8 Shadow Health
Cardiovascular Physical Assessment Assignment Results |
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Advanced Health Assessment - Chamberlain, NR509-October-2018
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Activity Time: 9 min
Overvie Lifespan
w
Tina’s 5-year-old cousin comes into the clinic and you notice that her heart
Transcri rate increases with inspiration and decreases with expiration. What is your
differential diagnosis and treatment plan for this finding?
pt
Subjective Data
Collection Objective Student Response:
My differential would include intracranial pressure and myocardial ischemia. To rule out
Data Collection myocardial infarction, we would need to keep an eye on her blood pressure. A CT scan could be
done to rule out any bleed on the brain that could cause intracranial pressure. If she doesn't
Education & Empathy have any other symptoms, though, it is probably not serious.
Model Note: Differential diagnosis includes benign sinus dysrhythmia, increased intracranial
Documentation
pressure, increased vagal tone, and myocardial ischemia. Her blood pressure should be
Lifespan monitored to ensure perfusion to rule out myocardial ischemia. She should be assessed for
other symptoms that may indicate an underlying problem. With no other symptoms, it can be
assumed that the dysrhythmia is benign since it is so common in children.
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