By Jaime C. Paz MS PT, Michele P. West MS PT

This useful reference presents crucial details for actual therapists delivering sufferer care within the health facility environment. this is often the one booklet written by means of actual therapists that addresses all the parts within the advanced acute care atmosphere.

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Extra resources for Acute Care Handbook for Physical Therapists 2nd Edition

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The CARDIAC SYSTEM 45 Table 1-14. Signs and Symptoms of Valvular Heart Diseases Disease Symptoms Signs Aortic stenosis Angina, syncope or near syncope, signs of left ventricle failure (dysp· nea, orthopnea, cough). Chronic aortic regurgitation Angina, symptoms of left ventricular failure. Acute aortic regurgitation Rapid progression of symptoms of left ven­ tricular failure, pulmo­ nary edema, angina. Mitral stenosis Symptoms of pulmonary vascular congestion (dyspnea, orthopnea), If patienr develops pulmo­ nary hyperrension (which can cause hypoxia, hypotension), he or she may have angina, syncope.

S Underhill-Moner (cds). Car­ diac Nursing (4th ed). Philadelphia: Lippincon. 2000. N Ru1e In VlI. ,. TlvomboIytic Thc:npy Of RevascularbauOQ procedures while in "dR. ,. ,.... , """"'" compIicatiol'lJ and; HoWoMI No bcbernic pWI SIIbIe Rhythm NoCHP No Heart Block HcmodyrwuicaUy ...... We ill with . e ... Ml They ue abo (:OIl$ickm;l for HOIU1 af\c:r 1Idmiuion. 1f$tl,)'II uat»e and CABO; Uncomplicakd die 4-7 days Horpil&lization IOdacftuerisJr: and atabilix for-Klirit)' � MD IDII)' �dlc:l4-4 """' _ ..

The concomitant exercise-related decreases in blood viscosity may be beneficial to post-MI patients. 28 28 AClJrE CARE HANDBOOK FOR PHYSICAL THERAPISTS Elevated white blood cell Counts can indicate that the body is fight­ ing infection, or they can occur with inflammation caused by cell death, such as in M I. Erythocyte sedimentation rate (ESR), another hematologic test, is a nonspecific index of inflammation and is com­ monly elevated for 2-3 weeks after MIP Refer to Chapter 6 for more information about these values.

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