QQ-3229 Kylie Weiss - Nursing – Cinju Varghese – Myocardial Infarction

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28 July 2019

Ms Nina Gill

Cardiac Rehabilitation Nurse Specialist

Cardiac Rehalitation Clinic

41 Jones

St Adelaide

Dear Ms Gill,

Re: Ms Kylie Weiss, DOB:21 May 1952

Iam referring Ms Weiss who has been recuperating

from angioplasty,requires continued rehabilitative

care following her discharge today.

Ms Weiss was admitted on 26 July 2019 with history

of frequent pain and heaviness in both forearms.

On assessment,clammy skin and nauseated were noted.

Her electrocardiogram revealed ST elevation;therefore,

morphine 10 mg,aspirin 300mg and glytrin spray were

administered.

Ms Weiss repeat electrocardiogram indicted anterior

wall myocardial infarction.Consequently, the surgery

was performed. Her echocardiogram showed ejection

fraction of 35%. Currently,her cardiac status is

stable;however, she appears confused regarding

diagnosis probably due to reality of near death

experience.Cardiac exercise programme was initiated

by the physiotherapist.

Ms Weiss lives with her husband and works as a taxi

driver.She has history of dislipidemia and asthma

for the past 5 years.During hospital stay,

she was encouraged to reduce weight and cholestrol

levelby the dietician,as she is pbese for her age.

Kindly, educate Ms Weiss regarding risk factors of

myocardial infarction and its management.Please

arrange occupational therapist to provide instruction

of returning to work,driving and daily routine

activities.Kindly,encourage her to take adequate rest

for atleast 6weeks. Details of her medication is

enclosed with this letter.

Please contact me for further queries.

Yours Sincerely,

Registered Nurse

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