Cardiac Diagnosis for Acute Care: The NP's and PA's Guide to a Comprehensive History and Deciphering the Differential

by Leslie E. Janik MSN, ARNP, ACNP-BC

Overview

Helps clinicians to systematically look beyond the obvious to arrive at a correct diagnosis

Written specifically for both novice and experienced cardiovascular clinicians in acute care settings, this is the only resource to focus on the art of conducting an in-depth patient history. Too often, a patient will tell their first provider one thing, and their second provider another. Even when asked the exact same question, patients’ stories can inexplicably change. Clinicians can save time, effort, and cost by parsing out conflicting patient histories by adopting a specific and detailed a line of questioning. If recorded accurately and interpreted correctly, comprehensive history alone can obtain a correct diagnosis without exhaustive and expensive evaluations.

This book includes two clinical scenarios for chief complaints that cardiovascular clinicians may see in their practice. Unpacking these scenarios challenge clinicians to look beyond the obvious and recognize atypical presentations. Each scenario dissects and then discusses the history and other pertinent patient information to illuminate subtle differences in the process of information gathering. With this breakdown, the clinician can then identify if the patient has an acute cardiovascular issue. Each chapter ends with a sample of “how to present the patient” to an MD or peer and describes common pitfalls and assumptions to avoid.

Key Features:

• Focuses specifically on acute cardiovascular issues in acute care settings
• Referenced by chief complaint or consult questions
• Targets patient history portion of the work up
• Examines subtle differences between cardiac diagnosis vs. non-cardiac diagnosis based on how patient history is taken
• Highlights common errors in review of information using EMR vs. standard questioning

Product Details

ISBN-13:	9780826141439
Publisher:	Springer Publishing Company
Publication date:	01/28/2018
Sold by:	Barnes & Noble
Format:	eBook
Pages:	272
File size:	574 KB

About the Author

Leslie E. Janik, MSN, ARNP, ACNP-BC, is an instructor of medicine in the College of Medicine, Mayo Clinic, Jacksonville, Florida. She has been a board-certified acute care nurse practitioner in the division of cardiovascular diseases at Mayo Clinic since 2005, when she helped establish a cardiovascular inpatient service.

Table of Contents

CONTENTS

Foreword by Susan M. Salahshor, PhD, PA-C DFAAPA

Foreword by Joseph L. Blackshear, MD

Preface

Introduction: Assessment, Diagnosis, and Patient History in Acute Cardiac Presentations

PART I: COMMON PRESENTATIONS OF ACUTE CARDIAC CONDITIONS

1. Chest Pain: A First Look

2. Chest Pain: Another Encounter

3. Shortness of Breath: A First Look

4. Shortness of Breath: Another Encounter

5. Syncope: A First Look

6. Syncope: Another Encounter

7. Elevated Troponin: A First Look

8. Elevated Troponin: Another Encounter

PART II: UNCOMMON PRESENTATIONS OF ACUTE CARDIAC CONDITIONS

9. Fatigue

10. Cough

11. Abdominal Pain

PART III: SUMMARY AND USEFUL CLINICAL TOOLS

12. Conclusion

13. Bonus Section: The Write-Up

Index

Editorial Reviews

Reviewer: Gina Oliver, PhD, APRN, FNP-BC, CNE (University of Missouri)
Description: This book covers the assessment and diagnosis of selected cardiac disorders using a unique step-by-step approach through the process, starting with the chief complaint and working down to the likely diagnosis. A free ebook is included with purchase that may be downloaded to the device of your choice.
Purpose: The focus is to demonstrate the process of conducting an in-depth cardiovascular assessment in the acute care setting in a systematic way to formulate an accurate diagnosis.
Audience: Advanced practice nursing students, physician assistants, medical students, and current providers would benefit from this book. The process of correctly identifying a cardiac issue is essential in all healthcare settings. The author has an advanced degree with an emphasis in acute care and has many years of experience in the cardiac setting.
Features: The book presents a detailed process to accurately assess cardiac patients with common chief complaints and determine a correct diagnosis. It helps to provide a more precise method of obtaining the pertinent assessment data to work through a list of differential diagnoses to come to the likely correct diagnosis. It covers common cardiac complaints such as chest pain, shortness of breath, syncope, fatigue, and more. The book first shows a typical assessment followed by an alternative approach that helps providers ask more pertinent questions and obtain an improved focused assessment that will then guide them through a differential list to the likely diagnosis.
Assessment: This would be great for advanced healthcare students to assist them in obtaining an accurate diagnosis. It would be a great resource in an advanced assessment course or it possibly could augment a cardiac management course. Providers new to the area of acute care cardiology also could benefit from this book.

Doody's Review Service