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a 60 year old Male patient is admitted with chest pain to the telemetry unit where...

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

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Ans) Reason for bradycardia in this situation is:

- Dur to the bearing down or defecation, it often involves inhaling, closing the glottis and tightening of chest and abdomen muscles.

- This increased the intra abdominal pressure that assists with colon evacuation, but also increases intra thoracic pressure and produces the decrease in cerebral blood flow and cerebral perfusion.

- This can especially happen in patients with cerebrovascular disease.

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