Donna Hovey’s holistic assessment by the Doctor indicates: Physical: • Weight 95 kg • Height 158 cm • BP 105/65 mmHg • H
Posted: Mon Oct 04, 2021 9:16 am
Donna Hovey’s holistic assessment by the Doctor indicates:
Physical:
• Weight 95 kg
• Height 158 cm
• BP 105/65 mmHg
• HR 116 bpm
• Temp 37.2⁰C
• SaO2: 92% (Room Air)
• 12 lead ECG: No new changes (previous ECG showed ST depression in
leads V3-V6, III and aVF)
Past medical history:
• Ischaemic Heart Disease (IHD)
• Hypertension
• Peripheral Vascular Disease (PVD)
Past surgical history:
• Coronary Artery Bypass Graft (CABG) six (6) years ago
• Percutaneous Transluminal Coronary Angioplasty (PTCA) two (2)
years ago
Social:
Mrs Hovey says she no longer smokes. She used to smoke 2 packs per
day, starting at the age of 19 and ceasing at 49 years old when she
was first diagnosed with Coronary Artery Disease (CAD). Mrs Hovey
lives alone in a rented flat and has recently retired on a
superannuation pension as her only source of income. Her only son
lives in Melbourne and due to the pandemic and border closures, has
not seen him for nearly a year which is making her depressed. Mrs
Hovey is also worried about going home as her chest pain has
occurred several times recently when she was doing the housework.
Mrs Hovey states that she hates asking anyone to help.
Question 4:
There is extensive literature on oxygen administration for patients
with chest pain.
No supplemental oxygen was administered to Mrs Hovey at this stage.
Discuss the latest evidence on supplemental oxygen to patients with
chest pain. Ensure ALL your statements are supported with relevant
recent scholarly literature
Physical:
• Weight 95 kg
• Height 158 cm
• BP 105/65 mmHg
• HR 116 bpm
• Temp 37.2⁰C
• SaO2: 92% (Room Air)
• 12 lead ECG: No new changes (previous ECG showed ST depression in
leads V3-V6, III and aVF)
Past medical history:
• Ischaemic Heart Disease (IHD)
• Hypertension
• Peripheral Vascular Disease (PVD)
Past surgical history:
• Coronary Artery Bypass Graft (CABG) six (6) years ago
• Percutaneous Transluminal Coronary Angioplasty (PTCA) two (2)
years ago
Social:
Mrs Hovey says she no longer smokes. She used to smoke 2 packs per
day, starting at the age of 19 and ceasing at 49 years old when she
was first diagnosed with Coronary Artery Disease (CAD). Mrs Hovey
lives alone in a rented flat and has recently retired on a
superannuation pension as her only source of income. Her only son
lives in Melbourne and due to the pandemic and border closures, has
not seen him for nearly a year which is making her depressed. Mrs
Hovey is also worried about going home as her chest pain has
occurred several times recently when she was doing the housework.
Mrs Hovey states that she hates asking anyone to help.
Question 4:
There is extensive literature on oxygen administration for patients
with chest pain.
No supplemental oxygen was administered to Mrs Hovey at this stage.
Discuss the latest evidence on supplemental oxygen to patients with
chest pain. Ensure ALL your statements are supported with relevant
recent scholarly literature