Year Admitted Emergency Explained for Students (Easy Guide)
Students often encounter this when studying fundamental concepts.
What This Question Is About
This question relates to year admitted emergency and requires a structured academic response.
How to Approach This Question
Structure your response with introduction, analysis, and conclusion.
Key Explanation
This topic involves year admitted emergency. A strong answer should include explanation, application, and examples.
Original Question
A 67-year-old man who was admitted to the emergency department complaining of increasing shortness of breath. Mr. JM has woken on each of the last two nights, struggling for breath. On arrival at hospital and on subsequent examination and review by the admitting doctor the following information is obtained: History of presenting complaint Shortness of breath and tiredness increasing over the last two months. Is able to walk approximately 20 metres. Past medical history _ Ischaemic heart disease over 10 years _ Myocardial infarction 1 year ago _ Hypertension (10 years). Social history The patient is a regular cigarette smoker (>30 per day) and drinks approximately 35 units of alcohol per week. Family history No family history of cardiovascular disease. Drug history on admission No known allergies. Prescribed drugs are listed in Table Q2.1. Signs and symptoms on examination *Patient was pale on examination. _ Temperature 36.8°C _ Blood pressure 105/60 mmHg _ Heart rate 90 bpm, irregular _ Swelling of ankles (SOA) – pitting to the knees _ JVP +4 cm _ Weight 97 kg (usually 85 kg) _ CXR – cardiomegaly _ Basal crackles in both lungs _ ECG – normal. Prescribe drugs Bisoprolol 5mg tab OD Aspirin 75mg tab OD Isosorbide Mononitrate 60mg OD Glyceryl trinitrate spray 400mcg 1-2 puffs PRN pain Biochemistry results at admission Na+ 132 mmol/L (135-145 mmol/L) K+ 4.3 mmol/L (3.5-5.0 mmol/L) Urea 17 mmol/L (0-7.5 mmol/L) Creatinine 169 micromol/L (35-125 micromol/L) Total cholesterol 3.9 mmol/L (<4 mmol/L) Blood glucose 4.4 mmol/L (4-10 mmol/L) Bilirubin 12 micromol/L (0-17 micromol/L) ALT30 units/L (30-50 units/L) Alk phos 65 units/L (30-135 units/L) Thyroid function tests were also taken and have all returned as being within a normal range. A full blood count found all parameters were normal and within range. Diagnosis A preliminary diagnosis of acute heart failure is made. Task: Create a SOAP or FARM (please refer to the sample template) Guide questions in creating the SOAP/FARM: 1. What sign and symptoms that validate that the patient has heart failure? 2. How rational the drugs prescribe to the patient? 3. What parameters should be monitored to ensure the effectiveness and appropriateness of the medications prescribed and suggested? 4. What is the goal of therapy of this patient?
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