Case Study V
Neuro: AAOx3, equal strength in all extremities.
Pulmonary: Resp. slightly labored. Lungs clear in all lobes.
GI: Normal bowel sounds, complains of some nausea.
GU: Voiding large amounts of clear, pale yellow urine without difficulty.
CV: Pulse irregular, Heart sounds S1 and S2, peripheral pulses strong in all extremities.
Height: 60, Weight: 165
History: Mr. V.W.
has just recently moved from California to Southern Texas. He remarks about
the heat. Mr. V.W. also states that he noticed that he had weight gain of 10
pounds since his move and this concerns him. He also tells you that he believes
his weight gain is due to an increase in "water" and he borrowed a
couple of his mothers "water pills" to try and reduce his weight.
Medications: Multivitamin 1 qd
Herbal energy supplements 2 -3xd
Lasix 40 mg x 2 (borrowed from his mother)
Labs: Na 131, K+ 3.2 . All other labs within normal limits.
EKG rhythm strip:
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.