I have this OCD systematic approach to everything I normally write up a few pages of epidemiology/ aetiology/ pathophysiology then management of condition and move onto the next haha
Trying to find management guidelines the links for management in https://lifeinthefastlane.com/ecg-library/atrial-fibrillation/ touch on self management and mangement of risk factors. Im only a first year student so im trying to get a basic view, like give this to manage this and this to manage...
From his meds i know he has heart issues and Digoxin is used to control atrial fibrillation and atrial flutter. And from lookin at arial fibrillation examples of ECG tracings they look similar to this one.
Ok so P wave is the first short upward movement of the ECG and it indicates that the atria are contracting
The QRS complex is next normally beginning with a downward bit with the first Q is going upwards and a peak which is the R then a downwards S wave. The QRS complex is the ventricles...
Call to: 76 yr old male lying in bed. Pt feeling heart is jumping out of his chest and describes his heart feels like it is all over the place. No current chest pain but states something isnt right and every now and then he cant catch his breath. Denies nausea and has no other pain.
PMHx...
Fluids, ondansetron, Fentanyl, immediate transport. Then i mentioned ceftriaxone if i had more information in relation to an infection.
Just mentioned that she had the body temperature above 38.3C, heart rate higher than 90 and respiratory rate higher then 20 so shes matches the requirements...
From the information im given though i have no suspicion of infection, no burning on urination and lots of abdo issues? Pretty much written my whole paper on acute appendicitis and mentioned sepsis but now you guys got me worried.
Call to: 52 year old female Emma Smith. On arrival patient is lying in bed on her side with knees pulled up. Pain described as gradual onset of generalised abdominal pain over last 24 hours increasing in severity. Patient has been vomiting intermittently, has not eaten and cannot tolerate...