The patient (pt) in room 584 is an 84-year-old Caucasian woman who was transferred to Lynchburg General hospital on December 12, 2016 from Stonewall hospital in Lexington in order to receive pulmonary care. Though she was admitted for unspecified dementia without behavioral disturbances, she was originally hospitalized at Stonewall since September 21, 2016 for atrial fibrillation with a low ventricular response rate, and dyspnea. She has co-morbidities of Parkinson’s disease and Lewy body dementia, and will be discussed first with the inclusion of signs, symptoms, related lab tests, and diagnostic values. She also has a long history of tobacco abuse in the form of smoking. When admitted, her vital signs were as followed: a pulse rate of 54, respirations at 16, blood pressure of 119/71 mmHg, a pulse oximetry reading of 97% on 3L of supplemental oxygen per nasal cannula, and was reportedly afebrile. During the course of her hospital stay she had an event of acute recurrent hypoxia that required an intermittent BIPAP, and it was suspected that she had aspirated. This pt was administered a CT scan, an Echocardiogram, and had a speech therapy consult.
According to Dr. Bucher, Atrial fibrillation is a type of dysrhythmia casused by multiple …show more content…
This paper has also reviewed her co-morbidities of dyspnea and atrial fibrillation with a rapid ventricular response in relation to her history of smoking and perfusion difficulty. As of October 16, 2016 the patient went into normal sinus rhythm, her mood had significantly improved, and her health was improved so much as they could help her ambulate in to the chair. She was given a low dose prescription of morphine to keep her respirations regulated and to reduce any generalized pain. Her family is hoping that she will be able to return home in the next few
According to Dr. Bucher, Atrial fibrillation is a type of dysrhythmia casused by multiple …show more content…
This paper has also reviewed her co-morbidities of dyspnea and atrial fibrillation with a rapid ventricular response in relation to her history of smoking and perfusion difficulty. As of October 16, 2016 the patient went into normal sinus rhythm, her mood had significantly improved, and her health was improved so much as they could help her ambulate in to the chair. She was given a low dose prescription of morphine to keep her respirations regulated and to reduce any generalized pain. Her family is hoping that she will be able to return home in the next few