Scribd Logo
Upload

Welcome to Scribd!

  • 141 views

    Ms Sandrine David-Discharge Back

    Uploaded by

    Gretchen
    Ms. Sandrine David was admitted to the hospital due to symptoms of possible acute coronary syndrome, gastritis, and gallbladder stones. She presented with abdominal pain, vomiting, agitation, and fear of dying. Diagnostic tests confirmed acute coronary syndrome and she was treated in the intensive care unit. Her condition stabilized with medication and she no longer reported pain. She is being discharged into the care of her general practitioner, Dr. Ali Maali, who is asked to provide continuous prescribed medication and advise her to quit smoking, limit alcohol, and exercise daily.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Ms Sandrine David-Discharge Back

    Uploaded by

    Gretchen
    141 views1 page
    Ms. Sandrine David was admitted to the hospital due to symptoms of possible acute coronary syndrome, gastritis, and gallbladder stones. She presented with abdominal pain, vomiting, agitation, and fear of dying. Diagnostic tests confirmed acute coronary syndrome and she was treated in the intensive care unit. Her condition stabilized with medication and she no longer reported pain. She is being discharged into the care of her general practitioner, Dr. Ali Maali, who is asked to provide continuous prescribed medication and advise her to quit smoking, limit alcohol, and exercise daily.

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Ms. Sandrine David was admitted to the hospital due to symptoms of possible acute coronary syndrome, gastritis, and gallbladder stones. She presented with abdominal pain, vomiting, agitation, and fear of dying. Diagnostic tests confirmed acute coronary syndrome and she was treated in the intensive care unit. Her condition stabilized with medication and she no longer reported pain. She is being discharged into the care of her general practitioner, Dr. Ali Maali, who is asked to provide continuous prescribed medication and advise her to quit smoking, limit alcohol, and exercise daily.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    141 views1 page

    Ms Sandrine David-Discharge Back

    Uploaded by

    Gretchen
    Ms. Sandrine David was admitted to the hospital due to symptoms of possible acute coronary syndrome, gastritis, and gallbladder stones. She presented with abdominal pain, vomiting, agitation, and fear of dying. Diagnostic tests confirmed acute coronary syndrome and she was treated in the intensive care unit. Her condition stabilized with medication and she no longer reported pain. She is being discharged into the care of her general practitioner, Dr. Ali Maali, who is asked to provide continuous prescribed medication and advise her to quit smoking, limit alcohol, and exercise daily.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    Dr Ali Maali

    General Practitioner
    Private Practice
    Newtown

    10 September 2022

    Re: Ms Sandrine David, DOB : 22/01/1960


    Dear Dr Maali,

    I am writing to discharge Ms Sandrine David back into your care, who was admitted to St Mary
    NHS Trust due to features possible of acute coronary syndrome, gastritis, and gallbladder
    stones. Your continuous care and management would be appreciated.

    On 02/09/2020 at 10 am, Ms David presented with complaints of abdominal pain radiating to


    back and bilateral shoulders, vomiting, appeared agitated and thought of possible dying. On
    assessment, she mainly reported epigastric pain with no abdominal tenderness noted. In
    addition, her PR was 110, oxygen saturation was 92%, temperature of 37 celcius, RR 20 and BP
    was 120/90. She was commenced on morphine intravenously for pain and hooked to fifteen
    liters of oxygen inhalation. Consequently, she was immediately transferred to intensive care
    unit for admission due to a confirmed ACS diagnosis following her diagnostic procedures
    ordered for which reported a suspicious ischemic change in her ECG, noted elevation in cardiac
    enzymes and NAD in ultrasound.

    During ICU admission, Ms David was managed with continuous oxygenation and recommended
    medications like Aspirin 250mg, Clopidogrel, morphine and alteplase infusion. Given that, she
    was ordered for a repeated ECG and Echo.

    In line with this, Ms David’s condition stabilized well with normal diagnostic results and no pain
    reported. It would be appreciated if you could provide her a continuous prescribed medication
    and kindly advise to quit smoking and alcohol intake. Please render education regarding her
    current condition and a 30 min daily exercise might be beneficial.

    If you have any queries, please do not hesitate to contact me.

    Yours sincerely,

    Nurse

    You might also like