Question

One-year later Mrs. Prather presents to the ED complaining of dyspnea, especially at night. She states that she sleeps better when sitting in her recliner. Review of Systems: (what patient tells you) Skin: no changes in hair, no changes with nails Mental Health: no current feelings of sadness, no sleep disturbances, no suicidal ideations Neurological: no light-headedness, no dizziness, no paresthesia to feet & hands, no balance problems Head and neck: no headache, no neck pain, no stiffness Eyes: no vision changes, no eye discharge, no redness, no edema Ears: no change in hearing, no tinnitus, no discharge Nose: no change in sense of smell, no nasal discharge or congestion Throat and mouth: no pain, no trouble swallowing Lymphatic: no swelling, no tenderness Cardiovascular: no chest pain, no leg swelling, no palpitations, + sob, + orthopnea Blood Vessels: no leg cramps, no leg swelling

Answer 1

Hypotension

Hypotension occurs if there is no balance between Cardiac output & peripheral resistance.

Blood pressure monitoring, Random blood glucose etc., ECG, Tread mill test etc

ECG & Treadmill will turn to normal