Tomorrow we have a practice 3rd year exam, because folks, monday is the last day of second year!
Its went by so quickly and I dont think I know enough.
In 12 months time I'mm be (hopefully) qualified and in a ward.
Oh crikey!
Anyway tomorrow is our practice 3rd year orals. We present 4 patients in less than a minute. The examiners can then ask us any quaestions about the patient, their condition and thier care.
My patient is this:
76 year old female falls. BP 80/50. On a water tablet (named). Neuro obs checked. No cause for concern.
From this I can be asked;
Why did she fall? Potentially orthostatic hypotension, hypotension due to dehydration because of water tablet being too strong or side effects, or vasovagal syncope.
Why the water tablet? Water tablet belongs to specific set of diuretics precribed when patient is in Chronic heart failure. Not known if she has heart failure as this drug is also used in management of hypertension.
Discuss the drug. Indications. Contra indications, side effects and dosage.
Discuss hypertension. Clinical features, pathophysiology, treatment and nursing management.
Repeat for hypotention, orthostatic hypotension and chronic heart failure.
Discuss the Glasgow Coma Scale and Neurological observations.
And thats just the basic stuff I can think they'll ask us.
In third year repeat for 8 patients.
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1 comment:
Good to know you'll be on holiday by Thursday when you come for lunch. 12.00 - don't be late - see you at office and we will all walk round.....
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