Published Oct 6, 2011
mgalano, ASN, BSN, RN
84 Posts
I am working on my focused assessment for a pt I have tomorrow morning. I need to have 3 body systems picked out to focus on.
HX: Asymptomatic bradycardia (which is what she came in for), diastolic HF, HTN, SSS, Asthma.
So far right now I have 2 out of the 3. I will be focusing mainly on Cardiovascular because of the brady, htn and hf. And also I will focus on Respiratory because of the asthma and she uses two different inhalers daily.
I am just stuck on what else I should focus on? Help me out please?! thanks!
srobb11
190 Posts
I know this is late, but with diastolic heart failure you are dealing with pulmonary issues as well, so you want your respiratory assessment to include the expected pulmonary congestion and related breathing issues. The third one could be neuro assessment...due to the diastolic heart failure (ventricles are not filling to full capacity), the amount of oxygenated blood circulating is reduced and can cause mental changes/confusion.
What is SSS?
nurseprnRN, BSN, RN
1 Article; 5,116 Posts
sss is "sick sinus syndrome," a cardiac diagnosis. look it up and see how it would relate to the others.
i'm all for including patient knowledge assessment and education about disease process and medical and nursing plans of care for everybody.
LadyinScrubs, ASN, RN
788 Posts
Focused assessment: Cardiac, lungs, skin