Women and cardiac warning symptoms ...

Women and cardiac warning symptoms

Journal of Advanced Nursing, July 2002

This integrative literature review examined the cardiac warning symptoms unique to adult women (1) The final cause was to identify warning symptoms that could be used for screening ends Using MEDLINE and CINAHL, the researcher identified and examined rareed quantitative and qualitative studies mannersed between 1995 and 2000. The researcher then analyzed the studies to identify the presenting symptoms of coronary artery disease in women

Findings. From the analysis, the researcher discovered that women with acute myocardial infarction near with a variety of symptoms, including chest pain, fatigue, shortness of breath, back pain, edema, and transient nonspecific discomfort. Furthermore, the researcher conclud that symptoms other than chest pain do not always be derived in a more complete evaluation for coronary artery disease.

Clinical implications. succors should be aware that women with acute myocardial infarction may not not away with symptoms typically associated with myocardial infarction in men The researcher hints that women with two or more risk factors for coronary artery disease be assessed carefully for les customary symptoms, such as fatigue, shortness of breath, back pain, and transient nonspecific chest pain. nourishs should assess any patient who complains of chest pain or les commonly reported symptoms carefully and be alert to sex differences in the presentation and symptomatology of coronary artery disease.

Using goal-directed intraoperative fluid administration

Anesthesiology, October 2002

This prospective, randomized consideration examined the effects of goal-directed intraoperative fluid administration upon postoperative length of hospital stay. (2) the same hundred patients undergoing major elective surgery with an anticipated vital current loss less than 500 mL were assigned randomly to a standard intraoperative care form into groups or a protocol group. Patients in the protocol clump received standard care in addition to intraoperative plasma compass expansion guided by esophageal Doppler monitor to maintain maximum hit volume. Patients in both disposes were similar in demographics, American Society of Anesthesiologists physical status, duration of anesthesia, intraoperative fentanyl use, and representation of surgery.

Findings. Researchers lay the foundation of that patients in the protocol cluster had significantly higher stroke contortion and cardiac output at the fall of the curtain of surgery compared to patients in the standard intraoperative care assemblage Patients in the protocol arrange had a statistically significant shorter fulness of stay and resumed intake of solid provenders earlier. Goal-directed intraoperative fluid administration also comeed in earlier return to bowel function and lower incidence of postoperative nausea and vomiting.

Clinical implications. The findings propose that goal-directed fluid administration with 6% hetastarch may improve patient issues and result in shorter details of stay. Nurses working in the OR and other perioperative settings should be aware of patients at high risk for fluid los and work with other providers to intercept intraoperative hypovolemia.

Methicillin-resistant Staphylococcus aureus

Journal of Hospital Infection, May 2002

This close attention examined the prevalence of and risk factors for methicillin-resistant Staphylococcus aureus (MRSA) colonization in a sample of 430 surgical patients admitted to general surgical and orthopedic units. (3) Patients were examined during a three-month period. Preexisting damage and nasal swabs were sent for culture

Findings. Twenty-three (53%) patients were positive for MRSA as indicated from initial swab.

Identified risk factors included

* previous admission to a nursing home

* being older than 70 years of age,

* being male, and

* previous hospital admission.

Clinical implications. Researchers and clinicians ne to work to identify risk factors related to MRSA colonization in specific patient populations, defence for colonization before elective surgery and administer appropriate prophylaxis. Patients considered at high risk for MRSA colonization who are undergoing necessity surgery should be evaluated to determine whether preoperative prophylaxis is indicated.

Drinking and surgical dexterity

British Journal of Surgery June 2002

This contemplation evaluated five male surgeons and the consequences of binge drinking on surgical dexterity immediately after and the morning after alcohol intake. (4) Each surgeon was trained upon a laparoscopic surgical simulator until he reached a desired performance flush Each surgeon was tested after a filled night of sleep with no alcohol, a nap deprived night out without alcohol, and a be motionless deprived night out with alcohol.

Findings. in succession average, surgeons consumed 10.33 units of alcohol, had a breath-alcohol of the same height of 0.86%, and had 375 hours of be still after a typical night abroad with alcohol. They made more errors, took more time to whole tasks, and overused diathermy after a night without with alcohol.