Syncope/ intractable nausea/ rule out CVA and arrhythmias

[Rebecca Roberts]

I need to come up with key assessments and priority problems for a patient that presented with snycope and nausea. In her chart, that was what was under her reason for hospital stay. I also found a note from by the MD. that said rule out CVA and arrhythmias. I am stuck. My patient has no complaints now and I don't know where to start. What should my current primary diagnosis be?

[Daytonite, BSN, RN]

She came in with syncope and nausea. That is why the MD wanted to rule out CVA and arrhythmias. Syncope and nausea are symptoms of these two things. I would put syncope and nausea as her admitting diagnoses. That is what the coders will do when they bill her insurance (or Medicare).