Wk 3 by KRISTINA SEBASTIAN https://padlet.com/yna_lauren/e138b6tcbt4b en-us 2017-08-07 04:44:02 UTC 2017-08-07 05:48:26 UTC hello@padlet.com Trigger 13 yna_lauren https://padlet.com/yna_lauren/e138b6tcbt4b/wish/180238749 - Readmitted to CCU (due to heart failure)
- Why may he sit out of bed later in the day/evening?
- Continuous cardiac monitoring (due to episode)
- Hourly obs 
- Needs rest (heart is working overtime)
- CCU: Coronary Care Unit]]> 2017-08-07 04:47:03 UTC https://padlet.com/yna_lauren/e138b6tcbt4b/wish/180238749 Trigger 12b yna_lauren https://padlet.com/yna_lauren/e138b6tcbt4b/wish/180238760 -  how many L of oxygen was administered? 
- what were the ECG results? 
- Mr Benga is symptomatic (shortness of breathe) 
- what medication is Mr Benga on after his short of breath incidence?
- defibrilation 
- CCU for continuous cardiac monitoring - continued obs monitoring to see how he's going
- Cardiologist Registrar diagnosed Mr. Benga with Heart Failure
- ask if Mr Benga has had a history of thrombosis 
- IV lasix 80mg-stat: fluid retaining drug which helps his blood pressure to elevate again 
- Mr Benga's metropolol was ceased as his blood pressure has dropped to 90/60 
- Need to ring Mrs. Benga - how to break the news to her professionally and empathetically

]]> 2017-08-07 04:47:12 UTC https://padlet.com/yna_lauren/e138b6tcbt4b/wish/180238760 Trigger 12 yna_lauren https://padlet.com/yna_lauren/e138b6tcbt4b/wish/180238767 - Short of breath -> started walking after the heart attack (after 3 days)
- 90/60 BP (low for Mr Benga)
- High resp rate - 38bpm (normal range is 12-20)
- Low SATS (put on oxygen mask)
- Notify MO of Mr Benga's increased resp rate and decreased SATS. Shock??
- Prolonged PR interval (delayed conduction of SA nodes) in ECG -> first degree heart block (as he is not treated yet, this may be from the heart attack he had before)
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]]> 2017-08-07 04:47:19 UTC https://padlet.com/yna_lauren/e138b6tcbt4b/wish/180238767 Trigger 11 yna_lauren https://padlet.com/yna_lauren/e138b6tcbt4b/wish/180238771 - metoprolol 50mg bd
Why increased? = Metoprolol is a beta-blocker that affects the heart and circulation Metoprolol is used to treat angina (chest pain) and hypertension (high blood pressure). It is also used to treat or prevent heart attack.
effects of increase? dizziness/faintness, 
- "step down ward" --> less acute patients are kept on this ward 
- cardiac monitoring removed --> what did it consist of? = Cardiac monitoring generally refers to continuous monitoring of heart activity, generally by electrocardiography (ECG), with assessment of the patient's condition relative to their cardiac rhythm.
- Day 3 --> Mr. Banga's length of stay
- Consultant --> A doctor of senior rank within a special field
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