Patient Diagnosis help

  1. 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!)
  2. Visit kristen5500 profile page

    About kristen5500

    Joined: Apr '18; Posts: 1

    13 Comments

  3. by   MilliePieRN
    One of the vital signs is obviously far out of normal range. Which one?
  4. by   AnnieNP
    What do you think would make someone faint?
  5. by   nursej22
    Are you looking for a medical or nursing diagnosis?
  6. by   student_B
    You should be able to find plenty of nursing diagnoses on this patient, think ABCs! Look through a NANDA or nursing diagnosis handbook and prioritize the most life-threatening/emergent bodily functions.

    Also, escape rhythm r/t 3rd degree block? Trying to think of interventions beyond calling RR or code (also not sure which if pt is still A+O). I enjoy learning from other students questions
  7. by   Esme12
    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!)
    Welcome to AN! The largest online nursing community!

    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.

    Care plans 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?
    B/P: 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.
  8. by   Neo Soldier
    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!)
    With this info I can say
    Decreased tissue perfusion
    decreased cardiac output
    activity intolerance
  9. by   kaylee.
    How much perfusion can be going on at hr of 30? Symptoms are related to decreased perfusion, and since they are having sx with the rate they are likely unstable. So your ndx will be about emergent concerns, not coping or education. Just in case you were going to go there. The emergent ones are the easier care plans because there are clear cut sx and steps to ensure pt safety and life! Hope i didnt give the whole thing away.
  10. by   thatgirl2478
    why is it that very few students actually follow up on their requests for help? granted, it's only been 2 days so maybe the OPs get busy... but I've noticed this as a general trend.
  11. by   Esme12
    Quote from thatgirl2478
    why is it that very few students actually follow up on their requests for help? granted, it's only been 2 days so maybe the OPs get busy... but I've noticed this as a general trend.
    It is...I Think there is a percentage that want the care plan written for them. Here at AN we don't give answers...we help the student who actively participates. The goal of AN is to help students become the best nurse they can be. We don't give answers.
  12. by   LilyRN99
    Also, non emergent diagnosis could be risk for falls and risk for injury. There are also some respiratory NANDAs. If you have a medical diagnosis you can google something like heart failure NANDA. Personally, I like nurselabs.com for care plan help.
  13. by   Wuzzie
    Quote from thatgirl2478
    why is it that very few students actually follow up on their requests for help? granted, it's only been 2 days so maybe the OPs get busy... but I've noticed this as a general trend.
    Because someone will eventually come along and start giving them the answers (AEB this thread).
  14. by   KrCmommy522
    Quote from thatgirl2478
    why is it that very few students actually follow up on their requests for help? granted, it's only been 2 days so maybe the OPs get busy... but I've noticed this as a general trend.
    Quote from Esme12
    It is...I Think there is a percentage that want the care plan written for them. Here at AN we don't give answers...we help the student who actively participates. The goal of AN is to help students become the best nurse they can be. We don't give answers.
    Agreed!! Too many people post on here with their pt info, absolutely no thoughts of their own as to what the answer, or diagnoses, interventions, etc. are. Then, good people take their time to respond to the OP, asking questions and trying to get the OP to give more info and think about the question or pt, and the OP never responds! The only reason I ever came up with for people doing it was they expected people to just post answers, and when they didn't get that, they just thought - "Well, forget this! I'm not going to do more work by responding! I guess I'll figure out something else!" SMH!

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