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7816fallonm

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  1. Hi! I am a senior nursing student, graduating this May ?For a simulation assignment, we have to prioritize which patient we will see first. I'm having a really hard time figuring it out. Here's the info: 73 y/o female, total knee replacement 3 days ago; developed small PEs, now on heparin, : smoker x 50 years (1/4 ppd), past Medical History: degenerative joint disease, arthritis, glaucoma 55 y/o man, 129 kg, past Medical History: Hypertension, Hypercholesterolemia, Type 2 Diabetes, resented to ED with chest pain. Now in cardiac cath, primary medical diagnosis: chest pain, : smoker 1.5 ppd x 20 years 65 y/o man, 125 kg, past Medical History: MI (5 years ago), hypercholesterolemia, 40-year smoking hx, Admitted to hospital yesterday with lightheadedness, palpitations, chest discomfort. ECG revealed atrial fibrillation, started on IV diltiazem, denies smoking since heart attack, occasional alcohol use, primary Medical Diagnosis: New onset atrial fibrillation I'm thinking to check on the older lady first? She has PEs and is on heparin (lots of risks), then the cardiac cath guy (he's just gotten back from a procedure, a fairly low risk procedure, but a procedure none the less - also needs monitoring), and then the a-fib guy last. Another guess I have is do the cardiac cath guy first, then the old lady, then afib? ANY insight would be so amazingly appreciated!!!

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