If you were a nutritionist and worked in a hospital in the cardiac unit and discovered...

If you were a nutritionist and worked in a hospital in the cardiac unit and discovered that many 30 day readmissions were from Long Term Care Facilities where liberalized sodium diets are considered quality of life for these patients what would you do?

Expert Solution

ANSWER:-

* Sodium is a key mineral which helps the body to keep right amount of fluid in blood stream.

* Right amount of sodium in diet is very essential .

* Too much of sodium can cause water retention of fluid and and worsen the symptoms like weight gain,swelling etc in cardiac patients .

* Several observational studies have suggeated that more liberal sodium diets have no harmful effects in patients with cardiac disease.

* Sevaral randomized controlled trials imply that dietary sodium, restrictions can cause harm through hypovolemia and increased neurohormonal activation.

* The dietary sodium in take need to be individually tailored based on severity of cardiac conditions and the physiologic responce to sodium loading .

* Especially in diuretic therapy and fluid restriction , sodium restriction may increase sympathetic and renin angiotensin -aldosterone system activation by contributing to intravascular volume depletion .

* Studies conducted in cardiac inpatients with sodium restrictions (800mg/24 hrs) and fluid restriction to liberal sodium and fluid intake showed no significant differences in weight loss,urine output,clinical improvement,,amount of diuretic used,or time of discharge.Readmission rates at 30 days were similar between the two groups.

* SO LIBERAL SODIUM INTAKE DOES NOT MAKE MUCH CHANGE IN ELDERLY WITH CARDIAC DISEASES ,CLOSE MONITORING AND ,MEDICATIONS ARE MORE IMPORTANT.

* AVOID PACKAGED FOOD AND DRINKS .

Nightingale answered 2 years ago

You are a nurse working in a cardiac unit of the hospital. You are interested in...

You are a nurse working in a cardiac unit of the hospital. You are interested in whether blood pressure readings differ depending on the patient’s position. You have collected the systolic blood pressure (SBP) readings for 12 patients in two different positions (supine, standing). The table below provides the results. Assume that SBP differences are approximately normally distributed. Conduct the appropriate test to determine whether SBP differs for the two positions. Assume α=0.05 and show all supporting calculations. Patient SBP...

You are the director of a cardiac surgical unit and you are interested in the difference...

You are the director of a cardiac surgical unit and you are interested in the difference between surgical times for experienced surgeons versus newly-trained surgeons. You collect data on a random selection of surgical operating room time (in minutes) for triple bypass surgery for 12 experienced surgeons and 14 newly-trained surgeons. The patients for all 26 surgeries were similar across a range of clinical and demographic characteristics. Use these data to answer the questions below. Show all supporting calculations. Surgical...

In content in this unit you have explored and discovered many aspects of diversity in the...

In content in this unit you have explored and discovered many aspects of diversity in the workplace. The importance of companies having an understanding of diversity, and its impact in all facets of the culture of that company, are key factors to ensuring a diverse and inclusive workplace environment. With that in mind please address the following prompts in you discussion prompt this week. What are the challenges when an organization practices valuing diversity and inclusion? How can the challenges...

Suppose a planet was discovered with life and you were a member of a team of...

Suppose a planet was discovered with life and you were a member of a team of scientists who were selected to study these new life forms. During your analyses of fossils from this new planet you discovered that speciation rates appear to be 10 times faster than on Earth. Formulate a series of hypotheses (at least 5) for why speciation might be faster on the newly discovered planet. Each hypothesis should include an explanation of how the mechanism would foster...

Chapter 14 A 76-year-old female client is transferred to the cardiac surgery unit from the cardiac...

Chapter 14 A 76-year-old female client is transferred to the cardiac surgery unit from the cardiac intensive care unit (ICU). She had an aortic valve replacement with a mechanical valve and a two-vessel coronary artery bypass graft (CABG) 12 days ago, which was complicated by an intraoperative left cerebrovascular accident (CVA). Her postsurgical course was complicated by delirium while she was in the ICU, and she is now taking Ativan around the clock. Her nursing admission assessment documents that she...

You are a unit manager in an acute care hospital. You are aware that staff occasionally...

You are a unit manager in an acute care hospital. You are aware that staff occasionally leave at the end of the shift with forgotten hospital supplies in their pockets. You remember how often as a staff nurse you would unintentionally take home rolls of adhesive tape, syringes, penlights, and bottles of lotion. Usually, you remembered to return the items, but other times you did not. Recently, however, your budget has shown a dramatic and unprecedented increase in missing supplies,...

Case Study While hospitalized on a cardiac step-down unit, a patient undergoing cardiac monitoring died when...

Case Study While hospitalized on a cardiac step-down unit, a patient undergoing cardiac monitoring died when a lethal cardiac rhythm was missed by the hospital staff. Because of the severity of the outcome, a root cause analysis (RCA) was done. The root cause analysis determined the central monitor screens for the cardiac units were at the nurses’ stations, giving them primary responsibility for oversight. However, the RNs were so busy that the unit secretaries were eventually trained to watch the...

You are the manager of a medical-surgical unit in a not-for-profit, acute care hospital that is...

You are the manager of a medical-surgical unit in a not-for-profit, acute care hospital that is part of a nine-hospital healthcare system. During the budget preparation process for the upcoming fiscal year, the healthcare system leadership mandated 5% cost reductions from the previous fiscal year budget. Labor costs must be evaluated thoroughly for potential cost savings. You strongly feel eliminating nursing positions is not appropriate in this budget reduction initiative. Discuss at least 3 factors you can use to justify...

A hospital claims that 60% of admissions related to cardiac arrest are discharged home alive. A...

A hospital claims that 60% of admissions related to cardiac arrest are discharged home alive. A researcher is suspicious of the claim and thinks that the proportion of survival to hospital discharge following cardiac arrest is lower than 60%. A random sample of 120 cardiac arrest cases show that only 60 survived. Is there sufficient evidence to show that the true population proportion is less than 60%? The test statistic is z=-2.24. What do you conclude? A.Nothing, the conditions to...

Who will perform the audit plan for a hospital that treats cardiac care ? How many...

Who will perform the audit plan for a hospital that treats cardiac care ? How many charts should be audited? How often should the audit be performed? Will the audit form need to be adapted for specific units? Such as pediatrics and newborns? If so, what would you suggest for these units? If not, why not?

Question