Mr. T, a 62 year old male, is admitted to the ER complaining of chest pain. At this moment he is pain free.
Physical Assessment:
Neuro: Sleepy, but rouses easily to voice. AAOx3. Exhibits equal strength in all extremities.
Pulmonary: Lungs are clear. Resp. even and unlabored. Mr. T. is on O2 via nasal cannula at 2L/min.
GI: Bowel sounds normal, abdomen soft and nontender.
GU: Voiding clear yellow urine without problems.
CV: Heart sounds normal with S1 and S2 present. Nail beds pink with good capillary refill. Denies chest pain at this moment.Vitals: HR: 60, BP 102/55, Resp. 16, Temp. 97.2 F, Height 6’0", Weight 210 lb.
History:
Mr. T. is a construction worker and states he is active and normally
healthy. He has been having episodes of chest pain for the past
3 months, but thought it was just "gas" and didn’t go his physician.
Mr. T. is a past smoker and has been cigarette free for the past
12 months. He states he had "a few beers with his buddies after
work".
Medications: Tums 2 tabs prn prior to this admission.
Diagnostic Studies:
Questions: (IMPORTANT! See instructions below*)
1. What is the above rhythm?
2. Treatment for Mr. T. might include;
3. This rhythm is caused by which of the following?
4. This rhythm is:
5. Nursing care for Mr. T includes:
The basic dysrhythmia course that is recommended as background for this Cardiac Case Studies course is the RnCeus.com course:
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.
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