Dr Jeffrey Taylor
25 January 2020
Dean Dr Taylon
Re: Mrs Thomas Sheffield, aged 73
This is to update the current condition of mr Thomas Shellield who underwent permanent pacemaker placement secondary to complete heart block requiries, appropriate care and management following her discharge today
On 21 Janucary Mr Sheffield was admitted to hospital after an episod of syncope while playing the golf. Electrocardiogram showed, Complete heart block as well as inducement of medicine confirmed the diagnosis. Even after admission, his heart rate. remained 30-40 per minute hence, the condiology decided for parmament pacemaken. However, laboratory investigation and chest X-ray were within normal limit. pall operatively ihuppelen 500mg three times a day whenever necessary was commenced. Surgery site dressing was changed daily and instructed to avoid lifting for a forthnight. Educated requesting monitoring of surgery site, acivities and important to initiate physical therapy after thrice weeks.
On assessment, he is capable of mobilizing independently. wound Lite noted pink and healing and secured by island dressing. Heart rate of 70 beats per minute with the regular rhythm and willings were confirmed according to doctor's order. patient and family accepted to discharge on non nonectic pain medication for mild poin.
Mr Sheffield has had stents on left anterion descending antery hypertension and dyslipidemia. Subsequently, managed with aspirin Bling daily, lisinoped 10mg daily, Apitor young at bed time daily and metoprolol 25mg twice daily.
Based on the above mentioned circumstances, monitoring of pain level is mandatory follow up with cardiologist after 7-10 days to inspact the site and blood pressure monitoring would be profoundly benefecial.
If you require any further information, please do not hesitate to contact me.