Look at your course colleagues’ responses.
From your advanced practice mindset reflect on a discussion you would like to have with two of your course colleagues about their responses.
Post a response individually to each of them that expresses your advanced practice nursing role perspective of the data represented in their response.
APA format
DOI reference link
Use scholarly resources relevant to your advanced practice nursing role (FAMILY NURSE PRACTICIONER) if you are a nurse practitioner what are your observations about the non-conventional modality presented in the schemata, can you locate any evidence or the foundational basic sciences that support the modality, etc?
PLEASE RESPOND TO THE FOLLOWING POST:
Progressive pathophysiologic relationship between an MI and the development of LV Failure, and affects of severity:
With Mr. T., he has several risk factors for MI and LV failure including obesity, black race, untreated hypertension, dyslipidemia, and possibly some genetic factors with his family history. With hypertension, it can cause left ventricular hypertrophy due to overworking the muscle, leading to left ventricular heart failure (McCance & Huether, 2019). In myocardial infarction, risk of death is dependent on several things, some of which are the degree of the dysfunction and ischemia of the left ventricle (McCance & Huether, 2019). Heart failure can occur due to pulmonary congestion and abnormal heart motion, which also decrease stroke volume and ejection fraction post-MI.
Manifestations and management of clients with DVT:
Although some do not necessarily have symptoms when having a DVT, post thrombotic syndrome is a sign that a DVT is present, where a patient may have pain, edema, and ulceration of the limb being affected (McCance & Huether, 2019). Prevention is the main strategy through prophylaxis, one intervention is pneumatic compression devices, proven in random trials to help prevent DVT (Seang et al., 2024). If a DVT is suspected, doppler ultrasound and D-dimer may be helpful. If a high risk patient is found to have a clot, low-molecular weight heparin would be the main line of treatment for anticoagulation followed by three months of therapy, most often with direct thrombin inhibitors (McCance & Huether, 2019).
Summary of things learned from the article:
I have taken care of several patients with DVT but have not considered that about half of people with DVT do not have any symptoms (CDC, 2024). Although I have seen many of these in practice, I think as an NP it will be important to remember the complications that can result from PE/DVT, and educating and prescribing appropriately to prevent reoccurrence since the risk is higher once it has occurred (CDC, 2024).
Centers for Disease Control and Prevention. (2024, May 15). About venous thromboembolism (blood clots). Centers for Disease Control and Prevention. https://www.cdc.gov/blood-clots/about/?CDC_AAref_Val=https://www.cdc.gov/ncbddd/dvt/facts.htmlLinks to an external site.
McCance, K., and Huether, S. (2019). Pathophysiology (8th ed.). Elsevier Health Sciences.
Seang, R., Young, K., & Yun-Hee, K. (2024). Characteristics and effects of intermittent pneumatic compression devices interventions to prevent venous thromboembolism in critical care patients: A systematic review of randomized controlled trials. Korean Journal of Adult Nursing, 36(1), 28–40. https://doi.org/10.7475/kjan.2024.36.1.28Links to an external site.
