Tina jones cardiovascular shadow health Transcript – assignmenthandlers

Hi Ms. Jones. My name is xx and I’ll be your nurse today.

Greet
07/22/22 10:45 PM MDT

Hey.

What brings you in today?

Question
07/22/22 10:45 PM MDT

I’ve been noticing my heart seems to be beating too fast every once in a while lately, and it started to worry me. My mom said I should make an appointment. You don’t want to ignore heart stuff, I guess.

That must be frightening for you. I’m sorry you’re going through that.

Empathize
07/22/22 10:46 PM MDT

I appreciate you telling me that.

When did you first notice your heart beating faster than normal?

Question
07/22/22 10:46 PM MDT

I’ve been noticing it for about a month, I guess. It’s been happening around once a week.

Can you describe what happens when your heart beats fast? (Clarified to What happens when your heart beats fast?.)

Question
07/22/22 10:47 PM MDT

Well, when my heart starts beating really fast, it just feels like a thumping in my chest. It makes me anxious and uncomfortable. (Clarified to what happens when my heart beats fast.)

Do you know what causes your heart to beat fast at times? (Clarified to What activities make your heart race?.)

Question
07/22/22 10:49 PM MDT

All I’ve been able to tell so far is that it happens in the mornings, usually as I’m getting ready or driving to school. I’m never doing anything out of the ordinary when it happens. (Clarified to what activities make my heart race.)

How long does the increased heart rate last?

Question
07/22/22 10:50 PM MDT

Not very long, maybe five to ten minutes max.

What makes your heart rate come back to normal?

Question
07/22/22 10:50 PM MDT

I try to slow down and breathe, and just relax. The feeling usually goes away after awhile.

Have you ever had any heart problems in the past? (Clarified to Do you have a history of heart problems?.)

Question
07/22/22 10:50 PM MDT

Not that I know of. (Clarified to if I have a history of heart problems.)

Do you have hypertension?

Question
07/22/22 10:51 PM MDT

…I’ve never been diagnosed with blood pressure problems. But I think it can be on the high side sometimes.

Do you monitor your blood pressure at home?

Question
07/22/22 10:51 PM MDT

Only when I’m here at the clinic.

Do you monitor your heart rate at home?

Question
07/22/22 10:51 PM MDT

No, I’ve never done that.

Do you know if your heart has an abnormal rhythm?

Question
07/22/22 10:52 PM MDT

I don’t, honestly. [AUDIO COMING SOON]

Have you ever had a heart murmur?

Question
07/22/22 10:52 PM MDT

No.

Have you noticed any swelling?

Question
07/22/22 10:52 PM MDT

No.

Have you had any changes in weight?

Question
07/22/22 10:52 PM MDT

Um, I don’t think so.

Have you had any changes in your skin?

Question
07/22/22 10:53 PM MDT

Well…I guess I was noticing the other day that the skin around my neck is looking weird. Like the skin is getting darker. And my skin’s breaking out, but that’s how it is.

When did you notice the skin around your neck getting darker?

Question
07/22/22 10:53 PM MDT

It’s been there for years, but I noticed it’s gotten darker in the last few months.

Do you have chest pain?

Question
07/22/22 10:53 PM MDT

No, I’ve never had any chest pain. It doesn’t hurt, it just feels like my heart is beating really fast.

Have you had any cardiac test done in the past? (Clarified to What heart tests have you had?.)

Question
07/22/22 10:54 PM MDT

I haven’t had any heart tests yet. (Clarified to what heart tests I have had.)

Have you had any cardiac surgeries?

Question
07/22/22 10:54 PM MDT

Nope. No surgeries… I’ve been lucky.

Have you been feeling tired?

Question
07/22/22 10:55 PM MDT

Yeah, most days I feel pretty exhausted by the end of the day.

Have you experienced any chest tightness? (Clarified to Do you ever have chest tightness?.)

Question
07/22/22 10:55 PM MDT

Not really. (Clarified to if I ever have tightness in my chest.)

Have you had any trouble with your breathing?

Question
07/22/22 10:55 PM MDT

Well, yeah, I have asthma… But my breathing has been fine lately.

When was the last time you had an asthma attack?

Question
07/22/22 10:56 PM MDT

Not since high school, I guess.

What triggers your asthma attacks/

Question
07/22/22 10:56 PM MDT

Being around cats is the worst, but dust and running up stairs can make my breathing bad, too. I haven’t had a full asthma attack in years, though.

Have you experienced any leg cramping?

Question
07/22/22 10:58 PM MDT

No, my legs are fine.

How is your mobility?

Question
07/22/22 10:59 PM MDT

I don’t have any problems moving around or anything like that. [AUDIO COMING SOON]

Do you have any pain?

Question
07/22/22 10:59 PM MDT

No, there’s never any actual pain.

How is your cholesterol?

Question
07/22/22 11:00 PM MDT

I don’t know. I’ve never had it tested.

How is your diet?

Question
07/22/22 11:00 PM MDT

It’s pretty good, I think. I’m not a huge health nut or anything.

Describe what you eat in a day

Question
07/22/22 11:00 PM MDT

Let’s see . . . a muffin or pumpkin bread for breakfast, a sandwich for lunch, and some kind of meat with a veggie for dinner.

Do you drink alcohol?

Question
07/22/22 11:03 PM MDT

I do sometimes, yeah, when I go out with my friends.

How often do you have drinks with friends?

Question
07/22/22 11:05 PM MDT

Not much. I go out for drinks with friends maybe a couple times a month.

Do you take any recreational drugs?

Question
07/22/22 11:06 PM MDT

No.

Do you smoke?

Question
07/22/22 11:06 PM MDT

No. I think it’s gross.

Are you exposed to secondhand smoke?

Question
07/22/22 11:07 PM MDT

Some of my friends smoke when we go out drinking. But I don’t smoke, and nobody at home smokes.

Do you have a family history of blood pressure? (Clarified to Does your family have a history of hypertension?.)

Question
07/22/22 11:12 PM MDT

We’ve got high blood pressure in our family for sure. Granny, Mom, and Dad had it…and honestly I think my other three grandparents might’ve had issues with that, too. (Clarified to if high blood pressure runs in my family.)

Does your family have a history of cholesterol?

Question
07/22/22 11:14 PM MDT

Cholesterol runs high in my family. All four of my grandparents have high cholesterol, and Mom and Dad, too.

Does your family have a history of strokes?

Question
07/22/22 11:15 PM MDT

Yeah, that’s how my Nana died.

I’m sorry to hear that

Empathize
07/22/22 11:15 PM MDT

Thanks for saying that.

Do you have a family history of obesity?

Question
07/22/22 11:17 PM MDT

No, I don’t think so. My brother and my dad are kind of big, but I wouldn’t say they were obese or anything.

How long have you been overweight?

Question
07/22/22 11:39 PM MDT

I guess I’ve been on the heavy side for most of my life.

Are you satisfied with your current weight?

Question
07/22/22 11:39 PM MDT

I honestly don’t think about my weight much. It’s not something I stress out about.

While it good that you don’t stress over your weight, I want you to be aware that obesity can lead to many health issues. A few of them being high blood pressure, stroke, heart attack, heart failure, kidney failure, and many more.

Educate
07/22/22 11:41 PM MDT

OK, I understand.

Inspected anterior chest wall

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07/22/22 11:47 PM MDT

Inspected left side chest wall

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07/22/22 11:47 PM MDT

Inspected posterior chest wall

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07/22/22 11:48 PM MDT

Inspected right side chest wall

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07/22/22 11:48 PM MDT

Inspected anterior chest wall

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07/22/22 11:48 PM MDT

Inspected for jugular venous distention: JVP 1 cm above sternal angle

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07/22/22 11:48 PM MDT

Inspected fingernails of left hand

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07/22/22 11:49 PM MDT

Checked capillary refill in fingernails

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07/22/22 11:49 PM MDT

Checked capillary refill in fingernails

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07/22/22 11:49 PM MDT

Checked capillary refill in fingernails

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07/22/22 11:50 PM MDT

Checked capillary refill in fingernails

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07/22/22 11:50 PM MDT

Checked capillary refill in fingernails

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07/22/22 11:50 PM MDT

Checked capillary refill in fingernails

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07/22/22 11:50 PM MDT

Checked capillary refill in fingernails

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07/22/22 11:50 PM MDT

Checked capillary refill in fingernails

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07/22/22 11:50 PM MDT

Inspected legs

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07/22/22 11:51 PM MDT

Inspected right leg for edema: No edema

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07/22/22 11:51 PM MDT

Inspected left leg for edema: No edema

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07/22/22 11:51 PM MDT

Inspected left leg

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07/22/22 11:52 PM MDT

Inspected legs

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07/22/22 11:52 PM MDT

Palpated temporal arteries: No thrill on either side, 2+ on both sides

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07/22/22 11:52 PM MDT

Palpated left carotid pulse: No thrill, 2+

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07/22/22 11:53 PM MDT

Palpated right carotid pulse: No thrill, 2+

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07/22/22 11:53 PM MDT

Palpated chest at PMI: Present at midclavicular line and 5th intercostal space, brisk and tapping, diameter 2 cm

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07/22/22 11:54 PM MDT

Palpated right radial pulse: No thrill, 2+

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07/22/22 11:55 PM MDT

Palpated left radial pulse: No thrill, 2+

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07/22/22 11:55 PM MDT

Palpated left brachial pulse: No thrill, 2+

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07/22/22 11:56 PM MDT

Palpated right brachial pulse: No thrill, 2+

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07/22/22 11:56 PM MDT

Palpated left femoral pulse: No thrill, 2+

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07/22/22 11:59 PM MDT

Palpated left popliteal pulse: No thrill, 2+

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07/23/22 12:00 AM MDT

Palpated right popliteal pulse: No thrill, 2+

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07/23/22 12:00 AM MDT

Palpated right tibial pulse: No thrill, 2+

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07/23/22 12:02 AM MDT

Palpated left tibial pulse: No thrill, 2+

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07/23/22 12:02 AM MDT

Palpated right dorsalis pedis pulse: No thrill, 2+

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07/23/22 12:02 AM MDT

Palpated left dorsalis pedis pulse: No thrill, 2+

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07/23/22 12:03 AM MDT

Auscultated left temporal pulse

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07/23/22 12:04 AM MDT

Auscultated right temporal pulse

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07/23/22 12:04 AM MDT

Auscultated left carotid pulse

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07/23/22 12:05 AM MDT

Auscultated right carotid pulse

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07/23/22 12:05 AM MDT

Auscultated breath sounds in anterior left upper lobe

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07/23/22 12:05 AM MDT

Auscultated breath sounds in anterior left mid-chest (upper lobe)

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07/23/22 12:06 AM MDT

Auscultated breath sounds in anterior right upper lobe

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07/23/22 12:06 AM MDT

Auscultated breath sounds in anterior right middle lobe

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07/23/22 12:06 AM MDT

Auscultated breath sounds in anterior right lower lobe

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07/23/22 12:06 AM MDT

Auscultated breath sounds in anterior left lower lobe

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07/23/22 12:06 AM MDT

Auscultated breath sounds in posterior left upper lobe

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07/23/22 12:06 AM MDT

Auscultated breath sounds in posterior right upper lobe

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07/23/22 12:06 AM MDT

Auscultated breath sounds in posterior right mid-back (lower lobe)