Therapy For The Elderly With Atrial Fibrillation Essay

ANTICOAGULATION THERAPY FOR THE ELDERLY WITH ATRIAL FIBRILLATION ANTICOAGULATION THERAPY FOR THE ELDERLY WITH ATRIAL FIBRILLATION By Rebecca J Hoistad Bachelor of Science, North Dakota State University, 2011 Scholarly Project Submitted to the Graduate Faculty Of the University of North Dakota In partial fulfillment of the requirements For the degree of Master of Physician Assistant Studies Grand Forks, North Dakota May 2017 TABLE OF CONTENTS ACKNOWLEDGMENTS...3 ABSTRACT....4 CHAPTERS INTRODUCTION...6 REVIEW OF LITERATURE..7 Theme 1. Pathology and diagnosis of atrial fibrillation...8 Theme 2. Current anticoagulation therapy for atrial fibrillation11 Theme 3. Anticoagulation for patients with multiple diagnoses along with atrial fibrillation..16 DISCUSSION18 APPLICABILITY TO CLINICAL PRACTICE...19 REFERENCES20 ACKNOWLEDGMENTS I would like to express many thanks for my advisor Daryl Sieg for all of the support. I would also like to thank Dr. Klug for her guidance in the statistical aspect of this paper. Thank you to Allison Frank at the coagulation clinic in Fargo for taking the time to discuss my paper with me. Her view on these medications was very beneficial. My family has also been a huge support during this whole process.Show MoreRelatedMethods for Mitigating Medication Errors813 Words   |  3 PagesOne of the biggest issues regarding nursing, medicine, and healthcare today is that of patient safety and medication administration and its impact on providing effective care, especially to the elderly. Anytime a patient is to receive a medication, several checks must be taken in order to ensure that the patient receives not only the appropriate type but also the correct dose. This is of utmost importance with regard to high-risk medications, such as warfarin. As a mainstream drug that is usedRead MoreCommon Category Of Cardiac Arrhythmias1719 Words   |  7 PagesIntroduction Atrial Fibrillation Atrial Fibrillation (AF) known to be the common category of cardiac arrhythmias. It is mainly due to the rate or rhythm abnormalities of the heart and is a type of ‘supraventricular tachycardia’ (SVT). Rapid and irregular heart beating is a characteristic sign of atrial fibrillation. It is of significance since it a high risk of leading to thromboembolic events, heart failure and mortality (1). The prevalence of atrial fibrillation globally has increased significantlyRead MoreMotor Development Skills in Stroke Patients Essay2459 Words   |  10 Pagesplight of stroke patients, one finds that there are many causes or reasons why people fall victim to strokes. Accidents, diet, and old age-related factors are most often identified. Similarly, there exists some consensus as to appropriate treatment or therapy, which of course is dependent upon the individual and actual condition. The risk of stroke in all Americans increases after the age of 45. More often that not, clinicians are predisposed to prevention over treatment. Arteriosclerosis has been identifiedRead MorePatients With Newly Diagnosed Hypothyroidism And Their Caregiver1107 Words   |  5 Pagesclinical response to replacement therapy may continue for months. Normally, L-thyroxine administration improves clinical symptoms associated with hypothyroidism without adverse effects. Rare cases of intolerance which may be caused by reaction to tablet colors or other constituents have been report (Garber, 2012). The most common problem with L-thyroxine therapy is inadequate dosage and control. Excessive dosage of L-thyroxine could develop the patient atrial fibrillation or symptoms seen in hyperthyroidismRead MoreThe Treatment Goal Of 75 Year Old Male With Hypothyroidism1592 Words   |  7 Pagesreference range (0.4–2.5mU/L). Treatment of hypothyroidism in elderly subjects is a common task undertaken in general and in sub specialty practice. Treatment of hypothyroidism in elderly subjects is often rewarding, simple and cheap (Roe, 2015). Thyroid hormones (L-thyroxine). Hypothyroidism is classically treated by oral replacement with synthetic L-thyroxine (levothyroxine). Normalization of TSH levels using levothyroxine therapy can ameliorate the effects of comorbidities in older adults (HennesseyRead MoreA Study On A Cerebral Vascular Accident1464 Words   |  6 PagesCVA, or brain attack. The majority of patients who have had a stoke will have another one within one year. Stoke tend to occur more often in the southern United States also known as the â€Å"stroke belt†. This may be related to the larger number of elderly, tobacco use, and obesity. A cerebral vascular accident ranks high in the major leading causes of death in the United States, and it happens nearly every four minutes. There are three different types of stroke ischemic, hemorrhagic, and transientRead MoreThe Prevalence Of Strokes Among Women2725 Words   |  11 Pagesrepeated in every medical textbook. The epidemiology of stroke in the fem ale presents unique characteristics that manifest in different ways in relation to males. 7 Specific risk factors unique to young women that cultivate this condition include atrial fibrillation, migraines, the use of birth control pills, and pregnancy. 2,3,5,7 Although stroke treatment focuses on dissolution and extraction of the clot, preventive medicine is the most effective. 7 In order to prevent strokes in young women, accurateRead MoreEssay on Understanding Stroke1983 Words   |  8 Pageswhen its extracellular concentration is sufficiently high. Many experiments show that glutamate plays a key role in ischemic brain damage and that drugs which decrease the accumulation of glutamate or block its postsynaptic effects may be rational therapy for stroke. Glutamate also causes an influx of sodium ions into neurons, correctly anticipating many of the more sophisticated neurophysiological experiments of the past two decades. In a study of spreading depression of cerebral cortical activityRead MoreHeart Failure : A Clinical Syndrome Characterized By Structural Or Functional Impairment Of Ventricular8006 Words   |  33 Pagesfailure may include: - Nocturnal, Non productive cough - Change in weight o Rapid weight gain suggests volume overload o Weight loss may occur in advanced disease - Gastrointestinaldiscomfort - Anorexia - Early satiety - Confusion, especially in the elderly - Depression - Palpitations - Syncope †¢ Physical examination 4 5 13 o Most specific signs of heart failure include: - Elevated jugular venous pressure - Positive hepatojugular reflex - Laterally displaced apical impulse on auscultation - PresenceRead MoreCv Accident Or Stroke Essay1700 Words   |  7 Pagesattack.† As reported by Quick Reference to Occupational Therapy (2014), a physical exam of the patient leads the physician to suspect a CVA and to gauge impairments on a functional scale through confirmation from magnetic resonance imaging (MRI), computed tomography (CT), cerebral angiography, or electroencephalography (EEG). Blood tests for bleeding and clotting disorders may also be performed. Cardiac monitoring may show atrial fibrillation or other arrhythmias (Reed, 2014). Etiology: There are