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Cardiac failure management audit – CMH Internal Medicine (previous results)

Date Site of audit Number of entries submitted BP recorded in clinician’s notes? Pulse rate recorded in clinician’s notes? Height of JVP recorded? Apex position recorded? Comment on apex character recorded? Echo findings recorded in notes? Echo EF% recorded in notes? Actual EF if recorded (%) Admission creatinine level Spironolactone on script? Enalapril on script? Carvedilol on script? Any other agents for heart failure? Any medications which could worsen heart failure? If on any medications which could worsen heart… Total daily dose of enalapril in mg (dose… Total daily dose of furosemide in mg (dose… Anything else observed?
20/07/2023 CMH MOPD 16 Yes:16
No:0 		Yes:16
No:0 		Yes:3
No:13 		Yes:8
No:8 		Yes:0
No:16 		Yes:15
No:1 		Yes:15
No:1 		62, 32, 62, 72, 62, 39, 48, 57, 77, 59, 69, 47, 71, 23, 23, 66

Average:54.31%
Maximum:77%
Minimum:23%

 88, 76, 77, 90, 184, 102, 137, 93, 65, 72, 72, 104, 172, 163, 163, 134

Average:112
Maximum:184
Minimum:65

Yes:15
No:1 		Yes:15
No:1 		Yes:15
No:1 		Yes:16
No:0 		Yes:0
No:16 		Yes:0
No:0 		10, 10, 10, 10, 5, 10, 10, 10, 10, 10, 10, 5, 10, 10, 0, 10

Average:8.75mg
Maximum:10mg
Minimum:0mg

40, 80, 40, 40, 80, 80, 80, 40, 40, 80, 40, 40, 80, 120, 120, 40

Average:65mg
Maximum:120mg
Minimum:40mg

newly diagnosed, acute decompensated heart failure
30/03/2023 CMH MOPD 10 Yes:10
No:0 		Yes:10
No:0 		Yes:4
No:6 		Yes:5
No:5 		Yes:5
No:5 		Yes:7
No:3 		Yes:7
No:3 		46, 52, 30, 28, 62, 45

Average:43.83%
Maximum:62%
Minimum:28%

 80, 89, 98, 71, 105, 71, 95, 75, 64, 112

Average:86
Maximum:112
Minimum:64

Yes:4
No:6 		Yes:5
No:5 		Yes:7
No:3 		Yes:8
No:2 		Yes:0
No:10 		Yes:0
No:0 		5, 20, 20, 20, 10

Average:15mg
Maximum:20mg
Minimum:5mg

80, 160, 160, 40, 160, 160, 40

Average:114.29mg
Maximum:160mg
Minimum:40mg

Allergic to Enalapril, Patient booked for Echo