Hi guys,
sorry for the late post. Just with regards to a patient I saw on my cardio placement. He was post aortic valve replacement and was progressing along fine the first few days post op. After the first few days though, he started to plateau, his main problem was dyspnoea, but he was also having dizzy spells and getting sort of a tingly feeling in his hand when he was really short of breath. His ex tol was decreased and Sp02 was dropping when amb'ing. The doctors t/f'd him to Bentley for more rehab before he went home and myself and my supervisor told them several time that there was something not right about his presentation and we couldn't quite figure it out. In the end he came back to the ward and after many more tests they discovered a phrenic nerve palsy! Obviously as a student it is not my role so much to be pushing my point to the doctors but i was just wondering as a professional how much would you make your point to the doctors before giving up? Especially if your not sure what the actual problem is??
1 comment:
wow...well i guess your instincts were right and it would of been somewhat good to hear what you suspected was indeed true. Yeah, I would find it difficult to approach a doctor as a student if i suspected something else was going on. I guess i would probably dicuss with my supervisor and chat to the nurses and/or clinical nurse specialist (nurse in charge) to mention to the doctors.
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