Wk 4 by KRISTINA SEBASTIAN https://padlet.com/yna_lauren/y92nucgc3ggg Made with joy en-us 2017-08-14 02:42:59 UTC 2025-11-03 06:30:02 UTC hello@padlet.com Trigger 14 yna_lauren https://padlet.com/yna_lauren/y92nucgc3ggg/wish/180867573 -Recommenced Metoprolol dosage (lower dosage). => Once the patient is stabilised, the dosage is reduced until Metoprolo is no longer required to manage Mr. Benga's condition.
-Step down ward has a lower priority of care
-ECHO looks for pockets of liquid, shows muscles mass and chamber size as well as blood flow.
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]]> 2017-08-14 02:46:07 UTC https://padlet.com/yna_lauren/y92nucgc3ggg/wish/180867573 Trigger 15 yna_lauren https://padlet.com/yna_lauren/y92nucgc3ggg/wish/180867602 - Mobilise => There is less concern about Mr. Benga undertaking physical activities
- 4th hourly observations => Normal observation pattern for wards.
- Daily ECG => Full 12 lead ECG to investigate function of Mr. Benga's heart from all directions.
-Daily Full Blood Count and E/LFT => Monitoring bloods for changes in composition, electrolytes, function, inflammations, and infections
-Telemetry => Monitoring is 3-5 lead ECG, less information than full 12 lead, single direction.
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]]> 2017-08-14 02:46:24 UTC https://padlet.com/yna_lauren/y92nucgc3ggg/wish/180867602 Trigger 16 yna_lauren https://padlet.com/yna_lauren/y92nucgc3ggg/wish/180867666 - As the nurse it is important to provide education on chest pain management
- The use of Glyceryl Trinitrate if Mr Benga experiences chest pain: used for heart failure, high blood pressure, chest pain and angina.
- Chest Pain Action Plan: do you feel any pain, pressure, heaviness, tightness in one or more of your chest, neck, jaw, arms, back and shoulder. You may also feel nauseous, cold sweat, dizzy or short of breath. If yes, stop and rest now. Tell someone how you feel and take angina medication if prescribed. if symptoms get worse after this  or have lasted 10 minutes call 000.]]> 2017-08-14 02:47:06 UTC https://padlet.com/yna_lauren/y92nucgc3ggg/wish/180867666 Trigger 17 yna_lauren https://padlet.com/yna_lauren/y92nucgc3ggg/wish/180867686 - Cardiac Rehabilitation: medically supervised prgram that includes exercise, lifestyle changes and emotional support. It aims to improves patient's health and allow them to live a more active and healthy life.
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- nurse's roles: printout information to make it easier for the pharmacist
- Depending on the type of medication, teach self administration as required for safety purposes
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- discuss life style modifications that could be beneficial 
- discuss impact of alcohol and smoking
- discuss methods of quitting smoking and nicotine abstinence - e.g. nicotine patches, gum etc.
- emotional support when quitting smoking - quit helplines

]]> 2017-08-14 02:47:29 UTC https://padlet.com/yna_lauren/y92nucgc3ggg/wish/180867709 Trigger 20 yna_lauren https://padlet.com/yna_lauren/y92nucgc3ggg/wish/180867723 - Smoker for more than 30 years. Impact on his health? Strategies to overcome?
- What is his current diet? What is the optimal diet for his condition? Cultural considerations? Financial condition
- Healthy Heart Diet? What does it entail?
- 'My heart, my life' guide?
- No salt diet?
]]> 2017-08-14 02:47:38 UTC https://padlet.com/yna_lauren/y92nucgc3ggg/wish/180867723 Trigger 21 yna_lauren https://padlet.com/yna_lauren/y92nucgc3ggg/wish/180867743 - How much exercise does he currently do? How much should he be doing? Intensity? How long?
- Role of a physio
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- Job- cleaner: may have to stop his job due to strenuous physical activity
- Sole provider for family: adds to stress and anxiety
--> adverse effects on his cardiac health
- OT: talk about his options with working his job
- Social worker: plan family meeting to discuss future financial options]]> 2017-08-14 02:47:52 UTC https://padlet.com/yna_lauren/y92nucgc3ggg/wish/180867756 Trigger 23 yna_lauren https://padlet.com/yna_lauren/y92nucgc3ggg/wish/180867788 - Medications: cost, education, adverse effects, what meds
- Ensure he goes to his follow up appts
- Ensure he goes to cardiac rehab
- Discharge summary: ensure it contains all necessary info including: contact num, emergency directions etc.
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