers predict outcomes and improve patient management. Moreover, manufacturers are focusing on creating compact, portable devices that can be used in diverse healthcare settings, allowing for more widespread and accessible monitoring solutions.
Reasons to Buy Cardiac Output Monitoring Device Market Reports
Comprehensive Market Insights: Reports offer a detailed understanding of the global Cardiac Output Monitoring Device market, including size, share, trends, and growth projections.
Competitive Analysis: Gain valuable insights into the competitive landscape, identifying key players, recent developments, and potential areas for business expansion.
Technology and Innovation Insights: Stay updated on emerging trends in cardiac output monitoring technology, such as AI integration and portable device innovations.
Investment Opportunities: Understand investment potentials by analyzing market segments, geographical distribution, and demand across various healthcare settings.
Informed Decision Making: Access data-driven insights that help stakeholders make informed decisions regarding product development, marketing strategies, and partnerships.
Recent Developments in Cardiac Output Monitoring Devices
The Cardiac Output Monitoring Device market has witnessed recent advancements aimed at improving accuracy, ease of use, and patient outcomes. Leading companies are incorporating AI algorithms to enhance predictive capabilities, allowing for early detection of potential complications. Non-invasive cardiac output monitoring technologies have also evolved, with innovations such as wearable sensors that provide continuous data with minimal discomfort. Additionally, recent developments in wireless connectivity have enabled remote monitoring, allowing healthcare providers to track patient status from anywhere. With increasing demand, manufacturers are focusing on creating affordable and accessible devices to meet global healthcare needs, especially in low-resource settings. These advancements are set to further propel the growth of the Cardiac Output Monitoring Device market, providing healthcare systems with more effective tools to manage and monitor cardiovascular health.
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lifemediquipsolutions · 2 months ago
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Patient Monitors: The Cornerstone of Modern Healthcare
Patient monitors, indispensable tools in the modern healthcare landscape, serve as the vigilant guardians of patient health. These devices continuously track vital signs, providing healthcare professionals with critical information to make informed decisions. This comprehensive guide delves into the world of patient monitors, exploring their types, functionalities, and significance in patient care.
Understanding Patient Monitors
A patient monitor is a medical device that continuously measures and displays vital physiological parameters. These parameters typically include:
Heart rate: Measured through electrocardiography (ECG)
Blood pressure: Measured through non-invasive blood pressure (NIBP)
Oxygen saturation (SpO2): Measured through pulse oximetry
Respiratory rate: Measured through respiratory inductance plethysmography (RIP)
Temperature: Measured through a temperature probe
While these are the most common parameters, advanced patient monitors may also include:
End-tidal carbon dioxide (EtCO2): Measured through capnography
Invasive blood pressure: Measured through arterial lines
Cardiac output: Measured through various methods
Types of Patient Monitors
Patient monitors come in various types based on their intended use and features:
General Patient Monitors: Used in general care settings, these monitors typically measure heart rate, blood pressure, SpO2, and respiratory rate.
Critical Care Monitors: Designed for intensive care units, these monitors offer advanced features such as invasive blood pressure monitoring, cardiac output, and advanced waveform analysis.
Portable Patient Monitors: Compact and lightweight, these monitors are used for ambulatory monitoring or transporting patients.
Veterinary Patient Monitors: Specialized monitors for monitoring vital signs in animals.
The Importance of Patient Monitoring
Patient monitors play a crucial role in:
Early Detection of Complications: Continuous monitoring can detect changes in vital signs early, allowing for timely interventions.
Improved Patient Safety: By providing real-time data, patient monitors help prevent adverse events and improve patient outcomes.
Efficient Care Delivery: Patient monitors enable healthcare providers to make informed decisions and optimize resource allocation.
Research and Development: Data collected from patient monitors contributes to medical research and the development of new treatments.
Advancements in Patient Monitoring Technology
The field of patient monitoring is constantly evolving with technological advancements. Some of the latest innovations include:
Wireless Patient Monitors: Offering greater mobility and flexibility for patients.
Remote Monitoring: Enabling continuous monitoring of patients outside the hospital setting.
Integration with Electronic Health Records (EHR): Seamlessly transferring patient data for comprehensive care.
Artificial Intelligence (AI): Utilizing AI algorithms for early warning systems and predictive analytics.
Challenges and Considerations in Patient Monitoring
While patient monitors are invaluable tools, there are challenges to consider:
Alarm Fatigue: Excessive alarms can desensitize healthcare providers, leading to missed critical alerts.
Data Management: Managing and analyzing large volumes of patient data can be complex.
Cost: Advanced patient monitors can be expensive, impacting healthcare budgets.
Patient Comfort: Ensuring patient comfort during prolonged monitoring is essential.
The Future of Patient Monitoring
The future of patient monitoring is bright, with continued advancements in technology and integration with other healthcare systems. Wearable devices, artificial intelligence, and remote monitoring will reshape the landscape of patient care.
By understanding the significance of patient monitors and staying updated with the latest technologies, healthcare providers can optimize patient care and improve outcomes.
Would you like to delve deeper into a specific type of patient monitoring or discuss the challenges faced by healthcare providers in patient monitoring?
Keywords: patient monitor, medical equipment, healthcare technology, patient monitoring systems, vital signs, medical devices, patient care, critical care, remote monitoring, wearable monitors
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amit-vikhe · 2 months ago
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What is the ACLS Bradycardia Algorithm?
The ACLS (advanced cardiovascular life support) bradycardia algorithm is a protocol that healthcare providers use to manage patients with bradycardia. Bradycardia is a condition that slows down the heart rate to less than 50-60 beats per minute. Signs and symptoms of bradycardia include altered mental state, fatigue, hypotension, sweating, ischemic chest discomfort, acute heart failure, or signs of shock. In most cases, an individual with bradycardia does not get sufficient oxygenated blood to various parts of their body. Failure to treat bradycardia can lead to severe conditions such as syncope. However, it is worth noting that an individual may also experience a slow resting heart rate due to age or physical fitness activities. This blog will help you understand the ACLS bradycardia algorithm, its key steps and how to identify the underlying cause.
Causes of bradycardia
Identifying the main causes of bradycardia is important for effective treatment and management of the condition. Some of the factors that may cause bradycardia include:
Hypothyroidism
Inflammatory diseases
Imbalance of electrolytes
Myocarditis
Obstructive sleep apnea
Hypertension
Tissue damage due to heart attack, heart disease, or aging
Congenital heart defect
Essential steps in the ACLS bradycardia protocol
Understanding and effectively applying the ACLS bradycardia algorithm can be life-saving in critical situations. Every step is designed systemically to address and manage the symptoms of bradycardia and stabilize the patient’s condition promptly. Here are the steps of ACLS bradycardia:
Airway opening:
Ensure the patient’s airway is open. If not, you must assist the patient with breathing. You can do so while using the following steps:
Airway management: Begin by conducting an assessment of the patient’s airway. This will inform you if it is clear or not. Obstruction of the airway leads to inadequate oxygenation and may further exacerbate bradycardia. To assist the patient in maintaining the airway, you can apply techniques like jaw-thrust or head-tilt. If need be, you can also consider advanced airway management.
Assisting breathing: Once you establish that the patient is not breathing well, assist their breathing with ventilation using a bag-mask device or provide supplemental oxygen. Proper ventilation is crucial to improve the patient’s oxygen supply and lower the risk of further complications.
Administer oxygen if hypoxemic:
To measure the patient’s level of oxygen saturation in the body, use a pulse oximeter. Low oxygen levels, usually below 94%, mean that you must administer supplemental oxygen. You can deliver this either through a non-rebreather mask or a cannula. The method you will use depends on how severe the hypoxemia is. Moreover, it is not enough to administer oxygen. You need to conduct a continuous assessment of the patient’s oxygen saturation. This will guide you on how to adjust the flow rate of oxygen accordingly to ensure sufficient oxygenation.
Attach cardiac monitor for rhythm identification, monitor blood pressure and oximetry:
Use a cardiac monitor to evaluate the patient’s heart rhythm. This will guide you to know if the bradycardia is caused by a conduction problem or if it’s due to a particular type of arrhythmia. Secondly, you must measure the patient’s blood pressure to assess for hypotension. This is a critical indicator as it shows the patient’s hemodynamic stability. With bradycardia, a patient can experience lowered blood pressure and reduced cardiac output. Lastly, you must keep a record of the oxygen saturation levels. This information is necessary to ensure that the patient has adequate oxygen being delivered to body tissues.
Establish IV access:
To facilitate the administration of fluids, medicine, and other forms of treatment, you must obtain intravenous (IV) access. Consider using a large-bore catheter if it's available. This allows you to infuse medication or fluids more rapidly if necessary. Get ready to administer medications like atropine or other drugs as indicated in the bradycardia algorithm. If the patient is in shock or hypovolemic, provide them some fluids.
Obtain a 12-lead ECG:
To obtain a 12-lead electrocardiogram (ECG), place electrodes on the patient. This will provide a comprehensive view of the patient’s heart’s electrical activity, allowing you to diagnose the type of bradycardia. You will also be able to identify other underlying ischemic or structural changes in the patient’s heart. Additionally, conduct an analysis of the ECG to determine which type of bradycardia the patient has. It might either be an atrioventricular block or sinus bradycardia. This information will guide you on the treatment decisions to take.
Evaluate for symptoms:
Evaluate the patient’s symptoms to determine if bradycardia is causing major symptoms. Look out for symptoms such as signs of shock, altered mental status, ischemic chest discomfort, or acute heart failure. If any of these symptoms is present, proceed with the algorithm. Follow the protocol to administer the necessary interventions and appropriate treatments. Interventions taken should be guided by how severe the underlying causes and symptoms are. You can choose to provide pacing, pharmacological treatment, or any other measure as indicated in the algorithm.
Pharmacological treatment:
After evaluating the symptoms, you can go on and administer the pharmacological treatment. Consider the following options as guided by the protocol:
Atropine: This is the first-line drug administered for symptomatic bradycardia. Administer 1 mg IV push, and you can repeat this every 3-5 minutes up to a total dosage of 3 mg. If the patient is not responding to atropine, consider giving transcutaneous pacing. The other option is epinephrine infusion (2-10 mcg/kg per minute. This should be titrated to the patient’s response). You can also administer dopamine infusions (5-29 mcg/kg per minute, titrated to the patient’s response).
Consider expert consultation:
After attending to the patient and if they fail to respond to treatment, seek expert consultation. If transcutaneous pacing is unavailable or ineffective, consider using transvenous pacing.
Conclusion
Bradycardia affects individuals of different age groups based on factors such as age, diet, and certain medical conditions. As per the ACLS bradycardia algorithm, you must evaluate a patient's symptoms to determine how severe the condition is. This will guide you on the appropriate treatment measures to take to help save a life and prevent further complications for a patient.
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Text
What is the ACLS Bradycardia Algorithm?
The ACLS (advanced cardiovascular life support) bradycardia algorithm is a protocol that healthcare providers use to manage patients with bradycardia. Bradycardia is a condition that slows down the heart rate to less than 50-60 beats per minute. Signs and symptoms of bradycardia include altered mental state, fatigue, hypotension, sweating, ischemic chest discomfort, acute heart failure, or signs of shock. In most cases, an individual with bradycardia does not get sufficient oxygenated blood to various parts of their body. Failure to treat bradycardia can lead to severe conditions such as syncope. However, it is worth noting that an individual may also experience a slow resting heart rate due to age or physical fitness activities. This blog will help you understand the ACLS bradycardia algorithm, its key steps and how to identify the underlying cause.
Causes of bradycardia
Identifying the main causes of bradycardia is important for effective treatment and management of the condition. Some of the factors that may cause bradycardia include:
Hypothyroidism
Inflammatory diseases
Imbalance of electrolytes
Myocarditis
Obstructive sleep apnea
Hypertension
Tissue damage due to heart attack, heart disease, or aging
Congenital heart defect
Essential steps in the ACLS bradycardia protocol
Understanding and effectively applying the ACLS bradycardia algorithm can be life-saving in critical situations. Every step is designed systemically to address and manage the symptoms of bradycardia and stabilize the patient’s condition promptly. Here are the steps of ACLS bradycardia:
Airway opening:
Ensure the patient’s airway is open. If not, you must assist the patient with breathing. You can do so while using the following steps:
Airway management: Begin by conducting an assessment of the patient’s airway. This will inform you if it is clear or not. Obstruction of the airway leads to inadequate oxygenation and may further exacerbate bradycardia. To assist the patient in maintaining the airway, you can apply techniques like jaw-thrust or head-tilt. If need be, you can also consider advanced airway management.
Assisting breathing: Once you establish that the patient is not breathing well, assist their breathing with ventilation using a bag-mask device or provide supplemental oxygen. Proper ventilation is crucial to improve the patient’s oxygen supply and lower the risk of further complications.
Administer oxygen if hypoxemic:
To measure the patient’s level of oxygen saturation in the body, use a pulse oximeter. Low oxygen levels, usually below 94%, mean that you must administer supplemental oxygen. You can deliver this either through a non-rebreather mask or a cannula. The method you will use depends on how severe the hypoxemia is. Moreover, it is not enough to administer oxygen. You need to conduct a continuous assessment of the patient’s oxygen saturation. This will guide you on how to adjust the flow rate of oxygen accordingly to ensure sufficient oxygenation.
Attach cardiac monitor for rhythm identification, monitor blood pressure and oximetry:
Use a cardiac monitor to evaluate the patient’s heart rhythm. This will guide you to know if the bradycardia is caused by a conduction problem or if it’s due to a particular type of arrhythmia. Secondly, you must measure the patient’s blood pressure to assess for hypotension. This is a critical indicator as it shows the patient’s hemodynamic stability. With bradycardia, a patient can experience lowered blood pressure and reduced cardiac output. Lastly, you must keep a record of the oxygen saturation levels. This information is necessary to ensure that the patient has adequate oxygen being delivered to body tissues.
Establish IV access:
To facilitate the administration of fluids, medicine, and other forms of treatment, you must obtain intravenous (IV) access. Consider using a large-bore catheter if it's available. This allows you to infuse medication or fluids more rapidly if necessary. Get ready to administer medications like atropine or other drugs as indicated in the bradycardia algorithm. If the patient is in shock or hypovolemic, provide them some fluids.
Obtain a 12-lead ECG:
To obtain a 12-lead electrocardiogram (ECG), place electrodes on the patient. This will provide a comprehensive view of the patient’s heart’s electrical activity, allowing you to diagnose the type of bradycardia. You will also be able to identify other underlying ischemic or structural changes in the patient’s heart. Additionally, conduct an analysis of the ECG to determine which type of bradycardia the patient has. It might either be an atrioventricular block or sinus bradycardia. This information will guide you on the treatment decisions to take.
Evaluate for symptoms:
Evaluate the patient’s symptoms to determine if bradycardia is causing major symptoms. Look out for symptoms such as signs of shock, altered mental status, ischemic chest discomfort, or acute heart failure. If any of these symptoms is present, proceed with the algorithm. Follow the protocol to administer the necessary interventions and appropriate treatments. Interventions taken should be guided by how severe the underlying causes and symptoms are. You can choose to provide pacing, pharmacological treatment, or any other measure as indicated in the algorithm.
Pharmacological treatment:
After evaluating the symptoms, you can go on and administer the pharmacological treatment. Consider the following options as guided by the protocol:
Atropine: This is the first-line drug administered for symptomatic bradycardia. Administer 1 mg IV push, and you can repeat this every 3-5 minutes up to a total dosage of 3 mg. If the patient is not responding to atropine, consider giving transcutaneous pacing. The other option is epinephrine infusion (2-10 mcg/kg per minute. This should be titrated to the patient’s response). You can also administer dopamine infusions (5-29 mcg/kg per minute, titrated to the patient’s response).
Consider expert consultation:
After attending to the patient and if they fail to respond to treatment, seek expert consultation. If transcutaneous pacing is unavailable or ineffective, consider using transvenous pacing.
Conclusion
Bradycardia affects individuals of different age groups based on factors such as age, diet, and certain medical conditions. As per the ACLS bradycardia algorithm, you must evaluate a patient's symptoms to determine how severe the condition is. This will guide you on the appropriate treatment measures to take to help save a life and prevent further complications for a patient.
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Best Child Hospital in Jaipur
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Best child Hospital in Jaipur: Premier Child Healthcare Services
Pediatric unit in Ganadhipati Purushottam Shekhawati Hospital is a unique, one-stop healthcare facility set up for the needs of all babies, children, and teenagers. We are committed to delivering top-quality medical services with great care and compassion. That’s why Shekhawati Hospital is one of the best Child hospital in Jaipur.
The institute provides complete, compassionate, state-of-the-art healthcare services for children from birth to adolescence who have special health care needs that are different from adults. The Pediatric department provides its expert services in child medicine & surgery. The hospital is well equipped to perform all kinds of pediatric surgeries.
Pediatric Intensive Care Unit:
We also have a highly well-equipped level 3 Pediatric intensive care unit. From the age of 28 days to 16 years, the unit takes care of very sick children.
The unit can ventilate up to three patients at once and is equipped with the most advanced ventilators and monitoring systems. Patients with a wide variety of critical illnesses are treated there, including septicemia, shock, respiratory, gastrointestinal, and renal problems. Small children are well taken care of in the unit.
It is well supported by all pediatric and pediatric surgical subspecialties including neurology, gastroenterology, nephrology, pulmonology, cardiology, endocrinology, and rheumatology 24 hours a day.
Handpicked nurses passionate about caring for children are highly trained. All critically ill children are monitored and managed by a team of one person for optimal outcomes.
A great deal of emphasis is placed on infection control at all levels, including ensuring that visitors wash their hands thoroughly. Infections have been well controlled with these measures. All referral areas have access to pediatric critical care transport services by ground transport or air ambulances round the clock.Some state-of-the-art facilities available in the unit are:
Cardiac Output monitoring
High-Frequency Oscillatory Ventilation (HFOV).Continuous Renal Replacement Therapy (Dialysis) for infants and childrenMolecular Adsorbent Recycling System (MARS) therapy for liver failureFlexible bronchoscopy for all ages
Why Choose Shekhawati Hospital for Best child Hospital in Jaipur ?
Shekhawati hospital is one of the best child hospitals in jaipur. The staff and doctors are highly trained and experienced in caring for children of all ages, from newborns to teenagers at the same time are also kind, supportive, and patient with a child’s needs.
We address various medical needs from birth through the child’s developing years at our facility in Neonatal, Immunization, and Lactation. The scope of pediatric specialties is supplemented by a multidisciplinary approach. We offer a wide range of services, including immunizations, well-child checkups, sick child visits, and more. So if you are looking for a great place to take your child for pediatric or neonatal care, be sure to check out Shekhawati hospital. You and your child will be glad you did.
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nursingscience · 2 months ago
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𝗛𝗬𝗣𝗘𝗥 𝗧𝗘𝗡𝗦𝗜𝗢𝗡
Hypertension is the term used to describe high blood pressure. Hypertension is repeatedly elevated blood pressure exceeding 140 over 90 mmHg. It is categorized as primary or essential (approximately 90% of all cases) or secondary due to an identifiable, sometimes correctable pathological condition, such as renal disease or primary aldosteronism.
▪️Normal: Less than 120/80 mmHg;
▪️Elevated: Systolic between 120-129 and diastolic less than 80;
▪️Stage 1: Systolic between 130-139 and diastolic 80-89
▪️Stage 2: Systolic 140 or higher and diastolic at 90 or higher.
▪️Hypertensive Crisis: Higher than 180 for systolic and diastolic higher than 120.
𝗖𝗟𝗔𝗦𝗦𝗜𝗙𝗜𝗖𝗔𝗧𝗜𝗢𝗡 𝗢𝗙 𝗕𝗟𝗢𝗢𝗗 𝗣𝗥𝗘𝗦𝗦𝗨𝗥𝗘 𝗙𝗢𝗥 𝗔𝗗𝗨𝗟𝗧𝗦
The American College of Cardiology and American Heart Association published new guidelines (as of 2018) and ways to categorize blood pressure.
Blood pressure is determined by the interaction of cardiac output and peripheral resistance. Hypertension can result from increased cardiac output, increased peripheral resistance, or both. Various factors contribute to hypertension, including increased sympathetic nervous system activity, renal sodium reabsorption, activity of the renin-angiotensin-aldosterone system, impaired vasodilation, insulin resistance, and immune response activation.
Hypertension often presents with no physical abnormalities except for elevated blood pressure. However, retinal changes like hemorrhages, fluid accumulation, and narrowing of blood vessels may occur. In severe cases, swelling of the optic disc (papilledema) can be observed. While many individuals with hypertension remain asymptomatic for a long time, the appearance of specific signs and symptoms indicates vascular damage. This can manifest as angina, myocardial infarction, left ventricular hypertrophy, heart failure, kidney dysfunction, nocturia, and cerebrovascular complications such as transient ischemic attacks or strokes.
𝗡𝗨𝗥𝗦𝗜𝗡𝗚 𝗖𝗔𝗥𝗘 𝗣𝗟𝗔𝗡𝗦 𝗔𝗡𝗗 𝗠𝗔𝗡𝗔𝗚𝗘𝗠𝗘𝗡𝗧
Nursing care management and care plans are essential for patients with hypertension as they provide structured guidance for nurses to assess, plan, implement, and evaluate interventions tailored to the patient’s needs. These plans help monitor blood pressure, promote medication adherence, and provide education on lifestyle modifications, ultimately improving patient outcomes.
𝗡𝗨𝗥𝗦𝗜𝗡𝗚 𝗣𝗥𝗢𝗕𝗟𝗘𝗠 𝗣𝗥𝗜𝗢𝗥𝗜𝗧𝗜𝗘𝗦
▪️The following are the nursing priorities for patients with hypertension:
▪️Prevent complications and death through aggressive hypertension management.
▪️Weight reduction and lifestyle & dietary modifications.
▪️Promoting adherence to therapeutic regimen.
𝗡𝗨𝗥𝗦𝗜𝗡𝗚 𝗔𝗦𝗦𝗘𝗦𝗦𝗠𝗘𝗡𝗧
▪️Thorough health history, physical examination, retinal assessment, and laboratory tests are crucial for evaluating hypertension and identifying target organ damage. Risk factor assessment guides treatment for cardiovascular complications
▪️Assess for the following subjective and objective data:
Adult BMI greater than 25 kg/m2
Triceps skinfold more than 15 mm in men and 25 mm in women (maximum for age and sex)
Reported or observed dysfunctional eating patterns
Sedentary lifestyle
Verbal report of fatigue or weakness
Abnormal heart rate or BP response to activity
Exertional discomfort or dyspnea
Electrocardiogram (ECG) changes reflecting ischemia; dysrhythmias
Verbal reports of throbbing pain located in suboccipital region, present on awakening and disappearing spontaneously after being up and about
Reluctance to move head, rubbing head, avoidance of bright lights and noise, wrinkled brow, clenched fists
Changes in appetite
Reports of stiffness of neck, dizziness, blurred vision, nausea, and vomiting
Assess for factors related to the cause of hypertension:
Increased vascular resistance, vasoconstriction
Myocardial ischemia
Myocardial damage
Ventricular hypertrophy/rigidity
Generalized weakness
Sedentary lifestyle
Imbalance between oxygen supply and demand
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poweredbytiktik · 3 months ago
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BMI BMR Body Composition. #poweredbytiktik #tiktikglobal #tiktik #asktik...
How Bioimpedance Sensors Work
Bioimpedance sensors rely on the principle that different body tissues (e.g., fat, muscle, bone, water) have distinct electrical properties. When a small current is passed through the body, the sensor detects the resulting voltage and computes the impedance. From this data, it can infer various biological metrics.
Key Metrics Measured by Bioimpedance Sensors:
Body Composition:
Body Fat Percentage: Bioimpedance is widely used to estimate body fat levels by measuring the difference in how fat and lean tissue conduct electricity. Lean tissues (muscle, water) conduct electricity better than fat, allowing the sensor to estimate body fat percentage.
Muscle Mass: By distinguishing between fat and lean mass, bioimpedance can provide insights into the amount of muscle present in the body.
Bone Density: While less common, some bioimpedance sensors provide estimates of bone mineral density, contributing to overall body composition analysis.
Hydration Levels:
Total Body Water: Bioimpedance can measure the water content in the body, distinguishing between intracellular water (inside the cells) and extracellular water (outside the cells). This can be useful for monitoring hydration status in athletes or patients.
Dehydration Risk: By tracking changes in body water content, bioimpedance sensors can help detect early signs of dehydration, which is critical for maintaining health during physical activity or illness.
Basal Metabolic Rate (BMR):
Bioimpedance sensors can estimate BMR by assessing the body's fat and lean mass composition. BMR refers to the number of calories the body burns at rest to maintain essential functions like breathing and circulation. This data is valuable for designing personalized diet and fitness plans.
Heart Rate and Respiration Rate:
Some bioimpedance sensors can measure cardiac output by analyzing the impedance changes as the heart beats, offering insights into heart rate and, in some cases, respiration rate. This data can be critical for monitoring cardiovascular health and respiratory conditions.
Electrolyte Balance:
The water content and conductivity of tissues also depend on electrolyte levels, such as sodium and potassium, which can influence body impedance. This makes bioimpedance sensors potentially useful in monitoring electrolyte balance, especially in athletes or patients with kidney issues.
Phase Angle:
Phase angle is a bioimpedance-derived metric that reflects the health of cell membranes and overall cell integrity. A higher phase angle is associated with better cell function and health, while a lower phase angle can indicate cell membrane damage or disease.
Fluid Shifts and Edema Detection:
By measuring changes in extracellular water, bioimpedance sensors can detect fluid retention or shifts within the body, making it useful for identifying conditions like edema (swelling due to fluid retention) in heart failure or kidney disease patients.
Heart Health Monitoring:
In addition to measuring heart rate, bioimpedance sensors can monitor changes in the thoracic (chest) impedance, which can help detect conditions like heart failure or arrhythmias by measuring how the heart’s ability to pump blood changes over time.
Blood Pressure (Emerging Use):
Although not yet common, there are emerging applications of bioimpedance in continuous blood pressure monitoring by analyzing changes in vascular resistance. This can offer non-invasive, ongoing blood pressure readings.
Respiratory Monitoring:
Thoracic Bioimpedance can monitor breathing patterns by detecting impedance changes as the lungs fill and empty with air. This can help in managing respiratory conditions like asthma, COPD, or sleep apnea.
Applications of Bioimpedance Sensors
Healthcare: In clinical settings, bioimpedance sensors are used for patient monitoring, especially for tracking hydration, nutritional status, and the management of heart failure and chronic kidney disease.
Fitness and Wellness: Smartwatches and fitness devices equipped with bioimpedance sensors offer body composition analysis, hydration monitoring, and metabolic data, helping users to optimize their fitness goals.
Sports Performance: Athletes use bioimpedance to measure muscle mass, hydration, and recovery status, tailoring their training and recovery strategies.
Wearable Technology: With bioimpedance sensors embedded in wearables, users can continuously monitor body composition and other health metrics in real-time, providing a detailed overview of their overall health and fitness.
Conclusion
Bioimpedance sensors are versatile tools that provide a wide range of health-related metrics, from body composition and hydration to heart and respiratory monitoring. Their integration into wearables and health monitoring devices makes it easier for individuals to access critical health information and track changes over time, leading to more personalized and effective health and fitness management.
#TIKTIKInnovation  #WearableTechnologybytiktik  #Smartwatchbytiktik #TikTikGlobal  #Asktiktik  #Poweredbytiktik  #tiktikai  #lifestylewearables
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petfurri · 2 months ago
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Understanding Hydralazine: A Critical Medication for Canine Heart Conditions
As dog owners, we strive to provide the best possible care for our furry companions, especially when it comes to their health. One medication that veterinarians may prescribe for dogs with heart conditions is hydralazine. This article will delve into what hydralazine is, how it works, its benefits for dogs suffering from heart disease, and key considerations for pet owners.
What Is Hydralazine?
Hydralazine is a vasodilator that helps widen blood vessels, making it easier for the heart to pump blood. It is primarily used to manage:
Hypertension: High blood pressure can lead to serious health issues if not properly controlled.
Congestive Heart Failure (CHF): This condition occurs when the heart cannot pump blood efficiently, resulting in fluid buildup in the lungs and abdomen.
Hydralazine can improve the quality of life for dogs with these conditions by enhancing blood circulation and reducing the workload on the heart.
How Hydralazine Works
Hydralazine acts on the smooth muscles in the walls of blood vessels, causing them to relax and expand. This dilation reduces blood pressure, allowing the heart to pump more effectively. By alleviating the strain on the heart, hydralazine can significantly improve circulation and overall heart function in dogs.
Benefits of Hydralazine for Dogs
Effective Blood Pressure Reduction: Hydralazine is particularly effective in lowering elevated blood pressure, which is vital for preventing damage to the heart and other organs.
Improved Cardiac Output: By easing the workload on the heart, hydralazine can enhance cardiac performance, allowing dogs to engage in more physical activity.
Quality of Life Enhancement: Many pet owners report noticeable improvements in their dogs' energy levels and overall demeanor after starting hydralazine treatment.
Compatibility with Other Medications: Hydralazine can be safely combined with other heart medications, allowing for a comprehensive treatment plan tailored to your dog's needs.
Potential Side Effects
While hydralazine is generally well-tolerated, some dogs may experience side effects, including:
Lethargy: Some dogs may show increased tiredness after starting treatment.
Gastrointestinal Upset: Vomiting or diarrhea can occur in some cases.
Hypotension: In rare instances, hydralazine may cause blood pressure to drop too low, leading to weakness or dizziness.
Allergic Reactions: Although uncommon, some dogs may have allergic reactions, manifesting as swelling, itching, or difficulty breathing.
Monitoring your dog closely when starting hydralazine is crucial. If you observe any concerning symptoms, contact your veterinarian immediately.
Dosage and Administration
The appropriate dosage of hydralazine will depend on your dog’s specific condition, size, and response to treatment. It is typically administered orally in tablet form. Your veterinarian will likely begin with a low dose and adjust it based on your dog’s response.
Always follow your veterinarian’s instructions closely and never change the dosage without consulting them first.
Importance of Regular Veterinary Monitoring
Regular veterinary check-ups are essential for dogs taking hydralazine. Your veterinarian will monitor your dog’s blood pressure and overall health to ensure the medication is effective and to make any necessary adjustments to the treatment plan.
Additionally, keep an eye on your dog for any changes in behavior, appetite, or energy levels, and report these to your veterinarian promptly.
Lifestyle Considerations for Heart Health
In addition to medication, lifestyle changes can play a significant role in managing your dog’s heart health. Here are some considerations:
Diet: A balanced diet that supports heart health is crucial. Consult your veterinarian for recommendations on appropriate food.
Exercise: Regular, moderate exercise can help maintain a healthy weight and improve cardiovascular health. Always consult your veterinarian about the best exercise routine for your dog, particularly if they have heart conditions.
Stress Management: Minimize stress in your dog’s environment, as stress can exacerbate heart issues.
Conclusion: Taking Control of Your Dog's Heart Health
Hydralazine can be a vital part of managing heart conditions in dogs, particularly hypertension and congestive heart failure. If your veterinarian has prescribed hydralazine, understanding its benefits and potential side effects will help you make informed decisions about your pet's health.
By staying proactive and maintaining regular veterinary appointments, you can ensure your furry friend enjoys a longer, healthier, and happier life. Don't hesitate to reach out to your veterinarian with any questions or concerns regarding your dog's health and treatment options.
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