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Tachycardia is a condition marked by an abnormally fast or irregular heart rate, surpassing the typical resting rate. In adults, tachycardia is characterized by a pulse rate ranging from 100 to 180 beats per minute. The increased heart rate can result in inadequate blood flow to various body parts, ultimately diminishing the oxygen supply to organs and tissues.
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Nursing management of dysrhythmias involves the following:AssessmentSubjective Assessment:The initial step involves gathering patient-reported symptoms such as dizziness, palpitations, and chest discomfort. It is crucial to collect a detailed history, including previous heart conditions, current medication use, and lifestyle factors like caffeine and alcohol consumption.Objective Assessment:This involves observing clinical signs such as jugular venous distention, cool and pale skin, and...
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Related Experiment Video

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A Protocol for the Administration of Real-Time fMRI Neurofeedback Training
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Tinnitus: Diagnosis and Management.

Sarah N Dalrymple1, Sarah H Lewis1, Samantha Philman1

  • 1University of Virginia, Charlottesville, VA, USA.

American Family Physician
|June 1, 2021
PubMed
Summary
This summary is machine-generated.

Tinnitus, often linked to hearing loss, requires a thorough evaluation to rule out serious causes. Cognitive behavior therapy is the only proven treatment to enhance quality of life for tinnitus patients.

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Area of Science:

  • Otolaryngology
  • Neurology
  • Primary Care Medicine

Background:

  • Tinnitus is a common primary care complaint, often associated with sensorineural hearing loss.
  • While frequently benign, tinnitus can indicate serious underlying conditions like tumors or vestibular schwannoma.
  • A systematic approach is crucial for diagnosis and management.

Purpose of the Study:

  • To outline the standard diagnostic workup for tinnitus in primary care.
  • To identify red flags warranting further investigation, including neuroimaging and specialist referral.
  • To review current evidence-based treatment options for tinnitus.

Main Methods:

  • Targeted patient history and physical examination to identify treatable causes.
  • Comprehensive audiologic evaluation for specific patient subgroups (e.g., unilateral tinnitus, chronic duration).
  • Guidelines for neuroimaging based on clinical presentation (asymmetry, pulsatility, neurological signs).

Main Results:

  • Cognitive behavior therapy is the sole evidence-based intervention proven to improve quality of life.
  • Evidence for sound therapy and tinnitus retraining therapy remains inconclusive.
  • Melatonin, antidepressants, and cognitive training may address associated symptoms like sleep disturbance and mood disorders.

Conclusions:

  • Comprehensive tinnitus care involves identifying treatable causes, ruling out dangerous conditions, and managing associated symptoms.
  • Patient education on tinnitus progression and appropriate specialist referral are essential components of care.
  • Noise exposure avoidance is recommended for prevention and to mitigate progression.