Mr. G. is independent, lives alone, and holds a high-level position with a local software company. Recently, he came to the ED with complaints of shortness of breath, dizziness, and intermittent "palpitations"
Physical Assessment
Neuro: AAO x 3, follows commands, moves all extremities equally. Complains of intermittent dizziness.
Pulmonary: Respirations rapid, lungs clear in all lobes.
GI: Normal bowel sounds. Complaints of nausea.
GU: NormalCV: Pulse rapid and irregular, nailbeds pink, peripheral pulses present, but weak. Complains of intermittent chest pain and palpitations.
Vitals: HR-150 and irregular, Respiratory rate 28, BP 102/56, Temp. 98 F, SpO2 96
History
Mr. G states that he is just recovering from a serious flu episode. He has experienced diarrhea and vomiting for several days.
He began feeling better and resumed his medications and went back to work.
>Medications
Quinidine 400 mg, 3xday
Vitamins
ASA 80mg/day
Diagnostic studies
CXR: Normal
Labs: Na 135, K 3.2, BUN 27, Creat. 1.4, Blood sugar 100mg/dl
EKG rhythm strip:
Questions: (IMPORTANT! See instructions below*)
The basic dysrhythmia course that is recommended as background for this Cardiac Case Studies is the RnCeus.com course:
EKG Strip Indentification and Evaluation
*IMPORTANT!
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.
© RnCeus.com