Cardiac Rehabilitation Nurse
26 September 2020
Dear Ms. Elizabeth
Re: Mrs. Mandy Cheng, DOB: 25 September 1962
Mrs. Mandy Cheng, who has underwent stunt insertional secondary to rigjt coronary artery block is being referred for support and further management from your facility.
On 23 September 2020, Mrs. Cheng brought to emergency department with the complaints of chest pain, sweatin and shortness of breath along with pain in right shoulder. Inspite of received Aspirin two tablets at home. Remarkable vital signs were observed. A sense of laboratory investigations and radiology results were revealed the current diagnosis however, stenting performed successfully.
Mrs. Cheng, post-procedural period was uneventful. After 24 hours satiafactory observation, transferred to cardiac ward on 24 September 2020. Excellent would healing was observed. On examination significant increase of LDL, cholestrol, and triglycerides, also troponin-I were noted. Blood glucose levels controlled with Metformin.
Mrs. Cheng is a widow, she has had type-2 diabetes since 2018, for which she takes Metformin 850mg BD. She found to have inactive for physical activities. Of note, she is allergic to pencillin. A list of medication is enclosed here with.
Base on the aforementioned circumstances, a regular encouragement to participate in exercises would be extremely beneficial. Educate regarding the importance of physical activities to enhance the health condition of Mrs. Cheng is highly appreciated.
If any additional infromation is required, please donot hesitate to contact me.
Cardiac Ward Nurse
Royal Brisbane and Cardiac Hospital.