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Integrated Care Pathways - PNA

Integrated Care Pathways - PNA

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APPENDIX 1: Sample <strong>Integrated</strong> <strong>Care</strong> PathwayCPAU – Exercise Stress TestName: Hospital Number: Date: ______Exercise Stress TestIndicationsNormal resting phase analysisNo residual chest painNegative Troponin T at 12hours post onset of Chest painContraindicationsAbsoluteRelativeRecent Myocardial InfarctionMyocarditis / PericarditisAcute infectious IllnessUnstable anginaKnown stenosis of the main-stem of the left coronary arterySevere aortic stenosisRecent thromboembolismUntreated cardiac failureHypertrophic Obstructive Cardiomyopathy (HOCM)Uncontrolled ArrhythmiasLeft Bundle Branch Block (LBBB)Slow complete heart blockAtrial fibrillationDigoxinExercise TestMax. Predicted Heart Rate:Heart Rate Achieved:M.E.T.S. Achieved:Exercise Terminated Because:ResultSignature______________________ Date_____________ 842 • NATIONAL COUNCIL FOR THE PROFESSIONAL DEVELOPMENT OF NURSING AND MIDWIFERY

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