Mapa mental
Mind Map #3
Conteúdo do mapa
Mind Map #3
Admitting Diagnosis
- Chest Pain
- dyspnea w/ exertion
- Previous Medical History
- List of Problems
- New Problems
- Atrialfibrillation, Chronic
- Nausea, Vomitting
- migraines
- Dyspnea w/ exertion
- Historic Problems
- Anxiety
- Essential Hypertension
- Former Smoker
- Chest Pain
- Obesity, Unspecified
- New Problems
- Previous Surgeries
- Hysterectomy
- Cholecystectomy
- SVT with Ablation
- Medications
- See List
- List of Problems
- Labs and Diagnostic Values
- Labs
- MCHC 31.9 (Low)
- Nearly all Labs (Including Triponin) were within normal range
- MCH 26.7 (Low)
- Blood Panel
- WBC 11.7 x 10^3 (High)
- Labs
- Treatments
- transesophageal echocardiogram
- ECG Procedure
- On Holter Monitor
- Daily Weights
- Nutritional Plan
- Educational Plan for Obesity
- Regular Diet
- Meds
- Nursing Diagnosis
- Dx #1: Overweight related to high frequency of restaurant or fried food as evidenced by adult BMI of 25.
- Dx #2: Decreased cardiac output related to afterload as evidenced by dyspnea
- Head to Toe Assessment
- EENT
- 3mm Pupils
- Cardinal Gazes ✔
- Whisper Test ✔
- Oral Mucosa moist and pink
- Cavities Filled
- PERRLA
- Neurological Assessment
- Oriented x3
- Pt Denies pain at this time
- Grip Strength ✔
- Respiratory
- Clear; all lobes
- Cardiac
- Heart Rate Regular
- Capillary Refill: < 3 sec
- Pedal Pulse: +2
- Carotid, Radial, Tibialis, Pulse +3
- Skin
- IV Left Forearm
- Turgor ✔
- small incision in peritoneal area
- Abdomen
- soft
- Normoactive sounds
- EENT
- Chest Pain
Patient Demographics
- Initals: CM, Female
- Status: Full Code
- BMI: 308
- Allergies: Sulfa Drugs; PCN
- Religion: Baptist
- Race: White
- Ethnicity: Not hispanic or Latino
- Language: English
- Ethnicity: Not hispanic or Latino
Informações
- Descrição
- Mapa Mental sobre Mind Map #3, criado por Sinclair Abbott em 09-07-2018.
- Criado por
- Sinclair Abbott
- Visualizações
- 2
- Avaliação