It gives me an immense pleasure in presenting this case study, which is made for the partial fulfillment of the requirement for the fourth year of B.Sc. Nursing Programme. We were provided 8 weeks of the clinical practice, at Shahid Gangalal National Heart Center. During our 8 weeks of clinical exposure each student had to do a detailed study of one cardiac problem. During my clinical exposure to Coronary Care Unit (CCU) for 1 week I got an opportunity to take case for study. We had morning, evening and night duty for complete exposure to clinical picture.
Regarding this process, I would like to express the heartfelt gratitude to various personnel who helped in different ways for the successful accomplishment of this work. This has been possible with the tremendous support, encouragement and patience from them.
Firstly, I would like to give cordial thank to our Nursing Director Miss Nani Maiya Shrestha, our Co-ordinator Madam Sabita Poudel. I am equally thankful to our Supervisor Madam Narayani Paudel for providing full support, ideas and inspiration for presentation of this case study.
I am indebted to all the faculty members, teachers, staffs of entire Coronary Care Unit for their mutual co-ordination which aided in making this case study .Last but not least, I would like to continue my thanks to the patient and patient party for providing the fact necessary information without which this case study would not have been possible.
Lastly, I would like to thank all the people who have direct and indirect link with me to make this case study successful.
CONTENTS 1. Introduction Of case………….……………………..
2. Objective of the case study………………………….
3. History of patient……………………………………
4. General Physical examination……………………….
5. Anatomy and physiology of Conductivity of Heart
6. Description of Disease condition…..………..………
7.