How does do angiotensin converting enzyme (ACE) inhibitors or angiotensin II receptor blockers (ARBs) offer protection to patients with diabetes and renal disease?
ACE inhibitors and ARBs have been shown to slow the progression of renal disease in patients with diabetes by interfering with the renin-angiotensin system. ACE inhibitors and ARBs lower intra-glomerular pressure by decreasing efferent arteriolar pressure. If an individual's blood pressure remains elevated, additional medication is warranted. Pharmacologic interventions include medications considered include diuretics, cardioselective beta blockers, or nondihydropyridine calcium channel blockers.
What are the two types of left-sided congestive heart failure?
The two types of left-sided heart failure include those with a reduced ejection fraction (HFrEF), which is also called systolic failure. In this case, the left ventricle loses its ability to contract normally and the heart can't pump with enough force to push enough blood into circulation. The second type of left-sided heart failure is that with a preserved ejection fraction (HFpEF), which is also called diastolic failure or diastolic dysfunction. The left ventricle loses its ability to relax normally because the muscle has become stiff. The heart can't properly fill with blood during the resting period between each beat.
What are some job duties of a medical assistant?
Clinical duties of a medical assistant include rooming the patient, obtaining patient height, weight, and vital signs, drawing blood and collecting other lab specimens, and assisting the provider with various procedures during the appointment.