Case Study I
Mr. G. is a 30 year old male. He has a history of paroxysmal atrial dysrhythmias and has been placed on quinidine for rhythm control. He has not had an episode in about 6 months and is considered to be stable on this medication.
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
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. Complains of nausea.
CV: 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, SaO2 96
Mr. G states that he is just recovering from a serious episode of the flu. He has experienced diarrhea and vomiting for several days. He began feeling better and resumed his medications and went back to work.
Quinidine 400 mg, 3xday
Labs: Na 135, K 3.2, BUN 27, Creat. 1.4, FBS 100
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.