Up until September I had an additional job working for another bar too, where they paid me nightly in $50 cash, including tipsâ¦ not much considering I would drive there after an eight hour work day at my full time job, and then stay until closing time (which was usually about 3am).
Cardiac tamponade is pressure on the heart muscle which occurs when the pericardial space fills up with fluid faster than the pericardial sac can stretch. If the amount of fluid increases slowly (such as in hypothyroidism) the pericardial sac can expand to contain a liter or more of fluid prior to tamponade occurring.
Cardiac tamponade is usually the result of penetration of the pericardium, which is the thin, double-walled sac that surrounds your heart. The cavity around your heart can fill with enough blood or other bodily fluids to compress your heart. As the fluid presses on your heart, less and less blood can enter. Less oxygen-rich blood is pumped to the rest of your body as a result. The lack of blood getting to the heart and the rest of your body can eventually cause shock, organ failure, and cardiac arrest. The causes of pericardial penetration or fluid accumulation might include: