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Related Concept Videos

Nursing Diagnosis01:22

Nursing Diagnosis

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Following assessment, a nursing diagnosis is the next step in the nursing process. It begins after the nurse has collected and recorded the patient data. The purpose of diagnosing is to identify how the client responds to actual or potential health processes, identify factors that bestow or that cause health problems, the etiologies, and identify resources or strengths the individual, group, or community can draw on to prevent or resolve problems.
The nursing diagnosis focuses on evidence-based...
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Formulating and Validating Nursing Diagnosis I01:26

Formulating and Validating Nursing Diagnosis I

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A nursing diagnosis is written when the nurse recognizes a cluster of essential patient data indicating health problems treated with independent nursing interventions. The standardized terminologies of a nursing diagnosis help nurses identify and treat patients' problems. Every electronic health record that uses nursing diagnosis must employ standard diagnostic terminology. Developing an efficient, individualized care plan begins with accurate nursing diagnoses.
There are thirteen domains...
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Documentation of Nursing Diagnosis01:10

Documentation of Nursing Diagnosis

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The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
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Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

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IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
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Formulating and Validating Nursing Diagnosis II01:25

Formulating and Validating Nursing Diagnosis II

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Nursing diagnoses represent a problem validated by major defining characteristics. There are four categories of nursing diagnoses: problem-focused, risk, health promotion or wellness, and syndrome. The anatomy of a nursing diagnosis includes three components: problem statement or diagnostic label, defining characteristics, and related factors.
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Diabetes: Symptoms, Diagnosis, and Complications01:15

Diabetes: Symptoms, Diagnosis, and Complications

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For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
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Novel and Innovative Hybrid Technique for Type A Aortic Dissection
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Novel and Innovative Hybrid Technique for Type A Aortic Dissection

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Acute aortic dissection: a missed diagnosis.

Hiu Fung Wong1, Paul Bevis2

  • 1Bristol Medical School, University of Bristol, Bristol, UK.

BMJ Case Reports
|October 28, 2018
PubMed
Summary
This summary is machine-generated.

Aortic dissection, a serious condition, can mimic indigestion and chest pain. Early diagnosis and endovascular repair are crucial for managing complications like kidney injury.

Keywords:
cardiovascular medicineemergency medicinehypertensionradiologyvascular surgery

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Area of Science:

  • Cardiology
  • Vascular Surgery
  • Nephrology

Background:

  • Untreated hypertension is a significant risk factor for aortic dissection.
  • Aortic dissection can present with varied and sometimes misleading symptoms.

Observation:

  • A 60-year-old male presented with chest pain radiating to the back, initially misdiagnosed as indigestion.
  • Symptoms evolved to include shortness of breath and flu-like illness, with a positive d-dimer test.
  • CT angiography confirmed Stanford type B aortic dissection with right kidney hypoperfusion and acute kidney injury.

Findings:

  • The patient had uncontrolled hypertension despite aggressive medical management.
  • Endovascular repair was performed due to refractory hypertension and deteriorating renal function.

Implications:

  • This case highlights the importance of considering aortic dissection in patients with atypical chest pain and risk factors.
  • Prompt diagnosis and intervention, including endovascular repair, can lead to favorable outcomes in complex aortic dissections.
  • Management of hypertension is critical in preventing and treating aortic dissection and its complications.