Discharge Nursing Case Study

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Pages: 1

The patient is an 85-year-old female who presents to the ED complaining of headache and increased blood pressure. Initial evaluation she is found to have an increased troponin. Additional history is the patient was seen in the ED on 8/1/2017. She was placed in observation and cleared for discharge. she was seen again in the ED on 8/4/2017 and again cleared for discharge after a period of observation and she presents now for the third time within the week. Her medical history is significant for asthma, diabetes mellitus, dyslipidemia, hypertension, hypothyroidism, a degree of dementia and atrial fibrillation. She is also known to have a dual-chamber pacemaker. Her troponins start out at 0.086 with a normal CK. She is also known to have