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Only 4 questions, some checkboxes, and fill in the box, for questions only need simple answers. And you can use any reference as you want.

Perfusion

Perfusion/ACS, Dysrhythmia, Pacemaker
Scenario
It is midmorning on the cardiac unit where you work, and you are getting a new patient. G.P. is a 60-year-old retired businessman who is married and has 3 grown children. As you take his health history, he tells you that he began feeling changes in his chest about 10 days ago. He has hypertension (HTN) and a 3-year history of angina pectoris. During the past week, he has had frequent episodes of mid-chest discomfort. The chest pain responds to nitroglycerin (NTG), which he has taken sublingually about 8 to 10 times over the past week. During the week, he has also experienced increased fatigue. He states, "I just feel crappy all the time." 

A cardiac catheterization done several years ago revealed 50% stenosis of the right coronary artery and 50% stenosis of the left anterior descending coronary artery. 

He tells you that both his mother and his father had coronary artery disease (CAD). 

He is currently taking amlodipine (Norvasc), metoprolol (Lopressor), atorvastatin (Lipitor), and aspirin 81 mg/day. 

He is retired and says that he spends his days watching television, with some occasional yard work. He has gained 25 lb. (11.3 kg) since retiring and admits that he is overweight.

Because G.P.'s dysrhythmia is causing unacceptable symptoms, he is taken to surgery and a permanent DDDR pacemaker is placed and set at a rate of 70beats per minute (BPM). 

 

1. After discharge, G.P. is referred to a cardiac rehabilitation center to start an exercise program. He will be exercise tested, and an individualized exercise prescription will be developed for him, based on the results of the exercise test. (What outcomes demonstrate interventions are working? (Reflecting)

 

 

2. What information will be obtained from a graded exercise (stress) test?  

 

 

 

3. What is included in an exercise prescription? 

 

 

Case Study Outcome

G.P. returns in 1 month for a pacemaker check. He reports that he and his wife go for a walk at least 3 times a week at the mall, and he is hoping to start volunteering soon. He has lost 8 lbs. (3.6 kg).

 

 

4. Reflecting/Analysis Compare and contrast the assessment and care among the dysrhythmias.

Using the information including this case, compare and contrast the findings, treatment, and care among the dysrhythmias. (What could it mean? (Noticing/Analyzing).

Example: Under sinus bradycardia, you would check off bradycardia because bradycardia is an assessment finding for this dysrhythmia. 


fill the checkbox with (X) and put the simple answer in the box.

 Client Assessment Findings (above)Sinus bradycardiaAtrial fibrillation (AF)Ventricular Tachycardia
 

A. Bradycardia

B. Chest Pain

C. Clammy skin

D. Consciousness change

E. Edema

F. Hypotension

G. Pulse +1 

H. Tachycardia

I. What else would you assess for each rhythm?

A.  X (example)

B.

C.

D.

E.

F.

G.

H.
I.

A. 

B.

C.

D.

E.

F.

G.

H.
I.

A. 

B.

C.

D.

E.

F.

G.

H.
I.

 J. Best treatment (medications)J.J.

J.

 

 

K. Name Top 2 nursing interventions for each

 

 

 

1.

 

 

 

2.

1.

 

 

 

2.

1.

 

 

 

2. 

 

 

 

 

Answer & Explanation

Solved by verified expert
Answered by gojanellerose on coursehero.com
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um dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapib

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