Shadow Health Brian Foster - Chest Pain Focused Exam Rated A+

Shadow Health Brian Foster - Chest Pain Focused Exam Rated A+ Palpated PMI Less than 3cm Displaced laterally Brisk and tapping Palpated tibial arteries Right: Amplitude - 1 + Left: Vibration - No thrill Left: Amplitude - 1+ Right: Vibration - No thrill Palpated dorsalis pedis arteries Right: Amplitude - 1 + Left: Vibration - No thrill Left: Amplitude - 1+ Auscultated heart sounds Right: Vibration - No thrill S1, S2, and S4 audible Gallops Auscultated carotid arteries Left: no bruit Auscultated abdominal aorta Right: no bruit No bruit Auscultated abdominal and lower extremities Right: Iliac- No bruit Right: Femoral - No bruit Left: Renal - No bruit Left: Iliac - No bruit Left: Femoral - No bruit Right: Renal - No bruit Auscultated breath sounds Present in all areas No adventitious sounds All areas clear Performed EKG No ST elevation Nursing diagnosis Irregular -Exhibits -Deficient knowledge -Insufficient knowledge of cardiac disease -Insufficient knowledge of resources for cardiac procedure recovery Signs and symptoms -Not currently on cardiac diet -Sedentary lifestyle prior to hospitalization -New placement of cardiac stent Short term goal To have patient verbalize and agree to their post-stent care and heart-healthy lifestyle instructions, by end of hospitalization Interventions medication -Inform patient that his provider will be in soon to discuss post-operative -Instruct patient that if chest pain develops, he should alert staff immediately -Instruct patient to begin exercise regimen: low-impact walking, 15-20 minutes, 3 times a week, and increase intensity and frequency as tolerated -Instruct patient to begin exercise regimen after a week -Instruct patient to begin cardiac diet, including reduction of salt and red meat intake -Instruct patient to begin cardiac diet immediately -Instruct patient to monitor stent site for signs of bleeding -Instruct patient to monitor stent site for signs of infection: redness, swelling, warm