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.

• What other assessment findings should you anticipate?
• Why does this patient probably have bradycardia?
• Does this dysrhythmia need treatment? Why or why not? What intervention would you implement first?
• 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 addition, support your answers by using your textbooks, scholarly journals, and credible Internet sources. APA Style with intext citation and references.

Answer 1

1.

• Dizziness
• Syncope
• Decreased oxygen saturation
• Chest, neck, shoulder, back, jaw, or arm pain
• Extreme restlessness
• Decreased level of consciousness
• Confusion
• Weakness and fatigue
• Cold, clammy skin
• Diminished peripheral pulses
• Palpitation
• Nausea and vomiting

2. Patient is having problems with sinus node because the SA node fires at a less than 60 beats/minute and is inadequate for the patient's condition, causing the patient to experience symptoms.

3.Yes, emergent management is needed for this patient the goal is to improve the heart rate. Regain heart rhythm firstly administer atropine.

4.

• Atropine( an anti cholinergic drug) improve the heart rate

Dose: 0.5 mg IV push may repeat up to a total dose of 3 mg.

• If atropine is ineffective, dopamine is preferred

Dose: 2 to 20 miligram/kg/infusion.

• Epinephrine injection
• Transcutaneous paving
• Pacemaker therapy