Quote from kristen5500
I have a 76 yr old female patient with shortness of breath, fainting spells, a resting pulse rate of 30 BPM, and a blood pressure of 125/82. I cannot figure out a diagnosis for this patient! Please give any advice or information on what the patient's pathology may be! Thank you! (this is just a simulation we are doing in class, there is no actual patient in danger!)
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To help you the best I like to ask students what semester they are and is this a real patient? We also ask all students to tell us what they think first so we know how to best answer. We don't give answers. AN is interested in helping students be the best nurse they can be.
are all about the patient assessment. A care plan is the "recipe card" on the care of the patient so that everyone will know how to care for the patient. It is also used by schools to teach nursing students to think like a nurse.
So what was your assessment of this patient? What did their lungs sound like? What was the O2 sat? When did the symptoms begin? What made the symptoms better/worse? What meds was the patient on? Was this patient on the heart monitor? What was the patients medical history?
What about the vitals signs is significant on this patient?
Resting HEART RATE:
30 (THIRTY) beats per min. Was this the palpated pulse? Did you listen to the Apical pulse?
125/82. Was this an auscultated B/P. Was an automatic B/P cuff used? Did you take orthostatic vital signs?
Tell me about your patient.