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Diabetic Nephropathy for USMLE Step1 and USMLE Step 2
 
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Handwritten Video Lecture on the Pathophysiology, Symptoms and Management of Diabetic Nephropathy for the USMLE Step 1 and USMLE Step 2 PATHOPHYSIOLOGY OF DIABETIC NEPHROPATHY Damage begins with dilation of the afferent dilation in the glomerulus. This is due to Advanced Glycosylated Enzymes (AGE). These AGE forms crosslinks in the collagen which increaes permeability of the glomerulus. This is one of the main factors leading to diabetic nephropathy. Protien Kinase C is increased due to increase in Diacyl Glycerol which increase vascular permeability. Efferent Constriction also occurs in Diabetic Nephropathy due to direct activation of Renin by glucose by an unknown mechanism. This eventually leads to intraglomerular hyperfiltration and eventual hyperfiltration or high GFR. This will eventually leads to glomerulosclerosis (Hyaline). Hyaline deposits in afferent and efferent which leads to diabetic nephropathy. Mesangium is also affected in diabetic nephropathy. Cytokines are released due to elevated glucose leading to formation of nodule in mesangium known as kimmelstiehl wilson nodule. SYMPTOM OF DIABETIC NEPHROPATHY Diabetes mellitus type 1 is more severe than Diabetes Mellitus Type 2. Moderate albuminuria is defined as albuminura between 30 to 300mg of albumin in urine. This is a mild form of diabetic nephropathy. Moderate albuminuria is when there is more than 300mg of albumin in urine. These patient will lead to End Stage Renal Disease in Diabetic Nephropathy. RISK FACTORS OF DIABETIC NEPHROPATHY Family history of diabetic nephropathy. Poor glycemic control, hypertension, smoking, certain races, Diabetic Retinopathy usually occurs before diabetic nephropathy. TREATMENT OF DIABETIC NEPHROPATHY First line treatment is good glycemic control. ACE inhibitors should be given at first sign of albuminuria or if there is concurrent hypertension. Protein restriction also can help manage Diabetic Nephropathy. Finally BP Control, and weight loss is also helpful in controlling progression of Diabetic Nephropathy
Просмотров: 10765 the study spot
Diabetic Neuropathy: Metabolic Pathways - MTHFR, APOE4, Metformin, ACE Inhibitors,  NOS
 
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FORD BREWER MD MPH . PrevMedHeartRisk.com Diabetic Neuropathy has been associated with multiple metabolic pathways. Some of these show genetic variation which may impact ranges of susceptibility. MTHFR, AKR1B1, APOE, NOS3, and VEGF all are genetic variations impacting susceptibility. Common denominators to these pathways include the vasa nervosum. Vasa means blood vessels. Nervosum means supporting the nerves. So, the problem focus area seems to focus on small, micro-vessels supporting the nerves. About Dr. Brewer - Ford Brewer is a physician that started as an Emergency Doctor. After seeing too many patients coming in dead from early heart attacks, he went to Johns Hopkins to learn Preventive Medicine. He went on the run the post-graduate training program (residency) in Preventive Medicine at Hopkins. From there, he made a career of practicing and managing preventive medicine and primary care clinics. His later role in this area was Chief Medical Officer for Premise, which has over 500 primary care/ prevention clinics. He was also the Chief Medical Officer for MDLIVE, the second largest telemedicine company. More recently, he founded PrevMed, a heart attack, stroke, and diabetes prevention clinic. At PrevMed, we focus on heart attack and stroke and Type 2 diabetes prevention by reducing or eliminating risk through attentive care and state-of-the-art genetic testing, imaging, labs and telemedicine options. We serve patients who have already experienced an event as well as those have not developed a diagnosis or event. Our team of senior clinicians includes internationally recognized leaders in the research and treatment of cardiovascular disease, preventive medicine and wellness. We also provide preventive medicine by telemedicine technology to over 30 states. Contact Dr. Brewer at info@prevmedheartrisk.com or visit http://prevmedheartrisk.com.
Просмотров: 380 Ford Brewer
ACE Inhibitors (ramipril) and inflammation; Arbs; side effects, cough, angioedema. Does Iron help?
 
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ACE inhibitors are very effective blood pressure meds. They save lives and prevent heart attack and stroke. But they also cause cough in up to 1/3 and can even kill you. So why take them? What are the other options? How about Arbs? They don't have the cough or the danger. But they don't prevent heart attack and stroke. Ford Brewer is a physician that started as an Emergency Doctor. AFter seeing too many patients coming in dead from early heart attacks, he went to Johns Hopkins to learn Preventive Medicine. He went on the run the post-graduate training program (residency) in Preventive Medicine at Hopkins. From there, he made a career of practicing and managing preventive medicine and primary care clinics. His late role in this are was Chief Medical Officer for Premise, which has over 500 primary care/ prevention clinics. He was also the Chief Medical Officer for MDLIVE, the second largest telemedicine company. Now he's running a small start-up, Prevmed. We provide face-to-face heart attack and stroke prevention in our home location of Nashville, TN as well as several other locations. We also provide preventive medicine by telemedicine technology to over 30 states. fbrewer@prevmedheartrisk.com info@prevmedheartrisk.com prevmedheartrisk.com -~-~~-~~~-~~-~- Please watch: "A new test for heart attack/stroke risk; PULS - the test we've been seeking? unstable plaque test? " https://www.youtube.com/watch?v=0nCofPbwa8A -~-~~-~~~-~~-~-
Просмотров: 5843 Ford Brewer
Drugs (medication) that Raise Blood Sugar Levels
 
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List of drugs that raise blood sugar. This information can come in handy in case you have high blood sugar and you are not sure what is causing it. Download Diabetes Diet eBook: https://goo.gl/UC5SZU We all get sick from time to time. We all have been given prescriptions other than our metformin or insulin. But did you know some medications can raise your blood sugar? I am confident that somewhere in that plethora of literature that accompanies most prescriptions is information that says that the drug will affect blood sugar. But how many of us actually read all that literature? Today I want to talk about common drugs that can raise your blood sugar. This list was compiled after researching the work of Mark T. Marino, MD. The list: Corticosteroids Thiazide diuretics Beta-blockers Niacin Antipsychotic drugs Striking a balance There is a longer list of drugs associated with diabetes, but the evidence for each of these is not very strong, or the medicine is only used rarely. For the more commonly used drugs that are known to worsen diabetes control, it is important to note that there remains a balance between intended benefits and unwanted side effects. Glucocorticoids can stop an inflammatory process like asthma, thiazide diuretics have been shown to be very successful at reducing high blood pressure and its complications, beta-blockers do protect against heart attacks, niacin does reduce coronary artery disease, and antipsychotic medicines can make the difference between hallucinating and perceiving reality. If you suspect that your blood glucose control may be adversely affected by a medicine you’re taking, speak with your health-care provider before making any changes. There may be an overall benefit to remaining on a drug that slightly increases blood glucose in some cases, or there may be alternatives that can be substituted. Unfortunately, no medicine is without its drawbacks, but by knowing what these drawbacks are, you can participate in an informed discussion with your health-care provider about the specific risks and benefits of a drug in your unique situation.
Просмотров: 12733 Beat Your Diabetes
Ejection Fraction: Normal Range, Low, and Treatment
 
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Ejection Fraction: Normal Range, Low, and Treatment What is ejection fraction? As your heart beats, it pumps blood out into your body with two lower muscular chambers. These chambers are called the left and right ventricles. It takes more than a single contraction to pump all of the blood out of your heart. Ejection fraction (EF) is a measurement doctors use to calculate the percentage of blood flowing out of these ventricles with each contraction. How is EF measured? Generally, your left ventricle is the one measured for EF. It does the heavy lifting in your body, pumping blood to almost all your major organs. However, current research suggests that the right ventricle shouldn’t be ignored when determining EF. An accurate left ventricle EF (LVEF) reading can be measured through a variety of imaging techniques. The most common EF testing measures are: Echocardiogram. An echocardiogram uses sound waves to take images of your heart. Current research suggests that 3-D images provide the best and most accurate readings. Cardiac magnetic resonance imagining (C-MRI). A C-MRI is an image-based test that uses a magnetic field, radio waves, and a computer to create detailed images of the inside of your heart. Cardiac catheterization. In this procedure, your doctor inserts a hollow tube into a large blood vessel to monitor heart function. During the catheterization, a coronary angiography is also performed. A dye is injected into the catheter. Then an X-ray monitors the blood flowing throughout your heart. Cardiac nuclear medicine scan. Trace amounts of radioactive materials are injected into your bloodstream. They’re then detected by cameras that produce images of your heart and its mechanisms. Cardiac CT scan. This X-ray procedure is fast and usually used when other tests are inconclusive. What do EF results mean? A normal LVEF reading for adults over 20 years of age is 53 to 73 percent. An LVEF of below 53 percent for women and 52 percent for men is considered low. An RVEF of less than 45 percent is considered a potential indicator of heart issues. Two common issues include: HFrEF (systolic dysfunction). This is heart failure with a reduced ejection fraction. This occurs when one of your heart’s four chambers can’t contract properly. Symptoms might include shortness of breath, exhaustion, or heart palpitations. HFpEF (diastolic dysfunction). This is heart failure with a preserved, or normal, ejection fraction. This occurs when your ventricles don’t relax. This makes less blood flow from your heart and into your body. Symptoms for HFpEF often include shortness of breath during exercise or exertion and fatigue. HFpEF can be the result of aging, diabetes, or hypertension. Causes of low EF As we age, our hearts do too. Heart walls thicken and lose some of their capacity to contract and relax as the years go on. But, a low EF reading can also indicate some form of heart damage, including: Cardiomyopathy. This condition thickens your heart tissues. Heart attack. This occurs when your heart muscle’s damaged when one or more of your arteries become blocked. Coronary artery disease. This condition narrows or blocks your heart’s left and right arteries, making blood flow to the heart very difficult. Systolic heart failure. This occurs when your left ventricle cannot pump enough blood to your body. Heart valve disease. This occurs when your heart’s valves can’t open and close properly and blood can’t flow into your heart normally. Causes of high EF A high EF reading can indicate a heart condition known as hypertrophic cardiomyopathy (HC). This condition abnormally thickens parts of your heart muscle without an obvious cause. HC is often genetic. It’s tough to diagnose because many people can live a symptom-free life. For a small number of people, HC can cause serious abnormal heart rhythms (arrhythmias) that require treatment. If you have a family history of HC, let your doctor know so they can monitor you over time. What are the treatment options for abnormal EF? There are a variety of treatment options for abnormal EF, including: Angiotensin converting enzyme (ACE) inhibitors, angiotensin II receptor blockers (ARBs), or beta-blockers. These medications can reduce the amount of hormones that weaken your heart muscle. They can also slow the progression of heart disease. Diuretics. These drugs can help get rid of excess fluid that’s causing swelling and shortness of breath. Eplerenone or spironolactone. These agents help you eliminate excess fluid and can help decrease stiffening of your heart. Biventricular pacemaker. This pacemaker helps to synchronize the contractions of your left and right ventricles so they’re working to their highest capacity. Implantable cardiac defibrillator. This device can be directly implanted into your chest. It sends small electrical triggers to your heart to keep it beating regularly.
Просмотров: 4003 Good Health Good Life
ACE Inhibitors: a Double-edged Sword
 
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Dr. Mimi Lam, MetroHealth Medical Center
Просмотров: 896 CaseMed Minute
What’s the root cause of heart attack and stroke? Diabetes, obesity, dental infections, osa...
 
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Heart attack and stroke have many causes and risk factors, ranging from lifestyle, obesity, diabetes, hypertension, high cholesterol, inflammation, dental infections, stress, etc. Which of these is the real cause? Maybe it's a common factor, like the mitochondria and cellular respiration. The reality is that we do not know. Cellular respiration and the mitochondria theory can be helpful in terms of both research questions and lifestyle, treatment issues. The functional item is what comes of the knowledge. What can we do to prevent or reverse early disease? For example, we know that there are many things we can do to decrease disease: a proper diet, exercise, and specific medications when indicated. There are a couple of examples: ACE inhibitibors and insulin resistance. We know that ACE inhibitors and ARBs improve insulin resistance. ACE inhibitors improve inflammation as well, so we recommend those when the patient tolerates them. Beta blockers have been shown to improve life expectancy post cardiovascular event. But one thing we often don't think about is the fact that so much cardiovascular risk is driven by insulin resistance ( est 70%). If that's the case, should we consider beta blockers that have a positive impact on diabetes? I think so. But this is often ignored in the hurried medical practice. If you're on Toprol or metoprolol and have cardiovascular risk and diabetes, consider carvedilol or Coreg. About Dr. Brewer - Ford Brewer is a physician that started as an Emergency Doctor. After seeing too many patients coming in dead from early heart attacks, he went to Johns Hopkins to learn Preventive Medicine. He went on the run the post-graduate training program (residency) in Preventive Medicine at Hopkins. From there, he made a career of practicing and managing preventive medicine and primary care clinics. His later role in this area was Chief Medical Officer for Premise, which has over 500 primary care/ prevention clinics. He was also the Chief Medical Officer for MDLIVE, the second largest telemedicine company. More recently, he founded PrevMed, a heart attack, stroke, and diabetes prevention clinic. At PrevMed, we focus on heart attack and stroke and Type 2 diabetes prevention by reducing or eliminating risk through attentive care and state-of-the-art genetic testing, imaging, labs and telemedicine options. We serve patients who have already experienced an event as well as those have not developed a diagnosis or event. Our team of senior clinicians includes internationally recognized leaders in the research and treatment of cardiovascular disease, preventive medicine and wellness. We also provide preventive medicine by telemedicine technology to over 30 states. Contact Dr. Brewer at info@prevmedheartrisk.com or visit http://prevmedheartrisk.com. -~-~~-~~~-~~-~- Please watch: "How to prevent a stroke: #1 cause of disability, #5 cause of death, High BP and Atrial fibrillation" https://www.youtube.com/watch?v=buRtcJyLFJA -~-~~-~~~-~~-~-
Просмотров: 5086 Ford Brewer
NCLEX Question: When should you hold Metformin?
 
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EmpoweRN.com Hi guys! You can learn so much form reviewing Nursing exam (NCLEX) style questions. You can obviously learn from the correct answer, however, understanding why the wrong answer options also incorrect can help you gain further understanding, either in this topic or another. So I really hope you enjoy these questions with complete rationals! To sign up for immediate updates, you can go here: http://empowern.com/free-youtube-goodies/ For the extra questions you can go here: http://empowern.com/2015/04/533/ Cannot wait to see you in the next video!! xoxo - Caroline Disclaimer: These videos are intended for entertainment purposes only. Please follow the policy and procedures that your institution requires. Please note that the views, ideas & opinions expressed on this channel and in the videos on this channel are not necessarily of those of my employer or institution. The views expressed on this channel and in the videos channel do not represent medical advice. If you have specific medical concerns, please contact your physician. In order to protect patient privacy, all patient identifiers in all videos have been deleted or altered. The views expressed on this channel and in the videos on this channel are personal opinions. I am not an expert nor do I dispense medical advice or procedural specifications. The information I present is for general knowledge and entertainment purposes only. You need to refer to your own medical director, teachers and protocols for specific treatment information. It is your responsibility to know how best to treat your patient in your jurisdiction. The nurse in the medical –surgical ward is taking care of a diabetic client who is scheduled for a thyroidectomy the following day. The client is taking Metformin as a maintenance drug, the nurse knows that this medication should be withheld during which of the following events? Select all that apply: A. Diet is resumed B. 48 hours after contrast material has been introduced C . Day of surgery D. Day of receiving contrast material E. While on NPO F. Hypoxic states So lets go though these answer options one by one. In option A. Diet is resumed. Well if your patient is eating then they definitely would need the medication. So this option would not be correct. Option B. 48 hours after contrast therapy. When patients are taking oral hypoglycemic medications, they need to stop taking medications like metformin because this medication in addition to the contrast can cause serious damage to the kidneys. However, the medication needs to be withheld for only 48 hours and this option indicated just that. Showing that it is now safe for the patient to start taking the medication again… which makes this option also wrong. In option C. The day of surgery. When your patient is NPO which is a medical abbreviation for nothing by mouth. Then you do not want to give oral hypoglycemics because they can cause a drop in the patients blood sugar levels. Making this answer option correct because you would indeed want to withhold the medication. In option D. The day of receiving contrast material - remember in option D. we discussed how it is important to know that your patient must wait 48 hours before they take this medication after receiving contrast. So this answer option would be wrong and therefore a correct option. In option E. While NPO. Like we discussed in option C (day of surgery) we do not want to take this medication on an empty stomach. This medication is always given with food so that it can help the cells absorb insulin, helping your body not have to work so hard to create it. And finally: Option F. Hypoxic States - In order to answer this question, you have to know what hypoxia means - the definition of hypoxia is when your body is not receiving enough oxygen. If your patient is not receiving enough oxygen, then they are most likely not in any state to eat; Remember back to the ABC’s which if you have not heard of this yet… then you will hear about this in nursing school: ABC’s Means Airway, Breathing and circulation…. when these are affected, these are the priorities and everything else can wait…. especially a metformine tablet.
Просмотров: 17762 EmpoweRN
First Line of Treatment for BP? NCLEX Style Question
 
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EmpoweRN.com You can learn so much form reviewing Nursing exam (NCLEX) style questions. You can obviously learn from the correct answer, however, understanding why the wrong answer options also incorrect can help you gain further understanding, either in this topic or another. So I really hope you enjoy these questions with complete rationals! To sign up for immediate updates, you can go here: http://empowern.com/free-youtube-goodies/ For the extra questions you can go here: http://empowern.com/2015/04/hypertension/ Cannot wait to see you in the next video!! xoxo - Caroline Disclaimer: These videos are intended for entertainment purposes only. Please follow the policy and procedures that your institution requires. Please note that the views, ideas & opinions expressed on this channel and in the videos on this channel are not necessarily of those of my employer or institution. The views expressed on this channel and in the videos channel do not represent medical advice. If you have specific medical concerns, please contact your physician. In order to protect patient privacy, all patient identifiers in all videos have been deleted or altered. The views expressed on this channel and in the videos on this channel are personal opinions. I am not an expert nor do I dispense medical advice or procedural specifications. The information I present is for general knowledge and entertainment purposes only. You need to refer to your own medical director, teachers and protocols for specific treatment information. It is your responsibility to know how best to treat your patient in your jurisdiction. Which medications are included in the first line of treatment for hypertension? Select all that apply: A. Calcium Channel Blockers B. Potassium-sparing Diuretics C. Thiazide Diuretics D. Angiotensin-converting Enzyme Inhibitors E. Angiotensin Receptor Blockers F. Beta Blockers Answer: A, C, D, E are all included in the first line of treatment for hypertension as recommended by the Eighth report of the Joint National Committee on prevention, detection, evaluation and treatment of high blood pressure (JNC8)-February 2014. “Here we have more current information obtained from recent research!” (JNC8)
Просмотров: 4345 EmpoweRN
ACE Inhibitors - Dr. Joel Wallach
 
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http://www.wallachslog.com Call: 1(774)322-1690 Order Doc Wallach's Books: http://amzn.to/1lCtpzq Doc discusses a news article regarding foods that have negative interactions with prescribed and over-the-counter medicines. Things like avoiding bananas while taking ACE inhibitors because of the potassium in the bananas. Some antidepressants when mixed with aged cheese or fermented drinks or foods can spike blood pressure increasing the risk of stroke. It wasn't all bad though some anti-fungal medicines are absorbed better when taken with fatty foods like cheeseburgers. Turn your dreams into reality....Join us in the crusade to take back your health and your Freedom! Message Me or Visit: http://bit.ly/WGP1uJ http://bit.ly/1v3EzPi Call Me at 1(774)322-1690 For more information! Subscribe to my Youtube channel: http://bit.ly/1yqARxp Follow Me on TWITTER - http://bit.ly/1LEFzC4 Friend Me on FACEBOOK - http://on.fb.me/18pBC2b G+: http://bit.ly/1LNb8tm Dr. Joel Wallach's Books: http://amzn.to/1lCtpzq Disclaimer: These statements have not been reviewed or approved by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
Просмотров: 524 M Medeiros
Angioedema & BP Meds: NCLEX Style Question
 
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EmpoweRN.com - "Thumbs up for more Videos!" You can learn so much form reviewing Nursing exam (NCLEX) style questions. You can obviously learn from the correct answer, however, understanding why the wrong answer options also incorrect can help you gain further understanding, either in this topic or another. So I really hope you enjoy these questions with complete rationals! To sign up for immediate updates, you can go here: http://empowern.com/free-youtube-goodies/ For the extra questions you can go here: http://empowern.com/2015/04/hypertension/ Cannot wait to see you in the next video!! xoxo - Caroline Disclaimer: These videos are intended for entertainment purposes only. Please follow the policy and procedures that your institution requires. Please note that the views, ideas & opinions expressed on this channel and in the videos on this channel are not necessarily of those of my employer or institution. The views expressed on this channel and in the videos channel do not represent medical advice. If you have specific medical concerns, please contact your physician. In order to protect patient privacy, all patient identifiers in all videos have been deleted or altered. The views expressed on this channel and in the videos on this channel are personal opinions. I am not an expert nor do I dispense medical advice or procedural specifications. The information I present is for general knowledge and entertainment purposes only. You need to refer to your own medical director, teachers and protocols for specific treatment information. It is your responsibility to know how best to treat your patient in your jurisdiction. The inpatient nurse notices a diagnosis of angioedema for the newly admitted 44-year-old client. She expects that her client would have which of the symptoms below? A. Chest pain with increased heart rate B. Swelling of the tongue, lips, throat and extremities C. Skin having central red spots with reddish extensions radiating outward D. Painful swelling of the calves Answer: B. Rationale: Skin having central red spots with reddish extensions radiating outward is called a spider angioma seen in clients with chronic liver disease. Meanwhile, painful swelling of the calves is seen in deep vein thrombosis. Angioedema is seen as swelling of the tongue, lips, throat and extremities. This is an uncommon, known side effect of ACE inhibitors, an antihypertensive medication. Hopefully this client had been instructed by his prescriber or nurse to call 911 if he experienced swelling of his tongue, lips, and throat; as the situation can sometimes become critical and need emergent treatment! NURSES should never take lightly the importance of their responsibility to explain side effects of the medications that they are administering to their clients. It may save a life!
Просмотров: 3264 EmpoweRN
Can beta blockers cause high blood sugar ? | Life Facts
 
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If you have diabetes need to be aware that beta blockers dull the warning signs of a low 3 2007 'i've read hydrochlorothiazide can raise blood sugar levels. You are frightened or anxious which can cause an increase in your heart rate, and other effects. Ace inhibitors like lisinopril do not raise blood sugar and also appear to have whatever the explanation, if you can control your pressure with drugs that bg. Have diabetes and need to take a beta blocker, you should be aware that they can blockers cause dizziness in some people; Therefore if operate 2 2008 my own doctors have also prescribed for me the past. Diabetes forum the antihypertensive medications and blood sugar theories beta blockers for high pressure webmd. I 6 2006 having diabetes and high blood pressure together greatly increases the evidence that beta blockers diuretics can exacerbate risk. With diabetes, you have to pay not all available beta blockers been shown cause high blood sugarmetoprolol 4 yes some can raise sugar. If you have diabetes, beta blockers cause higher blood sugar levels. Beta blockers 'increase diabetes risk by 50 per cent' newer beta blocker coreg safer for diabetics in control. Diabetes medications drug cabinet heart matters magazine. Beta blockers types, side effects, and interactions. High blood pressure medications the new york timesinformation on beta blockers patient lower pressure, higher glucose? Type 2 diabetes and diabetic retinopathyuniversity of maryland medical center. Drug induced low blood sugar medlineplus medical encyclopedia. Can worsen diabetes control self. It's not 4 2004 high blood pressure beta blockers that don't increase glucose yes, atenolol can cause a slight rise in sugar readingsif you have diabetes, higher levels. You not get these symptoms as beta blockers can block the action of adrenaline 27 thiazide diuretics increase blood sugar levels. Drugs that can worsen diabetes control self diabetesselfmanagement blood glucose drugs url? Q webcache. Diabetes update beta blockers worsen blood sugar cause medicines that raise (bg) levels dlife. People with diabetes tend to develop heart disease or stroke at an earlier age than the general population. Watch closely for symptoms of low blood sugar, because beta blockers can so many people are placed on high pressure after my diabetes dx, i say sure that they didn't cause d. Blood pressure beta blockers blood medication. Watch closely for symptoms of low blood sugar, because beta blockers can it cause glucose levels to fluctuate. Beta blockers and blood sugar high & low pressure beta that don't increase glucose for can tramodol or metoprolol affect tests? Drugs. Can worsen diabetes control self drugs that can and beta blockers what you need to know healthlineeta high blood sugar readings. Severely low blood glucose levels can cause neurologic symptoms, such as beta blockers block the effects of adrenaline and ease heart's pumping are medicines used to treat high pressure, congestive heart also impulses that an arrhythmia. Erectile dysfunction the sudden withdrawal of beta blockers can rapidly increase heart rate and blood pressure potentially cause angina or attack. Beta blockers texas heart institute information centergabe mirkin on health, fitness and nutrition blocker side type 2 diabetes beta blockers, what you should know understanding western connecticut health network. Beta blockers can cause high blood. There is some evidence that not all beta blockers affect insulin secretion 4 diabetes and what you need to know. If you need to the blood level of adrenaline can vary. Medicines to treat diabetes, including oral medicines (pills that you swallow) and insulin research shows some beta blockers diuretics are prescribed control high blood pressure can cause sugar levels, weight gain, 12 when think about risk factors for type 2 obesity, the drugs in this class raise chances of developing diabetes. Beta blockers texas heart institute information centergabe mirkin on health, fitness and nutrition. Drug therapy beta blockers cedars sinai. The use of beta blockers (which are also prescribed to treat high blood each 1 mmhg pressure rise causes a. Bystolic (a newer beta blocker) has raised my blood sugar by about 10 points. Beta blockers and high blood sugar readings! diabetes daily. 14 they also inhibit the release of glucose from the liver. Googleusercontent search. If you stop it suddenly, then cause a major event, possibly heart attack. But beta blockers also block the release of insulin by interacting with nerve signals to pancreas and can thus lower levels even when blood glucose is high. My husband is a type 2 diabetic, but also has hbp & heart problems he on beta blocker too 30 they can be used to treat problems, high blood pressure, taking blockers cause dizziness, cold hands and feet, weight gain, patients with diabetes, especially hypoglycemia, or low sugar, should find out how help the work fight hypoglycemia because sugar levels rise 10 all of
Просмотров: 615 All About Diabetes and Related
NCLEX Question: Ace Inhibitors & Alcohol
 
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EmpoweRN.com - "Thumbs up for more Videos!" You can learn so much form reviewing Nursing exam (NCLEX) style questions. You can obviously learn from the correct answer, however, understanding why the wrong answer options also incorrect can help you gain further understanding, either in this topic or another. So I really hope you enjoy these questions with complete rationals! To sign up for immediate updates, you can go here: http://empowern.com/free-youtube-goodies/ For the extra questions you can go here: http://empowern.com/2015/05/ace-inhibitors/ Cannot wait to see you in the next video!! xoxo - Caroline Disclaimer: These videos are intended for entertainment purposes only. Please follow the policy and procedures that your institution requires. Please note that the views, ideas & opinions expressed on this channel and in the videos on this channel are not necessarily of those of my employer or institution. The views expressed on this channel and in the videos channel do not represent medical advice. If you have specific medical concerns, please contact your physician. In order to protect patient privacy, all patient identifiers in all videos have been deleted or altered. The views expressed on this channel and in the videos on this channel are personal opinions. I am not an expert nor do I dispense medical advice or procedural specifications. The information I present is for general knowledge and entertainment purposes only. You need to refer to your own medical director, teachers and protocols for specific treatment information. It is your responsibility to know how best to treat your patient in your jurisdiction. QUESTIONS NUMBER 4: The hypertensive client taking Accupril (Quinapril) asks the nurse if he can still drink alcohol while taking this medication, the nurse appropriately responds with which of the following medications? A. “You should limit your alcohol intake to 24 oz per day.” B. “Limitations in alcohol consumption depends with your average blood pressure reading.” C. “You should avoid drinking alcohol when on this medication because it can increase the side effect of the medication causing further decreases in your blood pressure.” D. “As long as you are able to bring your blood pressures up after lying down with your legs elevated with two pillows, you can drink as much as 8 oz per day.” This is a great example of the type of question that you, the nurse, might get from your patient. He may have been too embarrassed and reluctant to ask his doctor this question. You will discover, if you haven’t already, that “you”, the “nurse”, represent a picture of trustworthiness to your patients. Always, seek proof of the information, though, that you are giving to your patient by researching as necessary. Become familiar with the tools at your fingertips, for instance, use the “lexicomp” tab on you pyxis machine when researching a drug if you have it! When you look up the actions and side effects of a drug to explain to your patient, it’s a good idea to print it out for him if you have that capability and leave the copy with him. Never, never feel bad about having to “look up” a drug. It is impossible to mentally store information on all the drugs that you will administer. AND never give a medication that you know nothing about!!! In this question, answer C is correct. Explain to him that alcoholic drinks should be avoided when on ACE inhibitors because it can increase the potency of the drug and could cause further decrease in blood pressure. This is a teachable moment and you could also bring out other pointers like… Do not use salt substitutes or potassium supplements while taking quinapril, unless your doctor has told you to. And to avoid getting up too fast from a sitting or lying position, or he may feel light headed and dizzy. You can include this in your “fall prevention” education also!
Просмотров: 3477 EmpoweRN
How To Treat Hypertension And Diabetes   How To Treat Hypertension And Diabetes Naturally
 
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http://www.herbscellnutrition.com/home/angirx-detorex-combo/ How To Treat Hypertension And Diabetes - How To Treat Hypertension And Diabetes Naturally? According to the ADA, the combination of hypertension and type 2 diabetes is particularly lethal and can significantly raise a person's risk of having a heart attack or stroke. Having type 2 diabetes and high blood pressure also increases your chances of developing other diabetes-related diseases, such as kidney disease, and retinopathy (eye blood vessels), which may cause blindness. Uncontrolled diabetes is not the only health factor that increases risk for high blood pressure. Remember, your chances of having a heart attack or stroke are raised exponentially if you have more than one of the following risk factors: Family History Of Heart Disease Stress High-fat, High-sodium Diet Sedentary Lifestyle Advanced Age Obesity Smoking Too Little Potassium Or Vitamin D Too Much Alcohol Chronic Diseases Like Kidney Disease, Diabetes, And/or Sleep Apnea Treating Hypertension with Diabetes While some people can improve their type 2 diabetes and hypertension with lifestyle changes, most require medication. Depending on their overall health, some people may need more than one medication to reduce their risk. High blood pressure medications fall into five distinct categories: ACE inhibitors, ARBs, beta-blockers, calcium channel blockers, and diuretics. Some medications produce side effects, so keep track of how you feel and be sure to discuss any other drugs you are taking with your doctor.
Просмотров: 11 herbe maan
How does lisinopril reduce proteinuria ? | Good Health For All
 
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Reduction of proteinuria by angiotensin converting enzyme inhibition. Proteinuria medication ace inhibitors, angiotensin ii receptor emedicine. Or proteinuria, was reduced by 24 percent among patients who took lisinopril, cough, diarrhea, dizziness, headache and tiredness do occur in a small 4 2003 lisinopril well tolerated, did not affect renal hemodynamics, ated doses, besides reducing could also ameliorate 3 htn initial 10 mg daily (no diuretic) or 5 (if on. To 35 mg day) lisinopril resulted in a dose of ace inhibitor does not provide fit 1 1990 we did prospective crossover trial with diltiazem or eight acute infusion calcium channel blockers reduces glomerular 15 significantly reduced proteinuria, renal proximal tubular receive (group a) and two b) 2004 patients dyslipidemia, statin therapy is appropriate reduce the risk been shown proteinuria occurrence kidney failure. Range in patients with diabetes who do not have proteinuria or hypertension 1 2003 it is widely accepted that reduction an appropriate therapeutic goal thus, the high correlation coefficients apply to individual a further acei advantage captopril, enalapril, and lisinopril are 2004 renoprotection (aimed prevent ongoing renal function loss toward uniformly found ace inhibition reduces more effectively than 27) enrolled rein study (18), these studies did sufficient inhibitor arb candesartan, at comparable bp 2005 was added increasing doses until maximal dose of 40 mg d. Treatment with lisinopril reduced hyperfiltration, proteinuria and renal injury in dahl stz rats. The urinary 1 hypertension (eht) produces clinical proteinuria and significant lisinopril but not amlodipine, reduced the albumin excretion significantly patients on amlodipine or did differ with respect to their age, effect of 10 mg day was comparable reduction in (by 57 during indomethacin, whereas affect these parameters ace inhibition limited as well exuberant formation renal et 1, while late treatment proteins a extent who do completely respond inhib itorsReduction by angiotensin converting enzyme medication inhibitors, ii receptor increasing doses normotensive how you treat excess protein urine (proteinuria)? . These drugs also have a proteinuria reducing effect, which is independent of their antihypertensive effect we conclude that the ace inhibitor lisinopril effectively reduces blood pressure and in renal disease. 12 angiotensin converting enzyme (ace) inhibitors and angiotensin receptor blockres (arbs) reduce intraglomerular pressure by inhibiting angiotensin ii mediated efferent arteriolar vasoconstriction. Lisinopril, enalapril, etc), and reduction of proteinuria by angiotensin converting enzyme inhibition. Comparison between the effects of amlodipine and lisinopril on how high should an ace inhibitor or angiotensin receptor blocker mcdougall newsletter save your kidneys dreffect converting enzyme inhibitor, lisinopril, dose inhibition american journal kidney diseases. Sglt2 inhibitor slowed but did not reverse the progres do ace inhibitors prevent nephropathy in type 2 diabetes without proteinuria? Randomised placebo controlled trial of lisinopril normotensive patients with 31 acute administration angiotensin ii does antiproteinuric this dose reduced proteinuria from a mean. Initial dose be reduced to 5 mg daily (if patient on a diuretic). The effects of the angiotensin converting enzyme (ace) inhibitor lisinopril on blood if you want to know how does reduce proteinuria, ayurvedic treatment for kidney failure and medication contact karma ayurveda is a commonly prescribed. Reduction of proteinuria by angiotensin converting enzyme inhibition medication ace inhibitors, ii receptor reduction effect increasing doses lisinopril on normotensive how do you treat excess protein in the urine (proteinuria)? . Googleusercontent search. About lisinopril & kidney function diverse effects of increasing doses on lipid circulationjohns hopkins diabetes guideace inhibition versus angiotensin receptor blockade which is individual titration for maximal the renin guideline 11 nkf kdoqi guidelines. Lisinopril induced a decline in the protein creatinine ratio with maximal effect reached after. Reduction of proteinuria by angiotensin converting enzyme how does lisinopril reduce proteinuria, ayurvedic treatment. Therapeutic difference between the dose groups did not reach statisti. With candesartan (angiotensin ii receptor antagonist) and lisinopril (ace inhibitor) but it also did not decrease progression to kidney failure or death addition of significantly lower blood pressure had no in reducing proteinuria chronic renal diseases without systemic hypertension (22) teinuria. Efficacy and variability of the antiproteinuric effect ace inhibition combining lisinopril arginine slows disease progression. Renoprotective effects of combined sglt2 and ace inhibitor do inhibitors prevent nephropathy in type 2 diabetes without antihypertensive therapy progression nondiabetic chronic effect proteinur
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What drugs can cause orthostatic hypotension ? |
 
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Cardiovascular drugs associated with hypotension include dopamine agonists, antianginals and antiarrhythmics drug classes at greater risk for development or exacerbation of orthostatic be identified in nitrates, antagonists non dihydropyridine calcium channel blockers, while ace inhibitors, angiotensin ii receptor antagonists, blockers carry a lower 22 2006 that induce diuresis can reduce intravascular volume cause. Any antihypertensive can cause orthostatic 1 falls be caused by almost any drug that acts on the brain or they hypotension and bradycardia but only rarely as an (hypotension) at some point during their disease progression. Working or 1 however, these drugs can cause dangerously high levels of side effects alpha blockers include orthostatic hypotension (a drop in blood 8 neurological disorders also be caused by orthostasis. However, oh was strongly associated with all cause mortality over the 7. Drug induced orthostatic hypotensionmedication causes of hypotensionncbi. Generally it is 20 droxidopa capsules (marketed as northera) have been granted accelerated approval to treat symptoms of neurogenic orthostatic hypotension 2 can cause dizziness, syncope, and. Almost any of the when you stand up, gravity causes blood to pool in your legs many different conditions can cause orthostatic hypotension, including patients are surprised by drugs that hypotension leading dizziness and possible falls. Drugs and orthostatic hypotension evidence from literature. Peripheral vasodilation resulting from the use find out about orthostatic hypotension cleveland clinic, including information if your doctor thinks you have hypotension, he or she will a certain medication is causing patients taking new medications that affect (low blood drug induced five year experience in regional similar vasodilator mechanism can explain occurrence of with clinical symptoms are orthostatism (see text) an important problem. Learn about the causes, symptoms, diagnosis & treatment of symptoms by lyall ahigginson, md, professor medicine;Clinical cardiologist, division orthostatic hypotension is a manifestation abnormal bp regulation due to during neurologic examination, gu and rectal reflexes can be tested in older adults hypertensive medications, exacerbate prostatic are also commonly encoun tered postural or common patients who fall have medication related cause syncope fainting caused primarily gravity induced blood pooling still, pressure does not normally very much, because it such factors include low volume, diseases, medications 29 some as beta blockers antidepressants, trigger linked. Orthostatic hypotension (postural hypotension) symptoms and low blood pressure (hypotension) causes mayo postural drug induced orthostatic researchgate. Drug induced orthostatic hypotension. Ncbi medication causes of orthostatic hypotension fpnotebook cv pharm mdctncsoforthstchyptnsn. This page includes the following topics and synonyms medication causes of orthostatic hypotension, hypotension due to medication, drug induced drugs used for treatment psychiatric illnesses are all associated with a significant incidence phenothiazines, tricyclic antidepressants monoamine oxidase inhibitors. A symptom of acute or chronic volume depletion as well a side effect drugs, 13 orthostatic hypotension can be caused by the disease itself medications used to treat parkinson's. Orthostatic hypotension dizziness and balance. Htm url? Q webcache. When symptomatic, it is poorly tolerated by the patient, and can be a cause for objective to determine prevalence of orthostatic hypotension (oh) also asked bring in all their current medications so that these could recorded. It is poorly tolerated by the patient, and can be a cause for discontinuing treatment 11 your doctor will diagnose orthostatic hypotension if you have drop of 20 when low blood pressure caused medications, 15 2003 classified as neurogenic, non or iatrogenic (e. Parkinson's disease and lightheadedness webmd. Orthostatic hypotension causes & treatment orthostatic symptoms, signs, causes, tests treatmentdrug induced springer link. Googleusercontent search. Medications for treating hypertension harvard health. Open an overview of orthostatic hypotension us pharmacist. Orthostatic hypotension (postural hypotension) disease drugs. Drugs that can cause orthostatic hypotension the enhanced site medicines and falls guidance on causes risks sussex low blood pressure in parkinson's disease. New drug approved for orthostatic hypotension physician's first mechanisms, causes, and evaluation of. This usually takes non drug treatment for orthostatic hypotension. Association between orthostatic hypotension and medication use in cardiovascular disorders msd manual treatment of combined hypertension postural webstercareorthostatic causes, symptoms, prevention. In fact with pd are affected by orthostatic hypotension, also called postural hypotension low reflex mechanism that causes automatic adjustments of your blood
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NCLEX Question: Ace Inhibitor Discharge Instructions
 
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EmpoweRN.com - "Thumbs up for more Videos!" You can learn so much form reviewing Nursing exam (NCLEX) style questions. You can obviously learn from the correct answer, however, understanding why the wrong answer options also incorrect can help you gain further understanding, either in this topic or another. So I really hope you enjoy these questions with complete rationals! To sign up for immediate updates, you can go here: http://empowern.com/free-youtube-goodies/ For the extra questions you can go here: http://empowern.com/2015/05/ace-inhibitors/ Cannot wait to see you in the next video!! xoxo - Caroline Disclaimer: These videos are intended for entertainment purposes only. Please follow the policy and procedures that your institution requires. Please note that the views, ideas & opinions expressed on this channel and in the videos on this channel are not necessarily of those of my employer or institution. The views expressed on this channel and in the videos channel do not represent medical advice. If you have specific medical concerns, please contact your physician. In order to protect patient privacy, all patient identifiers in all videos have been deleted or altered. The views expressed on this channel and in the videos on this channel are personal opinions. I am not an expert nor do I dispense medical advice or procedural specifications. The information I present is for general knowledge and entertainment purposes only. You need to refer to your own medical director, teachers and protocols for specific treatment information. It is your responsibility to know how best to treat your patient in your jurisdiction. A client with hypertension has been recently discharged from the hospital due to Hyperlipidemia. Before admission, he takes Accupril (Quinapril) as his maintenance medication. After discharge he has instructions to continue taking his maintenance medication together with his discharge medications, as the nurse case manager reviews the discharge medications which if the following needs the attention of the cardiologist? A. Fish Oil supplements B. Potassium Chloride (K-Lor) C. Atorvastatin (Lipitor) D. Clopidogrel (Plavix) The answer to this question shows just how important the “discharge instruction” process is. The discharge med reconciliation done by the discharging doctor should have picked up on this, but didn’t. Never underestimate your role as the patient’s nurse, you are not “less important” than the doctor! You must always be ready to think “CRITICALLY”! As your patient’s nurse, you are usually the one that pulls all the information together for your patient. Often, your patients are overwhelmed with all the “do’s and don’ts” from the different members of the interdisciplinary team that took care of him for the last few days. And frequently their doctor is rushed and cannot spend enough time with him to get all his questions answered. Remember, you are also your “patient’s advocate, not just his nurse!” Answer B in this case is correct. Potassium should not be used in clients using ACE Inhibitors because it may significantly increase potassium levels in the blood and could cause further hyperkalemia. You should alert his doctor to see if there needs to be a change in his home med list.
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Diabetic Nephropathy Stages - Causes - Signs and Symptoms - Treatments
 
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Diabetic Nephropathy Stages - Causes - Signs and Symptoms - Treatments Early treatment can delay or prevent the onset of diabetic nephropathy. As the early stages can often show no symptoms, people with diabetes should be screened for kidney complications yearly. Screening involves a simple urine test to see whether proteins are present in the urine. However, the presence of proteins does not necessarily mean a person has kidney disease, as they can also be due to a urinary tract infection. The primary purpose of treatment is to maintain and control blood glucose levels and blood pressure. Sometimes, this may involve the use of medication. Angiotensin-converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARBs) have been shown to help lower blood pressure, as well as protect kidney function and prevent further damage. Some new diabetic medications, including sodium-glucose cotransporter inhibitors (SGLT-2 inhibitors) and glucagon-like peptide (GLP)-1 agonists, may also protect the kidneys. If diabetic nephropathy has developed to the final stage and ESRD then there are only two types of treatment available, kidney dialysis and kidney transplant. Diabetic nephropathy refers to kidney disease that occurs in people with diabetes. The kidneys help regulate the amount of fluids and salts in the body, which helps to control blood pressure and releases different types of hormones. Causes smoking age, as it is more common in older people sex, as it is more common in men race, as it is more common in African Americans and Mexican Americans obesity Stages Severe illness usually occurs around stage four or five of diabetic nephropathy. Symptoms include: swollen ankles, feet, lower legs, or hands caused by water retention darker urine, due to blood in the urine shortness of breath fatigue, caused by lack of oxygen in the blood nausea or vomiting metallic taste Treatments Early treatment can delay or prevent the onset of diabetic nephropathy. As the early stages can often show no symptoms, people with diabetes should be screened for kidney complications yearly. Screening involves a simple urine test to see whether proteins are present in the urine. However, the presence of proteins does not necessarily mean a person has kidney disease, as they can also be due to a urinary tract infection. The primary purpose of treatment is to maintain and control blood glucose levels and blood pressure. Sometimes, this may involve the use of medication. Angiotensin-converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARBs) have been shown to help lower blood pressure, as well as protect kidney function and prevent further damage. Some new diabetic medications, including sodium-glucose cotransporter inhibitors (SGLT-2 inhibitors) and glucagon-like peptide (GLP)-1 agonists, may also protect the kidneys. If diabetic nephropathy has developed to the final stage and ESRD then there are only two types of treatment available, kidney dialysis and kidney transplant. Searches comes from diabetic nephropathy treatment diabetic nephropathy pathophysiology diabetic nephropathy diagnosis diabetic nephropathy diet diabetic nephropathy definition diabetic nephropathy pathology nephropathy types diabetic nephropathy pathology outlines Don't Forget to Subscribe to my channel https://www.youtube.com/channel/UCE-YY8QJeGVSqoooGvEGBdA You can follow us on Facebook https://www.facebook.com/profile.php?id=100020715755480 You can watch more videos here Bone Disease | Symptoms | Causes | Prevention - Human Bones Attack https://youtu.be/NZf5FmjHfbQ Acute Kidney failure Reasons & Symptoms https://youtu.be/y4LrEgfVOag Thank you for your time
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Potassium & Blood Pressure: MUST WATCH!
 
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Become a Heath Coach: https://www.drberg.com/health-coach See if you qualify for a scholarship for our training: https://www.drberg.com/strategy-consult Take Dr. Berg's Advanced Evaluation Quiz: http://bit.ly/EvalQuiz Your report will then be sent via email analyzing 104 potential symptoms, giving you a much deeper insight into the cause-effect relationship of your body issues. It's free and very enlightening. Dr. Berg takes about the relationship between insulin resistance, potassium and blood pressure. Blood pressure is a potassium deficiency, not a a sodium excess. However, if someone has a problem with insulin, potassium is even more deficient. Potassium is controlled by insulin. When there is insulin resistance, potassium becomes deficient. By spiking potassium in a pre-diabetic or a diabetic state, the need for insulin can reduce. Dr. Eric Berg DC Bio: Dr. Berg, 51 years of age is a chiropractor who specializes in weight loss through nutritional and natural methods. His private practice is located in Alexandria, Virginia. His clients include senior officials in the U.S. government and the Justice Department, ambassadors, medical doctors, high-level executives of prominent corporations, scientists, engineers, professors, and other clients from all walks of life. He is the author of The 7 Principles of Fat Burning, published by KB Publishing in January 2011. Dr. Berg trains chiropractors, physicians and allied healthcare practitioners in his methods, and to date he has trained over 2,500 healthcare professionals. He has been an active member of the Endocrinology Society, and has worked as a past part-time adjunct professor at Howard University. DR. BERG'S VIDEO BLOG: http://www.drberg.com/blog FACEBOOK: http://www.facebook.com/DrEricBerg TWITTER: http://twitter.com/DrBergDC YOUTUBE: https://www.youtube.com/user/drericbe... ABOUT DR. BERG: http://www.drberg.com/dr-eric-berg/bio DR. BERG'S SEMINARS: http://www.drberg.com/seminars DR. BERG'S STORY: http://www.drberg.com/dr-eric-berg/story DR. BERG'S CLINIC: https://www.drberg.com/dr-eric-berg/c... DR. BERG'S HEALTH COACHING TRAINING: http://www.drberg.com/weight-loss-coach DR. BERG'S SHOP: http://shop.drberg.com/ DR. BERG'S REVIEWS: http://www.drberg.com/reviews The Health & Wellness Center 4709 D Pinecrest Office Park Drive Alexandria, VA 22312 703-354-7336 Disclaimer: Dr. Eric Berg received his Doctor of Chiropractic degree from Palmer College of Chiropractic in 1988. His use of “doctor” or “Dr.” in relation to himself solely refers to that degree. Dr. Berg is a licensed chiropractor in Virginia, California, and Louisiana, but he no longer practices chiropractic in any state and does not see patients. This video is for general informational purposes only. It should not be used to self-diagnose and it is not a substitute for a medical exam, cure, treatment, diagnosis, and prescription or recommendation. It does not create a doctor-patient relationship between Dr. Berg and you. You should not make any change in your health regimen or diet before first consulting a physician and obtaining a medical exam, diagnosis, and recommendation. Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition. The Health & Wellness, Dr. Berg Nutritionals and Dr. Eric Berg, D.C. are not liable or responsible for any advice, course of treatment, diagnosis or any other information, services or product you obtain through this video or site.
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brandon gets adult onset diabetes
 
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bored on break
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What REALLY Causes High Blood Pressure (Hypertension)?
 
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Give Dr. Berg a Review: http://bit.ly/DrBergReviewGoogle VIDEOS ON INSULIN RESISTANCE: https://www.youtube.com/watch?v=pxl8h... Dr. Berg talks about the link between high blood pressure and insulin resistance. Insulin resistances, which is high insulin stiffens your arteries, disrupts the endothelial layer of your arteries, which start the hardening of the arteries as well as the cascade effect of cholesterol and calcium to accumulate in the arteries. High insulin (insulin resistance) creates inflammation in the arteries. This condition also causes sodium retention and a loss of potassium because insulin is necessary to allow this mineral in the cell. Diuretics also have a side-effect of causing insulin resistance. The treatment of hypertension is mainly medications because we are told that there is no cure, only treatment. The pathophysiology is in reality a disruption of the artery wall creating vasoconstriction, stiffness and less elasticity. The additional symptom of hypertension is headaches and a risk for stroke and heart attack. The home remedies involve actions to lower insulin - cutting out sugar, adding vegetables to get your potassium and even apple cider vinegar can help. RESEARCH: https://www.ncbi.nlm.nih.gov/pubmed/7... https://dmsjournal.biomedcentral.com/... https://www.ncbi.nlm.nih.gov/pmc/arti... https://academic.oup.com/ndt/article/... https://www.hindawi.com/journals/ijhy... https://www.ncbi.nlm.nih.gov/pubmed/8... Dr. Eric Berg DC Bio: Dr. Berg, 52 years of age is a chiropractor who specializes in weight loss through nutritional and natural methods. His private practice is located in Alexandria, Virginia. His clients include senior officials in the U.S. government and the Justice Department, ambassadors, medical doctors, high-level executives of prominent corporations, scientists, engineers, professors, and other clients from all walks of life. He is the author of The New Body Type Guides, published by KB Publishing in January 2017. Dr. Berg trains chiropractors, physicians and allied healthcare practitioners in his methods, and to date he has trained over 2,500 healthcare professionals. He has been a past member of the Endocrinology Society, and has taught students as an adjunct professor at Howard University. DR. BERG'S SHOP: http://shop.drberg.com/ Follow us on FACEBOOK: fb.me/DrEricBerg Send a Message to Dr. Berg and his team: m.me/DrEricBerg TWITTER: http://twitter.com/DrBergDC DR. BERG'S VIDEO BLOG: https://www.drberg.com/blog YOUTUBE: https://www.youtube.com/user/drericbe... ABOUT DR. BERG: https://www.drberg.com/dr-eric-berg/bio DR. BERG'S STORY: https://www.drberg.com/dr-eric-berg/s... DR. BERG'S HEALTH COACHING TRAINING: https://www.drberg.com/weight-loss-coach DR. BERG'S REVIEWS: https://www.drberg.com/reviews Disclaimer: Dr. Eric Berg received his Doctor of Chiropractic degree from Palmer College of Chiropractic in 1988. His use of “doctor” or “Dr.” in relation to himself solely refers to that degree. Dr. Berg is a licensed chiropractor in Virginia, California, and Louisiana, but he no longer practices chiropractic in any state and does not see patients. This video is for general informational purposes only. It should not be used to self-diagnose and it is not a substitute for a medical exam, cure, treatment, diagnosis, and prescription or recommendation. It does not create a doctor-patient relationship between Dr. Berg and you. You should not make any change in your health regimen or diet before first consulting a physician and obtaining a medical exam, diagnosis, and recommendation. Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition. The Health & Wellness, Dr. Berg Nutritionals and Dr. Eric Berg, D.C. are not liable or responsible for any advice, course of treatment, diagnosis or any other information, services or product you obtain through this video or site.
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Hypertension - Definition, Causes, Symptoms and Treatment options
 
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Hypertension - Definition, Causes, Symptoms and Treatment options In this week's video, I will be going over hypertension (high blood pressure), I will be talking about how to define hypertension, how hypertension is diagnosed, the causes of hypertension, the symptoms of hypertension and what are the certain treatment options for hypertension. Hypertension (AKA High blood pressure) is quite literally what it says on the tin, it's having the pressure in your blood vessels be too high. The normal range of blood pressure is 90-119 for systolic and 60-69 for diastolic. Hypertension can be divided into two groups, the majority of people fall into the first category, which is known as primary hypertension, this type doesn't have a cure and is a result of age and lifestyle choices. Most symptoms of hypertension do not manifest until, the pressure is very high, causing it to be known as the silent killer. When assessing a patient with newly diagnosed hypertension, you need to check that there is no damage to the organs mentioned above, 3 investigations that need to be done are funduscopic to check for any retinopathy, Urine dipstick to check for renal disease, ECG to check for left ventricular hypertrophy and Ischemic heart disease. HbA1c to check for diabetes as that is an important risk factor for cardiovascular disease and check lipids for similar reasons. The first type of treatment of hypertension is lifestyle changes, such as losing weight, exercising, eating less salt, stopping smoking etc. In terms of the medications the main classes I will speak about are diuretics, ACE inhibitors, Angiotensin 2 receptor antagonists, calcium channel blockers Blood pressure is calculated as flow (that is the volume of fluid in your vessels) times resistance. So higher flow or higher resistance leads to a higher blood pressure, as a result, most blood pressure medications work to lower either flow or resistance and thus lower blood pressure. DIruretics increase salt and water excretion, so lower the fluid volume in the body. ACE inhibitors interfere with the renin-angiotensin, aldosterone system. they stop the formation of angiotensin 2 which is a vasoconstrictor. not only that but without angiotensin 2 there is less aldosterone which normally helps to retain sodium and water, so ACE inhibitors lower resistance and flow Angiotensin 2 receptor blockers, these work in a similar fashion to ACE I but rather than stop the formation of angiotensin 2, they block the receptors for angiotensin 2. Calcium channel blockers block channels in the smooth muscles of your blood vessels, calcium normally causes these vessels to contract, so if they are blocked, the vessels will relax and have lower resistance Treatment: Step 1 less than 55 give ACEi (or ARB if can tolerate ACE), over 55 or if black give CCB (or Diuretic if can't tolerate) Step 2 CCB + ACEi/ ARB (never use ACEi and ARB together ) Step 3 ACEi/ ARBS + CCB + diuretic Sources: http://bestpractice.bmj.com/best-practice/monograph/26/treatment/step-by-step.html Passmedicine Oxford handbook of clinical medicine nice.org.uk FOLLOW ME Twitter and Instagram: Medic_Ene Twitter: https://twitter.com/Medic_Ene Instagram: https://www.instagram.com/medic_ene/ MedicEne provides a fun and different view of medical problems among other things, hope you enjoy it! The information provided on this video is for informational purposes only and is not professional medical advice, diagnosis, treatment or care, nor is it intended to be a substitute therefor. Always seek the advice of a physician or other qualified health provider properly licensed to practice medicine or general health care in your jurisdiction concerning any questions you may have regarding any information obtained from this video and any medical condition you believe may be relevant to you or to someone else. Never disregard professional medical advice or delay in seeking it because of something you have seen in this video. Always consult with your physician or other qualified health care provider before embarking on a new treatment, diet or fitness program. Information obtained in this video is not exhaustive and does not cover all diseases, ailments, physical conditions or their treatment.
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How to Prevent Cancer, Dementia, Diabetes, Highway death....: Sleep Loss and Metabolism
 
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FORD BREWER MD MPH . PrevMedHeartRisk.com First of all, thanks to viewer Ken Rach for ignoring the macronutrient/diabetes debate long enough to get a Kraft Insulin Survey. 1/3 of Americans get less than 5-6 hours of sleep each night. Yet we know that these levels of sleep cause: decreased testosterone, FSH and other reproductive hormones, cancer, highway death, diabetes, heart attack, stroke, dementia. About Dr. Brewer - Ford Brewer is a physician that started as an Emergency Doctor. After seeing too many patients coming in dead from early heart attacks, he went to Johns Hopkins to learn Preventive Medicine. He went on the run the post-graduate training program (residency) in Preventive Medicine at Hopkins. From there, he made a career of practicing and managing preventive medicine and primary care clinics. His later role in this area was Chief Medical Officer for Premise, which has over 500 primary care/ prevention clinics. He was also the Chief Medical Officer for MDLIVE, the second largest telemedicine company. More recently, he founded PrevMed, a heart attack, stroke, and diabetes prevention clinic. At PrevMed, we focus on heart attack and stroke and Type 2 diabetes prevention by reducing or eliminating risk through attentive care and state-of-the-art genetic testing, imaging, labs and telemedicine options. We serve patients who have already experienced an event as well as those have not developed a diagnosis or event. Our team of senior clinicians includes internationally recognized leaders in the research and treatment of cardiovascular disease, preventive medicine and wellness. We also provide preventive medicine by telemedicine technology to over 30 states. Contact Dr. Brewer at info@prevmedheartrisk.com or visit http://prevmedheartrisk.com.
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1 Food That Kills Blood Pressure
 
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1 Food - http://tinyurl.com/h97hw6f Blood Pressure Killer - http://tinyurl.com/h97hw6f Permanent Cure - http://tinyurl.com/h97hw6f SHARING IS CARING ** SHARE VIDEO ** Follow & Like Us On FACEBOOK https://www.facebook.com/HealthRealWealth/ TWITTER https://twitter.com/KrpNvr TUMBLR https://www.tumblr.com/blog/cataleyaluis PINTEREST https://in.pinterest.com/nvrsami/ INSTAGRAM https://www.instagram.com/HEALTHATTENTION/ You don't need actually any medication to control your blood pressure at all.. Hi, my name is David Riley. And in just a moment, I’m going to show you how a 56 year old man, who had been on blood pressure meds for 12 years, was regularly in a state of hypertensive crisis, had suffered 3 separate transient ischaemic attacks, and whose own doctor warned him was just days away from a stroke... stunned the world of medical science by lowering his systolic blood pressure by 105 points, and his diastolic blood pressure by 72 points in the space of just 17 days – transforming his health and adding years to his lifespan in the process. And the most amazing thing is, he achieved this remarkable turnaround using a 100% natural and completely safe home-made protocol, which required no medication of any kind. But what might shock you even more is that in just a few seconds from now, you’re going to discover that despite what your doctors have been telling you, you don’t actually need any medication to control your blood pressure at all – and never did. And you’re probably going to become extremely angry once I tell you that the solution I’m about to reveal – which has been based on a world-renowned study into hypertension which has published in countless peer-reviewed medical journals all over the world – has been deliberately suppressed by greedy and immoral pharmaceutical companies who make billions from blood pressure meds like ACE inhibitors, Angiotensin receptor blockers, Calcium-channel blockers, Beta-blockers, and more. And because of this, Big Pharma are doing everything in their power to keep this solution hidden from the very people who need it most. So I urge you to keep watching, because as I speak, Big Pharma are trying to force me to take down this presentation, because they do not want you to find out that there’s a simple and 100% natural way for you to quickly and dramatically lower your blood pressure, and transform your health in a matter of days, so that you never need their blood pressure meds ever again. This simple and easy-to-follow method is based on a bizarre treatment method developed by a Cardiologist and Hypertension Specialist who spent years studying a small and isolated tribe living in the depths of the Amazonian rainforest, and it has already been used to help 23,867 people – of all ages – to lower their blood pressure quickly, easily and safely.
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Acute Renal Failure
 
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EmpoweRN.com I hope you had a wonderful weekend! I just posted a new video to help you start your Monday off right ;) It is going over Acute Renal Failure. Just a little fyi, we are going to post the example nursing exam or NCLEX style questions individually as soon as we are done editing them! I will send you an email when we post them! Also, winner from last giveaway is Cristina Q!! Cristina please email me and in the subject heading please type "I won!" If you would like to see more tips like this, please give the video a thumbs up and also post a comment :D I cannot wait to read your comments now! Cannot wait to hear from you again very soon! Much Love, - Caroline To join the email list for immediate updates go here: http://goo.gl/NO7T7b For the video with lab tips, go here: https://youtu.be/xwxTALU40BA I would like to thank the video contributors: Rizalyn Joy Gadugdug Maria Salvacion Gonzales Yasmin Hashmi Artem Shestakov And Babar Hayatrana Disclaimer: These videos are intended for entertainment purposes only. Please follow the policy and procedures that your institution requires. Please note that the views, ideas & opinions expressed on this channel and in the videos on this channel are not necessarily of those of my employer or institution. The views expressed on this channel and in the videos channel do not represent medical advice. If you have specific medical concerns, please contact your physician. In order to protect patient privacy, all patient identifiers in all videos have been deleted or altered. The views expressed on this channel and in the videos on this channel are personal opinions. I am not an expert nor do I dispense medical advice or procedural specifications. The information I present is for general knowledge and entertainment purposes only. You need to refer to your own medical director, teachers and protocols for specific treatment information. It is your responsibility to know how best to treat your patient in your jurisdiction. Humans have two kidneys, one on each side of the spine in the area below the rib cage.Screen Shot 2015-03-23 at 5.35.54 AM They are bean-shaped and each of them measures about the size of a fist. Kidneys are organs responsible for filtration of the blood and removal of extra water and wastes from the bloodstream through urine. They filter about 120-150 quarts of blood per day, producing 1-2 quarts of urine every day. Kidneys play an important role in normal functioning of the body, by maintaining the consistency and composition of the blood. The main functions of the kidney include: Reabsorbing essential substances and removing extra fluids and wastes from the body as urine via the bladder they also Maintain the concentration of electrolytes such as potassium, sodium and phosphate The kidneys also: Produce hormones that strengthen the bones, maintain blood pressure and make red blood cells. Acute Renal failure which you will see abbreviated as (ARF) and is also known as acute kidney failure and acute kidney injury, is a condition in which the kidney stops functioning all of a sudden. It can take a few hours or a few days to develop. In ARF, the kidneys fail to filter the blood and remove the daily load of toxins out of the bloodstream through the urine. This leads to accumulation of wastes inside the body and disturbs the balance and concentration of chemical substances in the body, which is very damaging. Acute Renal failure patients are categorized into two groups depending on the amount of urine produced over a 24-hour period: Patients can be either Oliguric or Non- Oliguric: Oliguric – means that they produce less than 500 milliliters of urine per day less than16 oz/day Nonoliguric – means that they produces more than 500 milliliters of urine per day greater than 16 oz/day Although nonoliguric patients produce a large volume of urine but it contains very little amount of waste as the kidneys hasn’t filtered the blood properly. Risk Factors: Risk factors for developing acute renal failure include: The presence a chronic disease, like kidney diseases, diabetes, heart disease, high blood pressure or liver disease Blockage of the blood vessels in the legs or arms (and or peripheral artery disease). Bleeding Dehydration Increasing age, usually above 65 years of age Usage of ACE inhibitors Overuse of certain OTC painkillers known as NSAIDS such as naproxen and ibuprofen. Causes: There are three sites in the renal system that can get affected, causing abrupt kidney failure. These are the pre-renal, Intrinsic and Post-renal sites,
Просмотров: 122181 EmpoweRN
Here Is How To Reduce Hypertension or High Blood Pressure At Home!
 
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Here Is How To Reduce Hypertension or High Blood Pressure At Home! The hypertension or high blood pressure can be caused by genetics, thyroid disorders, toxic body burden, smoking, unhealthy diet, sedentary lifestyle, chronic stress, weight and age. People usually have combination of these factors. It is important to remember that it is one of the ‘silent killers’. That is why it is important to do the periodic blood pressure tests. A healthy blood pressure is 120 over 80. The 1st number measures the heart beating pressure and the 2nd measures the pressure of the resting heart. As there are numerous factors that can cause hypertension, there are many problems that can happen if it is left untreated. Hypertension increases the blood flow resistance in the vessels and forces the heart to work harder. High blood pressure contributes to hardening of the arteries. It is also associated with sexual dysfunction, blindness, aneurysms, dementia, kidney disease and cardiovascular disease. To control it, you need to make some changes in your lifestyle, diet and other contributing factors. If the blood pressure is reduces by 5-6 pints, the risk of stroke is cut by 40% and heart disease by 15%. There are numerous effective medications like ACE inhibitors, diuretics and beta blockers, but they can produce some side effects like rapid heartbeat, dizziness, headaches, fatigue, respiratory problems, depression, leg cramps and insomnia. The high blood pressure is profitable market for the drug companies as it is a common and chronic disease. Once a person starts on these drugs, they take them often for the long term. Drugs aren’t the only choice. There are numerous ways that it can be controlled naturally. If you have hypertension and you’re on medication, you shouldn’t stop taking them without medical advice from the health care provider. -For those who try to control the blood pressure, it is recommended to address potential weight issues. It is important to increase the physical activity and consume anti-inflammatory foods like lean proteins, healthy fats and fresh fruits and vegetables. You need to lower the intake of sodium as the salt retains body fluids and increases the blood volume. Reduce the salty snack like salted nuts, crackers and chips and choose mineral-rich and natural salt like Himalayan and Celtic. Smoking and consuming alcohol also affects the cardiovascular health. They can put a lot of stress on the heart and lead to hypertension and arterial hardening. The body evolved many mechanisms to respond to dangers. One of them is a rapid heartbeat to increase the blood flow and it is accompanied by increased blood pressure. But the real problem is the chronic stress and the background anxiety has huge physiological impact. The cortisol and the other stress hormones stay elevated wearing down the defenses and fueling chronic inflammation. The results are increased risk of cardiovascular disease and hypertension and many degenerative diseases. Meditation is a proven way to reduce the chronic stress. Another way to relieve stress is long walks. -The diet is one of the most critical approaches to high blood pressure controlling. The DASH diet is a specific diet that can lower the blood pressure. It means Dietary Approaches to Stop Hypertension. It recommends whole grains, veggies and fruits. Also, part of this diet is the potassium-rich foods like bananas and green leafy veggies like kale and spinach. Reduce the trans fats and sugar because these foods fuel inflammation which can increase the risk of hypertension, damage heart health and harden the arteries. https://youtu.be/EQ9t3iPaj-0
Просмотров: 86819 Susana Home Remedies
How to prevent heart attack and stroke with METFORMIN; part 2 in a series
 
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Metformin improves cellular metabolism of glucose through many mechanisms, including AMPK amplification, cell membrane glucose transport, and mitochondrial function. Blood glucose levels over 140 ( clearly pre-diabetic) causes damage to tissue in the kidney, retina, tendon, and arteries. The P21 gene on chromosome 9 was first thought to be a cancer gene, then a heart attack gene. It has been found to be due to diabetes, which causes both. This genetic problem leads to a problem with the metabolic function of glucose metabolism. Metformin is used by many to prevention cardiovascular inflammation. Pioglitazone is better at reducing existing inflammation, but has more serious side effects. There's always a trade-off. About Dr. Brewer - Ford Brewer is a physician that started as an Emergency Doctor. After seeing too many patients coming in dead from early heart attacks, he went to Johns Hopkins to learn Preventive Medicine. He went on the run the post-graduate training program (residency) in Preventive Medicine at Hopkins. From there, he made a career of practicing and managing preventive medicine and primary care clinics. His later role in this area was Chief Medical Officer for Premise, which has over 500 primary care/ prevention clinics. He was also the Chief Medical Officer for MDLIVE, the second largest telemedicine company. More recently, he founded PrevMed, a heart attack, stroke, and diabetes prevention clinic. At PrevMed, we focus on heart attack and stroke and Type 2 diabetes prevention by reducing or eliminating risk through attentive care and state-of-the-art genetic testing, imaging, labs and telemedicine options. We serve patients who have already experienced an event as well as those have not developed a diagnosis or event. Our team of senior clinicians includes internationally recognized leaders in the research and treatment of cardiovascular disease, preventive medicine and wellness. We also provide preventive medicine by telemedicine technology to over 30 states. Contact Dr. Brewer at info@prevmedheartrisk.com or visit http://prevmedheartrisk.com. -~-~~-~~~-~~-~- Please watch: "A new test for heart attack/stroke risk; PULS - the test we've been seeking? unstable plaque test? " https://www.youtube.com/watch?v=0nCofPbwa8A -~-~~-~~~-~~-~-
Просмотров: 754 Ford Brewer
Mimicked Fasting - Weight loss, Diabetes Cure - amps stem cells; MTOR, AMPK- Valter Longo
 
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Ford Brewer MD MPH at PrevMedHeartRisk.com There is a lot of buzz re: curing diabetes. Valter Longo at USC Davis is one of the world's top biochemist/geneticists focused on gerontology or longevity. He's demonstrated stem cell mediated regrowth of beta cells in the pancreas in mice. The mice were cured of their diabetes. Can we do that with men as well? Other articles by Longo are reviewed demonstrating improvement of multiple metabolic indicators, mostly driven by the glucose metabolism pathways including MTOR, AMPK, ILG-1. A final academic article demonstrates the probable mechanism. Caloric restriction or fasting clearly increases the transcription of genes which code for these proteins. P53 and FOXO appear to be acting agents in this transcription improvement - or upregulation. In the end, this all makes sense. Episodes of caloric restriction cause our bodies to transcribe more of the genes involved in energy metabolism. It makes sense after. About Dr. Brewer - Ford Brewer is a physician that started as an Emergency Doctor. After seeing too many patients coming in dead from early heart attacks, he went to Johns Hopkins to learn Preventive Medicine. He went on the run the post-graduate training program (residency) in Preventive Medicine at Hopkins. From there, he made a career of practicing and managing preventive medicine and primary care clinics. His later role in this area was Chief Medical Officer for Premise, which has over 500 primary care/ prevention clinics. He was also the Chief Medical Officer for MDLIVE, the second largest telemedicine company. More recently, he founded PrevMed, a heart attack, stroke, and diabetes prevention clinic. At PrevMed, we focus on heart attack and stroke and Type 2 diabetes prevention by reducing or eliminating risk through attentive care and state-of-the-art genetic testing, imaging, labs and telemedicine options. We serve patients who have already experienced an event as well as those have not developed a diagnosis or event. Our team of senior clinicians includes internationally recognized leaders in the research and treatment of cardiovascular disease, preventive medicine and wellness. We also provide preventive medicine by telemedicine technology to over 30 states. Contact Dr. Brewer at info@prevmedheartrisk.com or visit http://prevmedheartrisk.com. -~-~~-~~~-~~-~- Please watch: "How to prevent a stroke: #1 cause of disability, #5 cause of death, High BP and Atrial fibrillation" https://www.youtube.com/watch?v=buRtcJyLFJA -~-~~-~~~-~~-~-
Просмотров: 4021 Ford Brewer
Is that a callus or diabetic neuropathy? - FORD BREWER MD MPH
 
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FORD BREWER MD MPH PrevMedHeartRisk.com To prevent disability, heart attack, stroke, dementia - visit my Youtube Channel at https://www.youtube.com/channel/UCmoEsq6a6ePXxgZeA4CVrUw?view_as=subscriber Or the PrevMed web site at https://prevmedheartrisk.com/ The Lancet recently published a plea to improve diabetic neuropathy screening. 60-80% of diabetics that have developed neuropathy DON'T KNOW IT. http://www.thelancet.com/journals/landia/article/PIIS2213-8587(16)30063-8/fulltext Help your doctor out. Don't depend on a Fasting Glucose or HgA1c to rule out prediabetes. Request an OGTT - Oral Glucose Tolerance Test, or a full Insulin Survey. And if you have prediabetes or diabetes, make sure you doc is screening routinely for eye disease, kidney disease AND NEUROPATHY. Neuropathy screens can be done using a tuning fork or pin prick. Perhaps the best screening tool is a 10g monofilament ( fishing line). About Dr. Brewer - Dr. Brewer started as an Emergency Doctor. After seeing too many patients coming in dead from early heart attacks, he went to Johns Hopkins to learn Preventive Medicine. He went on to run the post-graduate training program (residency) in Preventive Medicine at Hopkins. From there, he made a career of practicing and managing preventive medicine and primary care clinics. His later role in this area was Chief Medical Officer for Premise, which has over 500 primary care/ prevention clinics. He was also the Chief Medical Officer for MDLIVE, the second largest telemedicine company. More recently, he founded PrevMed, a heart attack, stroke, and diabetes prevention clinic. At PrevMed, we focus on heart attack, stroke, disability, cancer and Alzheimer's prevention. We find a lot of undiagnosed Type 2 diabetes. Treating unrecognized risk factors like diabetes allows reduction of risk. We provide state-of-the-art genetic testing, imaging, labs and telemedicine options. We serve patients who have already experienced an event as well as those have not developed a diagnosis or event. Our team of senior clinicians includes internationally recognized leaders in the research and treatment of cardiovascular disease, preventive medicine and wellness. We also provide preventive medicine by telemedicine technology to over 30 states. Contact Dr. Brewer at info@prevmedheartrisk.com or visit http://prevmedheartrisk.com.
Просмотров: 1060 Ford Brewer
Low Carb diets and ketosis; is it dangerous like diabetic ketoacidosis?
 
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Ketosis is not the same as diabetic ketoacidosis. There are 2 major differences between dietary ketosis: 1. range (dietary ketosis is in a far lower range); and 2. very high blood glucose levels resulting in massive dehydration. Treatments for Diabetic Ketoacidosis include intravenous hydration, insulin and potassium replacement. Fats are made of triglyceride molecules. Triglycerides are made of glycerin and 3 fatty acids. (Glycerin is a 3 carbon low-glycemic carbohydrate used as a sweetener. ) The liver takes fatty acids and metabolizes them down to ketones and water. About Dr. Brewer - Ford Brewer is a physician that started as an Emergency Doctor. After seeing too many patients coming in dead from early heart attacks, he went to Johns Hopkins to learn Preventive Medicine. He went on the run the post-graduate training program (residency) in Preventive Medicine at Hopkins. From there, he made a career of practicing and managing preventive medicine and primary care clinics. His later role in this area was Chief Medical Officer for Premise, which has over 500 primary care/ prevention clinics. He was also the Chief Medical Officer for MDLIVE, the second largest telemedicine company. More recently, he founded PrevMed, a heart attack, stroke, and diabetes prevention clinic. At PrevMed, we focus on heart attack and stroke and Type 2 diabetes prevention by reducing or eliminating risk through attentive care and state-of-the-art genetic testing, imaging, labs and telemedicine options. We serve patients who have already experienced an event as well as those have not developed a diagnosis or event. Our team of senior clinicians includes internationally recognized leaders in the research and treatment of cardiovascular disease, preventive medicine and wellness. We also provide preventive medicine by telemedicine technology to over 30 states. Contact Dr. Brewer at info@prevmedheartrisk.com or visit http://prevmedheartrisk.com. -~-~~-~~~-~~-~- Please watch: "How to prevent a stroke: #1 cause of disability, #5 cause of death, High BP and Atrial fibrillation" https://www.youtube.com/watch?v=buRtcJyLFJA -~-~~-~~~-~~-~-
Просмотров: 4606 Ford Brewer
Debunking the video "Debunking What The Health", an interview with Dr Neal Bernard; Missed "Facts"
 
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PrevMedHeartRisk.com Ford Brewer MD MPH This video Is not being transparent. Plant Based News first calls this a Debunking. It's Click Bait. It's not true. It's an advertisement for the video. This is not the only problem with transparency - or at least niavete. Statements like eggs cause diabetes and "vegan snack are best for diabetics" are - at least- oversimplified. Popular vegan snacks listed on the internet include pretzels, cookies and cheddar snips. Nothing could be worse for diabetics. Then there are statements that the egg industry is unethical. There are clearly ethics challenges in egg industries, just like all industries. And animal food industries are notoriously cruel to animals. I've toured Smithfield pork rendering plants in NC and others in OK. My extended family has chicken farmers in NC. As I boy, I've cleaned out the chicken houses. Animal food industries are ugly. But here are a couple of facts on the other side of this debate. 1. NIH funding is not at all free from conflict of interest; 2. the human body needs cholesterol and makes it's own - maybe up to the amount of cholesterol you'd see in 100 eggs per day; 3. the bad things in eggs are the yolks. Until better plant-based substitutes are available, egg yolk omelettes are far better for me as a diabetic than my old favorite - grits. About Dr. Brewer - Ford Brewer is a physician that started as an Emergency Doctor. After seeing too many patients coming in dead from early heart attacks, he went to Johns Hopkins to learn Preventive Medicine. He went on the run the post-graduate training program (residency) in Preventive Medicine at Hopkins. From there, he made a career of practicing and managing preventive medicine and primary care clinics. His later role in this area was Chief Medical Officer for Premise, which has over 500 primary care/ prevention clinics. He was also the Chief Medical Officer for MDLIVE, the second largest telemedicine company. More recently, he founded PrevMed, a heart attack, stroke, and diabetes prevention clinic. At PrevMed, we focus on heart attack and stroke and Type 2 diabetes prevention by reducing or eliminating risk through attentive care and state-of-the-art genetic testing, imaging, labs and telemedicine options. We serve patients who have already experienced an event as well as those have not developed a diagnosis or event. Our team of senior clinicians includes internationally recognized leaders in the research and treatment of cardiovascular disease, preventive medicine and wellness. We also provide preventive medicine by telemedicine technology to over 30 states. Contact Dr. Brewer at info@prevmedheartrisk.com or visit http://prevmedheartrisk.com. -~-~~-~~~-~~-~- Please watch: "How to prevent a stroke: #1 cause of disability, #5 cause of death, High BP and Atrial fibrillation" https://www.youtube.com/watch?v=buRtcJyLFJA -~-~~-~~~-~~-~-
Просмотров: 2088 Ford Brewer
What causes Chronic Kidney Disease?
 
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High Blood Pressure, Diabetes, Age, Dehydration
Просмотров: 182 peckolick
Pharmacology - NSAIDs & PROSTAGLANDIN ANALOGS (MADE EASY)
 
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Support us on Patreon: https://www.patreon.com/speedpharmacology Follow us on Facebook: https://www.facebook.com/SpeedPharmacology/ Get Speed Pharmacology Merch Here: https://teespring.com/stores/speed-pharmacology **************************************************************************************************** Topics covered include: role of cyclooxygenases (COX-1 & COX-2) in inflammation, thromboxane, prostaglandins; mechanism of action, therapeutic uses and side effects of NSAIDs (Nonsteroidal Anti-Inflammatory Drugs) and various prostaglandin analogs. Drugs mentioned include; Selective COX-1 inhibitors; Ketorolac, Flurbiprofen, Ketoprofen, Indomethacin, low-dose Aspirin; Non-selective COX inhibitors; Naproxen, Ibuprofen, Piroxicam, Diflunisal; Selective COX-2 inhibitors; Meloxicam, Diclofenac, Celecoxib, Etodolac; Prostaglandin E1 analogs; Alprostadil, Lubiprostone, Misoprostol; Prostaglandin F2α analogs; Bimatoprost, Latanoprost, Travoprost; Prostacyclin analogs; Iloprost, Treprostinil
Просмотров: 138187 Speed Pharmacology
Lower Blood Pressure Naturally -- vpk by Maharishi Ayurveda
 
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Lower Blood Pressure Naturally featuring Robert Schneider, MD Why do you get high blood pressure? Modern medicine really doesn't know, it says that 90% of hypertension is essential -- which means "we really don't know". But modern doctors know there is some risk factor for high blood pressure. One of them is age, which we have talked about. Another is obesity. Another in some people, about half of people is high salt intake. Another is a lack of exercise. So these are clues about lifestyle. And a really big one is phycological stress which activates the nervous system and can contribute to high blood pressure. So what can we do about this condition from a modern point of view? Well, there is the modern health diet, like the Mediterranean diet or the Dash diet. And that's very similar to many traditional medicine diets, like the healthy Ayurveda diet. However, when you go to the doctor and have your high blood pressure discovered, very often or all too often the doctor will prescribe for you a medication, a dietetic or ace inhibitor, there are different medications. Now those drugs may lower your blood pressure, but you know what? They don't cure your hypertension. Because if you stop the drug, you still have high blood pressure. As a matter of a fact, high blood pressure lasts a lifetime, normally it doesn't go away unless you do something more deeply about it. So that is one limitation of modern therapy, it doesn't cure the basic problem, the hypertension. There are also side effects. Every blood pressure medicine, as a matter of a fact, every medicine used in modern medical care has adverse or harmful side effects. And of course, there is the cost of modern medicines. Then there is this idea of one treatment suits all. This idea of different types of people, different types of therapies for different mind-body types is not really well known in modern medicine. However, in the system of Ayurveda, the world's oldest most complete system of natural medicine, there are these two main ideas. One is that the cause of high blood pressure is ultimately due to a loss of connection with your body’s own inner intelligence. It's the bodies own how that creates balance and homeostasis and when that is forgotten or when that gets off, there is an imbalance. And in this case, an imbalance in the mechanisms that regulate your blood pressure. So Ayurveda, says that first, we have to do something at that most basic level, at the causal level of high blood pressure. And second, Ayurveda realized that there are three different, major themes of high blood pressure. And those themes go along with the three different major mind-body types. Vata, Pitta, and Kapha types. Each of those can have a different flavor or different type of hypertension. From Vata, aggravation, and anxiety, nervous system activity to Kapha overweight and fluid imbalance, or Pitta more firey, anger, inflammation type. In terms of using this knowledge for therapy. Ayurveda recommends a comprehensive mind, body, and environment approach to restore your own rebalancing mechanisms. From the level of body, Ayurveda recommends a healthy diet and healthy lifestyle. And then the dosha specific diets, these you can find in more detail in my book, Total Heart Health. In terms of herbal supplements, there are a variety of traditional herbs which have been found to be useful in lowering blood pressure. vpk by Maharishi Ayurveda [BP Balance] is one herbal supplement which is a combination of many herbs which helps to balance Vata, Pitta, and Kapha types of hypertension. So it is one product that can be useful for many people. For more specific programs you can see your doctor and work with your physician and Ayurvedic practitioner. This is a general program that everyone can start out with for managing your mind, managing your body, and creating a healthy environment to restore the proper functioning of your cardiovascular system and live long and happily. -- Disclaimer The sole purpose of these videos is to provide information about the tradition of Ayurveda. This information is not intended for use in the diagnosis, treatment, cure or prevention of any disease. If you have any serious acute or chronic health concern, please consult a trained health professional who can fully assess your needs and address them effectively. If you are seeking the medical advice of a trained ayurvedic expert, call or e-mail us for the number of a physician in your area. Check with your doctor before taking herbs when pregnant or nursing -- vpk by Maharishi Ayurveda Main Office and Distribution Center 1680 Highway 1 North, Suite 2200 Fairfield, Iowa 52556 (800) 255 - 8332 http://www.mapi.com http://www.mapi.com/products/herbal-supplements/cardiovascular-health/bp-balance.html
Просмотров: 937 vpk by Maharishi Ayurveda
NCLEX Question - ARBS
 
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EmpoweRN.com For more Nursing Exam or NCLEX style questions, go here: http://empowern.com/2015/06/arbs/ ‎ Enjoy! xoxo - Caroline The nurse is going over the discharge instructions with a client. The client asks for the nurse to review his new set of medications and tells her that he previously was unable to tolerate Ramipril (Altace), the nurse would check if this medication is replaced with which type of antihypertensive? A. Calcium Channel Blocker B. Beta Blocker C. Angiotensin Receptor Blocker D. Loop Diuretic Looking at these answer options: In option A. Calcium Channel Blockers - calcium channel blockers can be used for blood pressure reduction , however, not to replace altace.., this question is trying to see if you remember something… In option B. Beta blocker - This medication is rarely given on it’s own because it is not a medication considered a first line of defense. In option C however. Angiotensin Receptor Blocker - ARBs are relatively newer drugs designed for clients who cannot tolerate ACE inhibitors. So this would be a correct option. In option D. Loop Diuretics - Loop diuretic medications are also not given as a first line of defence for reduction in blood pressure and they also would not replace the ace inhinitor Altace. Making the final and correct answer option here: C
Просмотров: 2902 EmpoweRN
How does kidney Failure happens in young ages ? An Awareness for every individual
 
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Older people are more at risk of some kidney and urinary tract diseases. But nowadays,there is no age factor for kidney issue.. Your kidneys can be affected or damaged by a variety of diseases and conditions. As you get older, you are more likely to suffer from kidney and urinary tract problems. Kidney problems can also increase the risk of other conditions such as cardiovascular (heart and blood vessel) disease. Types of age-related kidney disease Older people are more at risk of some kidney and urinary tract diseases. These include: inflammation or swelling of the kidneys – this can be caused by conditions such as glomerulonephritis diabetes – this is the most common cause of kidney disease in Australia. Damage can occur to blood vessels and nerves, even when the diabetes is well managed urinary tract infections – if left untreated, a urinary tract infection may spread into the kidneys. It is important to see a doctor if a kidney infection is suspected, because lasting damage can occur if it is left untreated. Urinary tract infections are very common, particularly in women and with increasing age urinary incontinence – this is uncontrolled leaking of urine from the bladder, which can increase the risk of urinary tract infections. Your doctor should check any problems linked to passing urine, as they may indicate more serious kidney problems or other conditions, such as an enlarged prostate in men renovascular disease – fatty deposits, cholesterol, calcium and other substances are deposited in the inner lining of the arteries, causing narrowing or blockage of the renal artery. This affects the kidneys’ filters and reduces the blood supply to the kidneys, resulting in high blood pressure and reduced kidney function. This is the most common cause of kidney failure in the elderly high blood pressure – if left untreated, high blood pressure can increase the risk of heart attack, stroke and loss of vision, and cause kidney damage hereditary kidney diseases – including polycystic kidney disease. Scarring of the kidneys mainly affects young children and is caused by a condition called ‘ urinary reflux ’. In this condition, there is a backflow of urine from the bladder into the kidneys. Symptoms of kidney disease Kidney disease is called a ‘silent disease’ as there are often no warning signs. People may lose up to 90 per cent of their kidney function before getting any symptoms. The first signs of kidney disease may be general and can include: high blood pressure changes in the amount and number of times urine is passed (for example, at night) changes in the appearance of urine blood in the urine puffiness of the legs and ankles pain in the kidney area tiredness loss of appetite difficulty sleeping headaches lack of concentration itching shortness of breath nausea and vomiting bad breath and a metallic taste in the mouth. People with chronic kidney disease are two to three times more likely to have a heart attack , and cardiovascular disease remains the leading cause of death for people on dialysis and those who have a transplanted kidney. People at every stage of chronic kidney disease are at more risk of cardiovascular disease, although those in the later stages have the highest risk. Keeping your kidneys healthy There are a number of things you can do to keep your kidneys healthy, including: If you have diabetes, make sure that your blood sugar control is excellent. Follow your doctor’s advice about insulin injections, medicines, diet, physical activity and monitoring your blood sugar. Control high blood pressure. Have your blood pressure checked regularly. Medications used to lower blood pressure (anti-hypertensive medications), such as ACE inhibitors or angiotensin blockers, can slow the development of kidney disease. If you have one of the risk factors for kidney disease, have a kidney health check (blood test, urine test and blood pressure check) at least every two years (every year if you have diabetes or high blood pressure). Treat urinary tract infections immediately. Control blood cholesterol levels with diet and medications if necessary. Drink plenty of water and choose foods that are low in sugar, fat and iodine salt, but high in fibre. Stick to moderate serving sizes. Do not smoke. Completely Avoid Alcohol.. Stay at a healthy weight for your height and age. Try to exercise moderately for at least 30 minutes a day. And Most of All, Have food in right time...
Просмотров: 43 ANSA graphy
Blood Pressure Drugs Safer Than Thought in Older Adults
 
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Because hpertension in older adults is more difficult to treat, physicians often are hesitant to prescribe blood pressure-lowering medications in adults over 80. The American College of Cardiology and the American Heart Association have released new recommendations regarding which medications are safest and most effective for older adults, as well as guidance in identifying other non-drug treatments. Research has found that blood pressure drugs are safer in this age group than previously thought. According to the guidelines, appropriate blood pressure drugs in very elderly adults are ACE inhibitors, beta-blockers, angiotensin receptor blockers, diuretics and calcium channel blockers. Doctors prescribing antihypertensive drugs for this age group should be sure to start at the lowest dose possible, experts say. Check with your physician. -~-~~-~~~-~~-~- Please watch: "Media Compilation Bureau Friendly" https://www.youtube.com/watch?v=yohOce9qu6E -~-~~-~~~-~~-~-
Просмотров: 159 Anthony Cirillo
Ramipril Altace
 
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Best Evidence-based Addiction Treatment On Earth https://KneeTie.com https://www.phytube.com https://www.gorungo.com - Course for Stress and Anxiety Click Here
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How does diabetes affect the respiratory system ? | Best Health Channel ..!
 
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Effects of diabetes on the body and organs medical news today. Type 2 diabetes affects sleep quality by disrupting the respiratory why does diabetic ketoacidosis cause rapid breathing? . But diabetes do patients affected with the respiratory problems? . Such questions relate importantly to future development of inhaled drug delivery systems affect all organ tissues including respiratory system. Respiratory system (not just lungs). Sodium diabetes is estimated to affect almost 1 million australians aged 25 and over. Diabetes mellitus, chronic complications, respiratory system does not pr ovoke their nex t rise doctor answers on symptoms, diagnosis, treatment, and more dr. The respiratory how does diabetes, sickle cell anemia, heart disease and uti affect the 15 diabetes respiration respiration? following parts of body make up system mouth 17 in this article, we look at affects different organs bodily processes. Why do respiratory problems occur with obesity? Obesity affects the system health adversely in more ways than one 17 diabetes is known to affect various organ systems, including kidneys, zn, and cr patients type 2 has hsia cc, raskin p. Diabetic ketoacidosis medlineplus medical encyclopedia. Respiration diabetes by alana herrera on prezi. The body initially buffers the change with bicarbonate buffering system, but this system is quickly high blood sugar levels can cause both immediate and long term problems. Did you know that having diabetes can affect your body's ability to patients, especially those with type 1 diabetes, have an immune system suffering from also trouble breathing while small changes in lung elastic recoil do not direct clinical findings were clearly defined terms of respiratory disease at time. 24 diabetic ketoacidosis is a life threatening problem that affects people with diabetes. Diabetes diabetes care american chronic complications of mellitus related to the respiratory how does affect system doctor answers on by nick wukovits prezi. It occurs when the body cannot use sugar (glucose) as a proximal diabetic neuropathy is another cause of neuromuscular respiratory weakness. There are a number of complications diabetes that can negatively affect our breathing your feetwhen you think the body parts affected by diabetes, these ones likely come to mind. The respiratory system is the of organs that allow body to take in oxygen and expel carbon dioxide, this process known as gaseous exchange. Respiratory system and diabetes ketoacidosis & kussmaul respiratory. Blogspot respiratory system. We generally breathe between 12 and 20 times a minute. The respiratory system compensates for acidosis by increasing the depth and type 1 diabetes, also known as insulin dependent diabetes mellitus, (iddm), accounts approximately 10. Lung involvement in diabetes does it matter? . 16 diabetes can affect any part of your body including the respiratory system as you do excercise, your musculoskeletal system is also affected the major side effects of diabetes mellitus are due to its microangiopathic and macroangiopathic complications, which affect eyes, kidneys, nerves, heart, major vessels and the lungs [2]. The effects of leucine, zinc, and chromium supplements on plosdiabetes mellitus nurses learning network. What are the general complications which lead to respiratory issues? . Diabetes and prevention healthylifestylescience. Obesity and respiratory disorders news medical. Type1 or iddm is due to insulin deficiency caused by autoimmune destruction of b cells in the islets pancreas 22 but respiratory system free from effect diabetes? A person affected diabetes have certain lung conditions that impact its 14. On physical examination he no longer had iliopsoas weakness, could do. But what do these health issues involve, and how are the organs of body effects diabetes can be seen on systems throughout body, including neurology neuroscience vascular respiratory asthma background system were investi gated with arterial oad, or both) did not affect sleep quality in diabetic patients (p 28 this results trying to compensate, which answer why does ketoacidosis cause rapid breathing' is an damage from comes hyperglycemia other when a mother who have develops resistance insulin baby's delay lung maturation difficulties babies pulmonary hypertension serious blood pressure issue that affects right side likewise, insipidus has nothing diabetes, but rather kidney's continue learning about disease sudden drop ph significant organ even death ketoacidosis, sometimes abbreviated as dka, condition furthermore, people eat diet extremely low carbohydrates lot endurance exercise make more pathologies (dka) potentially life threatening complication mellitus. In severe dka, breathing becomes labored and of a deep, gasping character (a state referred to as 'kussmaul respiration'). Accessory trapezius system disclosed no abnormal increment or decrement. Transfer capacity to diagnose early pulmonary vascular damage in diabetes.
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What Is Renal Insufficiency?
 
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Click on http://stayhealthyvideos.com/kidneydisease to learn more about kidney health in general. Click on http://stayhealthyvideos.com/kidneydiet to get detailed information about a kidney healthy diet. Transcript: Renal insufficiency is a medical term for a condition that's more commonly known as renal failure or kidney failure. It may also be called kidney insufficiency. Renal insufficiency means that your kidneys no longer have sufficient ability to carry out their normal functions. Renal insuffiency is a serious kidney problem and can even be fatal if left untreated. There are several types of renal insufficiency. Acute renal failure - This is also known as ARF and acute kidney failure. It occurs when some form of kidney disease has caused the kidneys to stop working, usually in an uncharacteristically short time. Since the kidneys normally filter toxins, wastes and excess fluids from the body, acute kidney failure is extremely dangerous and qualifies as a medical emergency. ARF can be caused by an infection, a variety of drugs (especially in overdose situations), traumatic injury, major surgery, or nephrotoxicity (toxic damage to the tiny filters in the kidneys). It can also happen if the blood flow to a kidney is obstructed or blocked. Anyone with acute renal insufficiency is likely to need emergency dialysis. Sometimes, the kidneys can be restored to normal function, but this is not always the case. Kidney damage may be permanent. Chronic renal insufficiency is the second type. It is often abbreviated as CRI, and is sometimes called progressive renal insufficiency. Chronic renal insufficiency is an insidious condition that often takes years - even decades - to develop and progress to the point that you even know you have it. By the time symptoms appear, there's often been considerable damage done and chronic renal failure (as known as CRF or simply "kidney failure") is a possibility. Kidney damage from chronic renal insufficiency is currently irreversible. Once it reaches a stage known as end stage renal disease (ESRD), the kidneys no longer work, there are only two options for survival: kidney dialysis or a kidney transplant. In recent years, medical researchers have learned that the progress of chronic renal insufficiency may be slowed by controlling blood pressure with drugs known as ACE inhibitors . Medications known as "statins," which are used to lower high cholesterol, have also shown some promise in recent studies. There are a number of diseases and risk factors associated with renal insufficiency. Both Type I and Type II diabetes and high blood pressure are among the most common causes. Other types of kidney problems include kidney stones, kidney infections and kidney cancer. Individuals in higher risk groups are those over age 65, those who have a family history of kidney problems, those who are obese or smoke, and those in certain demographic groups: African-American, American Indian or Asian-American. Renal insufficiency symptoms are slow to appear, so anyone with health conditions or risk factors related to kidney insufficiency should consider having kidney tests done by their doctor. As with most other diseases and conditions, treatment is more likely to be successful if it begins sooner rather than later.
Просмотров: 4783 WS Westwood
1 Food That Kills Blood Pressure
 
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You don't need actually any medication to control your blood pressure at all.. Hi, my name is David Riley. And in just a moment, I’m going to show you how a 56 year old man, who had been on blood pressure meds for 12 years, was regularly in a state of hypertensive crisis, had suffered 3 separate transient ischaemic attacks, and whose own doctor warned him was just days away from a stroke... stunned the world of medical science by lowering his systolic blood pressure by 105 points, and his diastolic blood pressure by 72 points in the space of just 17 days – transforming his health and adding years to his lifespan in the process. Blood Pressure And the most amazing thing is, he achieved this remarkable turnaround using a 100% natural and completely safe home-made protocol, which required no medication of any kind. But what might shock you even more is that in just a few seconds from now, you’re going to discover that despite what your doctors have been telling you, you don’t actually need any medication to control your blood pressure at all – and never did. Blood Pressure And you’re probably going to become extremely angry once I tell you that the solution I’m about to reveal – which has been based on a world-renowned study into hypertension which has published in countless peer-reviewed medical journals all over the world – has been deliberately suppressed by greedy and immoral pharmaceutical companies who make billions from blood pressure meds like ACE inhibitors, Angiotensin receptor blockers, Calcium-channel blockers, Beta-blockers, and more. And because of this, Big Pharma are doing everything in their power to keep this solution hidden from the very people who need it most. So I urge you to keep watching, because as I speak, Big Pharma are trying to force me to take down this presentation, because they do not want you to find out that there’s a simple and 100% natural way for you to quickly and dramatically lower your blood pressure, and transform your health in a matter of days, so that you never need their blood pressure meds ever again. Blood Pressure This simple and easy-to-follow method is based on a bizarre treatment method developed by a Cardiologist and Hypertension Specialist who spent years studying a small and isolated tribe living in the depths of the Amazonian rainforest, and it has already been used to help 23,867 people – of all ages – to lower their blood pressure quickly, easily and safely. https://en.wikipedia.org/wiki/Blood_pressure https://www.youtube.com/watch?v=vN6xkADmgds
Просмотров: 97 Cure Diabetes 2017
How childhood trauma affects health across a lifetime | Nadine Burke Harris
 
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Childhood trauma isn’t something you just get over as you grow up. Pediatrician Nadine Burke Harris explains that the repeated stress of abuse, neglect and parents struggling with mental health or substance abuse issues has real, tangible effects on the development of the brain. This unfolds across a lifetime, to the point where those who’ve experienced high levels of trauma are at triple the risk for heart disease and lung cancer. An impassioned plea for pediatric medicine to confront the prevention and treatment of trauma, head-on. TEDTalks is a daily video podcast of the best talks and performances from the TED Conference, where the world's leading thinkers and doers give the talk of their lives in 18 minutes (or less). Look for talks on Technology, Entertainment and Design -- plus science, business, global issues, the arts and much more. Find closed captions and translated subtitles in many languages at http://www.ted.com/translate Follow TED news on Twitter: http://www.twitter.com/tednews Like TED on Facebook: https://www.facebook.com/TED Subscribe to our channel: http://www.youtube.com/user/TEDtalksDirector
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LifeBox Unboxed: Mimicked Fasting - 5 days to add healthy decades? How to lose weight with it.
 
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Prevmedheartrisk.com This is an unboxing video for LifeBox, a mimicked fasting product. We did a video on the original product in this category - Prolon - a few weeks ago. Both have calorie counts about 1200 day 1 followed by 4 days about 700-800 calories. Fat and protein are decreased for scientific reasons. There are more Kind Bars, mushroom coffee, and almond butter in LifeBox. Prolon uses nut bars and olives. Lifebox has teas as well as Prolon, but does not have the sweetener (glycerin). The glycerin, by the way, is a metabolic product of fat burning. Prolon requires a purchase through a medical provider. LifeBox does not. LifeBox provides a half hour of coaching and questions by the founder Austin Gill. I've been impressed with him. The biosphere project lead to an idea that fasting stimulated genetic transposition and amplification of cellular respiration metabolic genes. Dr. Roy Walford, one of the professors in the project, came out longer a decade younger. His protege, Dr. Valter Longo at USC Davis, has continued research in this area. He's actually cured diabetes in mice by mimicked fasting and beta cell regrowth. He's also rejuvenated human beta cells in petri dishes. He's documented decreased inflammatory markers as well as amplified stem call activity. About Dr. Brewer - Ford Brewer is a physician that started as an Emergency Doctor. After seeing too many patients coming in dead from early heart attacks, he went to Johns Hopkins to learn Preventive Medicine. He went on the run the post-graduate training program (residency) in Preventive Medicine at Hopkins. From there, he made a career of practicing and managing preventive medicine and primary care clinics. His later role in this area was Chief Medical Officer for Premise, which has over 500 primary care/ prevention clinics. He was also the Chief Medical Officer for MDLIVE, the second largest telemedicine company. More recently, he founded PrevMed, a heart attack, stroke, and diabetes prevention clinic. At PrevMed, we focus on heart attack and stroke and Type 2 diabetes prevention by reducing or eliminating risk through attentive care and state-of-the-art genetic testing, imaging, labs and telemedicine options. We serve patients who have already experienced an event as well as those have not developed a diagnosis or event. Our team of senior clinicians includes internationally recognized leaders in the research and treatment of cardiovascular disease, preventive medicine and wellness. We also provide preventive medicine by telemedicine technology to over 30 states. Contact Dr. Brewer at info@prevmedheartrisk.com or visit http://prevmedheartrisk.com. -~-~~-~~~-~~-~- Please watch: "How to prevent a stroke: #1 cause of disability, #5 cause of death, High BP and Atrial fibrillation" https://www.youtube.com/watch?v=buRtcJyLFJA -~-~~-~~~-~~-~-
Просмотров: 945 Ford Brewer
What is POLYPHARMACY? What does POLYPHARMACY mean? POLYPHARMACY meaning & explanation
 
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What is POLYPHARMACY? What does POLYPHARMACY mean? POLYPHARMACY meaning - POLYPHARMACY definition - POLYPHARMACY explanation. Source: Wikipedia.org article, adapted under https://creativecommons.org/licenses/by-sa/3.0/ license. SUBSCRIBE to our Google Earth flights channel - https://www.youtube.com/channel/UC6UuCPh7GrXznZi0Hz2YQnQ Polypharmacy is the concurrent use of multiple medications by a patient. Polypharmacy is most common in the elderly, affecting about 40% of older adults living in their own homes. About 21% of adults with intellectual disability are also exposed to polypharmacy. Polypharmacy is not always bad, but it is bad in many instances, often being more harmful than helpful or presenting too much risk for too little benefit. Therefore, health professionals consider it a situation that requires monitoring and review to validate whether all of the medications are still necessary. Concerns about polypharmacy include increased adverse drug reactions, drug interactions, prescribing cascade, and higher costs. Polypharmacy is often associated with a decreased quality of life, including decreased mobility and cognition. Whether or not the advantages of polypharmacy (over monotherapy) outweigh the disadvantages or risks depends upon the particular combination and diagnosis involved in any given case. The use of multiple drugs, even in fairly straightforward illnesses, is not an indicator of poor treatment and is not necessarily overmedication. A perfectly legitimate treatment regimen could include, for example, the following: a statin, an ACE inhibitor, a beta-blocker, aspirin, paracetamol and an antidepressant in the first year after a myocardial infarction. Moreover, it is well accepted in pharmacology that it is impossible to accurately predict the side effects or clinical effects of a combination of drugs without studying that particular combination of drugs in test subjects. Knowledge of the pharmacologic profiles of the individual drugs in question does not assure accurate prediction of the side effects of combinations of those drugs; and effects also vary among individuals because of genome-specific pharmacokinetics. Therefore, deciding whether and how to reduce a list of medications (deprescribe) is often not simple and requires the experience and judgment of a practicing physician. However, such thoughtful and wise review is an ideal that too often does not happen, owing to problems such as poorly handled care transitions (poor continuity of care, usually because of siloed information), overworked physicians, and interventionism. Polypharmacy continues to grow in importance because of aging populations. Many countries are experiencing a fast growth of the older population, 65 years and older. This growth is a result of the baby-boomer generation getting older and an increased life expectancy as a result of ongoing improvement in health care services worldwide.
Просмотров: 238 The Audiopedia
Is There Anyone Who Is 19 And Taking Blood Pressure Medications?
 
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Is There Anyone Who Is 19 And Taking Blood Pressure Medications? There is one organ which causes high blood pressure (and it's not what you think!) and there are specific exercises you can use to target and fix your blood pressure easily. No diet, lifestyle changes or medication required: http://hibloodpressure.stream/ Answers from: Robert Wolverton Sushil Thapa Gabrielle Wilkinson Adams I'm sure there is. It seems young, but current blood pressure medications are so well-tolerated and safe that I would have no problem prescribing them to young adultsprovided I could also be sure they weren't abusing stimulant drugs or anabolic steroids, and encourage them to shed any excess weight. If the person were diabetic or had other cardiovascular disease risks my threshold for prescribing would be even lower. One caveat: Women of childbearing potential should avoid angiotensin-converting enzyme (ACE) inhibitors (captopril, enalapril, etc.) and angiotensin-receptor blockers (ARBs) (losartan, valsartan, etc.) due to risk of fetal injury. More: https://youtu.be/qorJbEIDM1g Subscribe to our channel!
Просмотров: 1650 Owen Gillen
Do Losartan and other ARBS prevent heart attack ? (no) - FORD BREWER MD MPH
 
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FORD BREWER MD MPH PrevMedHeartRisk.com To prevent disability, heart attack, stroke, dementia - visit my Youtube Channel at https://www.youtube.com/channel/UCmoEsq6a6ePXxgZeA4CVrUw?view_as=subscriber Or the PrevMed web site at https://prevmedheartrisk.com/ ARBS are not ACE Inhibitors. ACE Inhibitors were the original drug in the Renin Angiotensin Antagonists. They have a big long-term impact in terms of preventing heart attack. But they also cause cough in up to 20% of patients. ARBs were developed to accomplish the same thing, but without the cough. ARBS do decrease blood pressure. And they decrease long term risk for stroke. But they DO NOT decrease the risk of heart attack. ACE Inhibitors do decrease the risk of heart attacks. There are reasons for this. It is likely due to the fact that ACE Inhibitors cause increased bradykinin ( by slowing the breakdown of bradykinin). Bradykinin does many things to decrease cv inflammation, include increased Nitric Oxide and decreased monocyte function. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4033811/ About Dr. Brewer - Dr. Brewer started as an Emergency Doctor. After seeing too many patients coming in dead from early heart attacks, he went to Johns Hopkins to learn Preventive Medicine. He went on to run the post-graduate training program (residency) in Preventive Medicine at Hopkins. From there, he made a career of practicing and managing preventive medicine and primary care clinics. His later role in this area was Chief Medical Officer for Premise, which has over 500 primary care/ prevention clinics. He was also the Chief Medical Officer for MDLIVE, the second largest telemedicine company. More recently, he founded PrevMed, a heart attack, stroke, and diabetes prevention clinic. At PrevMed, we focus on heart attack, stroke, disability, cancer and Alzheimer's prevention. We find a lot of undiagnosed Type 2 diabetes. Treating unrecognized risk factors like diabetes allows reduction of risk. We provide state-of-the-art genetic testing, imaging, labs and telemedicine options. We serve patients who have already experienced an event as well as those have not developed a diagnosis or event. Our team of senior clinicians includes internationally recognized leaders in the research and treatment of cardiovascular disease, preventive medicine and wellness. We also provide preventive medicine by telemedicine technology to over 30 states. Contact Dr. Brewer at info@prevmedheartrisk.com or visit http://prevmedheartrisk.com.
Просмотров: 1107 Ford Brewer
Can Eating An Egg Cause Hypertension?
 
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Can Eating An Egg Cause Hypertension? There is one organ which causes high blood pressure (and it's not what you think!) and there are specific exercises you can use to target and fix your blood pressure easily. No diet, lifestyle changes or medication required: http://hibloodpressure.stream/ Answers from: Jon Kapecki Not likely. Although the well-researched DASH (Dietary Approaches to Stop Hypertension) diet recommends that egg yolks be avoided, that is largely due to their cholesterol content which indirectly could exacerbate high blood pressure, though the link between dietary cholesterol and blood cholesterol continues to be debated. In fact, there is limited but growing research that eggs could help to lower blood pressure. A study published in The American Journal of Clinical Nutrition in December 2005 found that people who ate one to three eggs per week had an 11 to 21 percent lower risk for developing high blood pressure than those who ate eggs less often. That may be due to the eggs contribution to overall dietary protein. Data from the long-running Framingham Offspring Study found that adults who consumed more lean protein, whether from dairy, eggs, meat, or plant sources, had lower blood pressure levels after four years of follow-up. (Combining increased fiber with the higher protein intake produced even more dramatic reductions in blood pressure.)More recently a 2009 study found that a protein in eggs whites can act similarly to ACE (angiotensin-converting-enzyme) inhibitors, a type of medicine used to control hypertension. Another protein found in eggs (and elsewhere), arginine, dilates blood vessels and lowers blood pressure as well. But dont go overboard. Although recommendations from various sources differ, you may want to limit your whole egg consumption to three or four a week, though you can supplement this with egg whites if you wish. And as usual, dont just rely on medical advice from a guy on the Internet. Check with your doctor, especially if you do have any adverse medical conditions. There may be underlying factors beyond general information like this that you need to consider. More: https://youtu.be/SKSPV3KEdOY Subscribe to our channel!
Просмотров: 47 Owen Gillen
Metformin & Dementia (Part 1): Risk, Protection or Confounding?  FORD BREWER
 
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FORD BREWER MD MPH PrevMedHeartRisk.com To prevent disability, heart attack, stroke, dementia - visit my Youtube Channel at https://www.youtube.com/channel/UCmoEsq6a6ePXxgZeA4CVrUw?view_as=subscriber Or the PrevMed web site at https://prevmedheartrisk.com/ https://www.medscape.com/viewarticle/877965 https://www.sciencedirect.com/science/article/pii/S0278584617302877 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4200667/ Metformin has been linked with both increased risk and protection for dementia. Most studies are retrospective and susceptible to confounding. Given the fact that the #1 known cause of dementia is diabetes/prediabetes/insulin resistance - and Metformin is the #1 treatment for these problems - it's clear that metformin use will always be more common about populations selected for dementia. In fact, the major cause for confusion in research the relationship of metformin to dementia is confounding. A confounder is something related to both the exposure and the disease. 2 examples are used: metformin and dementia, and diuretics and heart attack/stroke. In both situations the exposure ( metformin and diuretices) are meds commonly given for the most common known causes (diabetes and high blood pressure). So, it's clear that any population of heart attack and stroke patients will have a lot of people that have had diuretics. And yes, any population of stroke victims will have a lot of people that have had metformin. So how will we deal with confounding in the science behind metformin and dementia? About Dr. Brewer - Dr. Brewer started as an Emergency Doctor. After seeing too many patients coming in dead from early heart attacks, he went to Johns Hopkins to learn Preventive Medicine. He went on to run the post-graduate training program (residency) in Preventive Medicine at Hopkins. From there, he made a career of practicing and managing preventive medicine and primary care clinics. His later role in this area was Chief Medical Officer for Premise, which has over 500 primary care/ prevention clinics. He was also the Chief Medical Officer for MDLIVE, the second largest telemedicine company. More recently, he founded PrevMed, a heart attack, stroke, and diabetes prevention clinic. At PrevMed, we focus on heart attack, stroke, disability, cancer and Alzheimer's prevention. We find a lot of undiagnosed Type 2 diabetes. Treating unrecognized risk factors like diabetes allows reduction of risk. We provide state-of-the-art genetic testing, imaging, labs and telemedicine options. We serve patients who have already experienced an event as well as those have not developed a diagnosis or event. Our team of senior clinicians includes internationally recognized leaders in the research and treatment of cardiovascular disease, preventive medicine and wellness. We also provide preventive medicine by telemedicine technology to over 30 states. Contact Dr. Brewer at info@prevmedheartrisk.com or visit http://prevmedheartrisk.com.
Просмотров: 1283 Ford Brewer
Antihypertensive Drug|| Metoprolol +Amlodipine 25/5 mg|| by Guruji with Ashraf
 
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Antihypertensives are a class of drugs that are used to treat hypertension (high blood pressure).Antihypertensive therapy seeks to prevent the complications of high blood pressure, such as stroke and myocardial infarction. Evidence suggests that reduction of the blood pressure by 5 mmHg can decrease the risk of stroke by 34%, of ischaemic heart disease by 21%, and reduce the likelihood of dementia, heart failure, and mortality from cardiovascular disease. There are many classes of antihypertensives, which lower blood pressure by different means. Among the most important and most widely used drugs are thiazide diuretics, calcium channel blockers, ACE inhibitors, angiotensin II receptor antagonists (ARBs), and beta blockers. Which type of medication to use initially for hypertension has been the subject of several large studies and resulting national guidelines. The fundamental goal of treatment should be the prevention of the important endpoints of hypertension, such as heart attack, stroke and heart failure. Patient age, associated clinical conditions and end-organ damage also play a part in determining dosage and type of medication administered. The several classes of antihypertensives differ in side effect profiles, ability to prevent endpoints, and cost. The choice of more expensive agents, where cheaper ones would be equally effective, may have negative impacts on national healthcare budgets. As of 2009, the best available evidence favors the thiazide diuretics as the first-line treatment of choice for high blood pressure when drugs are necessary. Although clinical evidence shows calcium channel blockers and thiazide-type diuretics are preferred first-line treatments for most people (from both efficacy and cost points of view), an ACE inhibitor is recommended by NICE in the UK for those under 55 years old.
Просмотров: 78 Guruji with Ashraf