bassnmedic

I tend to use the SOAP method and I won't repeat what has already been said other than if you don't write it ..it didn't happen. In other words write down every thing the patient tells you, what the family or witnesses tell you, then everything you find positive findings as well as negative , your assessment or differential diagnosis, then finally write what treatments you provided and the outcome or result of thoses treatents. Basically, the more you write them the better you will get, that's the best I can offer from my 18 yrs on the street.

Looking at this strip, the first thing I noticed was that the "p" dissociation with the QRS complexes in the beginning...and the different morhology of them which might lead one to suspect maybe Multi-focal Atrial Tachycardia. Now, on to the second section of strip.wow!.the rate is right for junctional, there are definitely premature complexes involved but i doubt they are junctional escape beats but they could be. there does appear to be p waves with some of the QRS complexes, my best guess would be sick sinus with pvc's.

I consider Blood Sugar readings as part of my vital signs and do one on each patient.