Question

Module 05 Written Assignment - Case Study

A 60-year-old male patient is admitted with chest pain to the telemetry unit where you work. While having a bowel movement on the bedside commode, the patient becomes short of breath and diaphoretic. The ECG waveform shows bradycardia.

1. What other assessment findings should you anticipate?

2. Why does this patient probably have bradycardia?

3. Does this dysrhythmia need treatment?

-Why or why not?

-What intervention would you implement first?

4. What is the drug treatment and dosage of choice for symptomatic bradycardia?

-How does this drug increase heart rate?

Please use complete sentences to answer the questions. Ensure that you are using correct grammar. In additions, support your answers by using your textbooks, scholarly journals, and credible Internet sources.

Answer 1

1)The other assessment finding can be anticipated are

• Syncope
• Fatigue
• Confusion
• Tiredness due to mobilisation
• Chest pain
• Black out
• Elevated BP

2)The patient probably had bradycardia may due to poor sino atrio conduction due to chest pain

3)The treatment for dysarrythmia are

• Antjo arrthmic drugs( calcium channel blocker,beta blocker)
• Applying medical device ( pace maker, implantable cardioverter defibrillator)
• Procedure like cardioversion ,radio frequency ablation can be done.
• Dietary modification

4)The treatment for bradicardia is

• Intravenous atropine (0.5 mg every 3-5 minutes to a maximum of 3 mg)
• Epinephrine (2-10mcg /minute)
• Dopamine (mcg/kg/minute)