Essay on The Patient ( Pt )

1818 Words Oct 21st, 2016 8 Pages
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 sites of electrical activity on the atria that causes it to lose the ability to contract properly. This patient has a rapid ventricular response rate, meaning that the atrial fibrillation is paired with a ventricular rate of more thann a…

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