Mary attends the diabetic clinic for her annual diabetic review and the nurse takes her basic observations and looks at the previous consultation results.
Mary is prescribed secondary prevention medications which she tells the nurse she takes regularly and hasn’t had any addition new problems with. (Aspirin 75mgs, Bisoprolol 5mgs, GTN Spray, Simvastatin 20mgs, Metformin 500mg twice daily.)
Date: 05/07/12
Brief summary: Known Coronary Artery Disease – 2005
Myocardial Infarction – 2007
Diabetes Type 2 – 2003
BP: 130/78
Heart rate: 68
Height: 160cm
Weight: 74kg
BMI category: 29
Smoking status: Never smoked
Consultation notes: Type 2 Diabetes well controlled, no cardiac issues, compliant with medications, review 12 months
Pulse point
It is good practice to take a manual radial pulse, to note the rate, rhythm and volume because if taken electronically you may miss abnormalities. Read more about this in module 1.
The following websites provide useful information:
- Arrhythmia Alliance
- British Heart Foundation have released a policy statement re atrial fibrillation and pulse checking opportunistically.
Please note: information gathering may be different according to local practice, and likewise parameters for blood tests may vary locally.
Page last reviewed: 02 Jun 2020
