Shadow Health - Tina Jones –
Cardiovascular question with answers
Established chief complaint - -Have you ever had palpitations?
Finding:
Reports recent episodes of palpitations
Have you had any problems with your heart?
Finding:
Describes heart rate during episodes as feeling "faster than usual"
"I'm sorry to hear you're experiencing those symptoms; they can be very
uncomfortable. I'll ask you some questions to learn more about your symptoms, and
we will try to determine what's causing you to feel this way."
-Asked about onset - -How long ago did you start having palpitations?
Finding:
Reports first episode a month ago
-Asked about frequency and duration of fast heartbeat episodes - -When do the
palpitations occur?
Finding:
Reports episodes occur "about once a week"
How many palpitation episodes have you had?
Finding:
Reports 3-4 episodes total
How long do your palpitations last?
Finding:
Reports fast heartbeat episodes last 5-10 minutes
-Asked about character of palpitations - -How does your heart feel during the
palpitations?
Finding:
Describes palpitations as "thumping" or "pounding"
Do you feel anxious during the palpitations?
Finding:
Reports episodes accompanied by mild anxiety
-Asked about aggravating factors - -When do you feel the palpitations?
Finding:
Reports that palpitations seem to occur more often in the morning
Do the palpitations get worse with exertion?
Finding:
Reports episodes not exacerbated by exertion(
, Does food make your palpitations worse?
Finding:
Reports that episodes do not occur after eating
Does the caffeine affect your heart rate?
Finding:
Reports caffeine as a possible aggravating factor.
-Asked about relieving factors - -What relieves your palpitations?
Finding:
Reports deep breathing and trying to relax
What treatments have you tried for your palpitations?
Finding:
Denies medication or other treatment
-Confirmed use of medications - -Have you started any new medications?
Finding:
Confirms medications from previous visit
Do you use an inhaler?
Finding:
Reports new inhaler.
-Followed up on new inhaler - -What is the name of your daily inhaler?
Finding:
New inhaler is Flovent
How many puffs do you take of your inhaler?
Finding:
Prescribed dose is two puffs
How often do you use your inhaler?
Finding:
Inhaler is prescribed for daily use
Is your inhaler working?
Finding:
Describes new inhaler regiment as effective.
-Confirmed allergies - -Have you had any new allergies?
Finding:
Confirms allergies (no new allergies reported)
-Asked about personal history of hypertension - -What is your usual blood pressure?
Finding:
Reports usual blood pressure "might be on the high side"
Have you been diagnosed with high blood pressure?
Cardiovascular question with answers
Established chief complaint - -Have you ever had palpitations?
Finding:
Reports recent episodes of palpitations
Have you had any problems with your heart?
Finding:
Describes heart rate during episodes as feeling "faster than usual"
"I'm sorry to hear you're experiencing those symptoms; they can be very
uncomfortable. I'll ask you some questions to learn more about your symptoms, and
we will try to determine what's causing you to feel this way."
-Asked about onset - -How long ago did you start having palpitations?
Finding:
Reports first episode a month ago
-Asked about frequency and duration of fast heartbeat episodes - -When do the
palpitations occur?
Finding:
Reports episodes occur "about once a week"
How many palpitation episodes have you had?
Finding:
Reports 3-4 episodes total
How long do your palpitations last?
Finding:
Reports fast heartbeat episodes last 5-10 minutes
-Asked about character of palpitations - -How does your heart feel during the
palpitations?
Finding:
Describes palpitations as "thumping" or "pounding"
Do you feel anxious during the palpitations?
Finding:
Reports episodes accompanied by mild anxiety
-Asked about aggravating factors - -When do you feel the palpitations?
Finding:
Reports that palpitations seem to occur more often in the morning
Do the palpitations get worse with exertion?
Finding:
Reports episodes not exacerbated by exertion(
, Does food make your palpitations worse?
Finding:
Reports that episodes do not occur after eating
Does the caffeine affect your heart rate?
Finding:
Reports caffeine as a possible aggravating factor.
-Asked about relieving factors - -What relieves your palpitations?
Finding:
Reports deep breathing and trying to relax
What treatments have you tried for your palpitations?
Finding:
Denies medication or other treatment
-Confirmed use of medications - -Have you started any new medications?
Finding:
Confirms medications from previous visit
Do you use an inhaler?
Finding:
Reports new inhaler.
-Followed up on new inhaler - -What is the name of your daily inhaler?
Finding:
New inhaler is Flovent
How many puffs do you take of your inhaler?
Finding:
Prescribed dose is two puffs
How often do you use your inhaler?
Finding:
Inhaler is prescribed for daily use
Is your inhaler working?
Finding:
Describes new inhaler regiment as effective.
-Confirmed allergies - -Have you had any new allergies?
Finding:
Confirms allergies (no new allergies reported)
-Asked about personal history of hypertension - -What is your usual blood pressure?
Finding:
Reports usual blood pressure "might be on the high side"
Have you been diagnosed with high blood pressure?
