Case Study III
Ms. M. M. is a 36 year old
executive for a high profile accounting firm. She spends much of her time behind
the desk working on her computer. Ms. M.M. states that recently her job has
become more stressful and lately she has noticed her heart "skipping a
beat" every now and then.
Ms. M. M. smokes cigarettes
1ppd and drinks at least 5 cups of coffee during the day. She states she
tired of being overweight and is taking an herbal diet pill. Ms M. M. states
that she has not been sleeping well lately due to increased stress at her job.
Neuro: AAOx3, follows all commands and exhibits equal strength in all extremities.
Pulmonary: Bilateral breath sounds with decreased bases. Ms. M. M. tells you she has a "smokers cough" in the mornings.
GI: No complaints, abdomen soft, nontender with active bowel sounds.
GU: Denies any GU problems. Exhibits clear, yellow urine.
CV: Slightly irregular heart rate. Pulses strong in all extremities, no edema, nail beds pink, and heart sounds are normal s1 and s2.
Vitals Pulse 88, BP 154/88, Respiratory rate 22, temp. 98.4 F. Height 54", weight 182 lb.
History Ms. M.M. has been smoking 1ppd for the past 10 years. She states she tried to quit, but just kept gaining weight. Ms M. M. began taking herbal diet pills 2 weeks ago in an attempt to lose weight. She doesnt like to exercise because it is "embarrassing".
M.M. states that she takes an OTC herbal weight loss supplements
that the sales clerk said is "just as good or better than ephedra". She
states that she takes 1 tablet QID.
Labs:Blood chemistry and hematology are normal.
EKG rhythm strip:
Questions: (IMPORTANT! See instructions below*)
The basic dysrhythmia course that is recommended as background for this Cardiac Case Studies course is the RnCeus.com course:
EKG Strip Indentification and Evaluation
Please write down and save your answers to the above questions. The questions will be repeated on the "Exam and Evaluation", but the scenarios and strips will not be repeated.