Question

САБАҚ

Mrs. A. is a 65-year-old woman with type 2 diabetes who comes into the emergency department; she is short of breath and complaining of neck and shoulder pain. Her blood pressure is 88/55 mm Hg, and her heart rate is 48 beats per minute. The cardiac monitor shows a cardiac rhythm with more P waves than QRS complexes, and the PR interval when the P waves are conducted is 0.16 seconds. The rhythm is noted above:

What is your interpretation of the rhythm?

2. What signs and symptoms might the patient exhibit with this bradycardia?

3. What is the initial management of this patient?

4. What additional intervention(s) may be needed?

Answer 1

Ans.signs and symptoms of this condition

Shortness of breath and shoulder pain and neck pain and blood pressure88/55 mmHg and heart rate is 48 bpm this condition called bradicardia  

Cardiac monitoring

Electric observation of conductivity pattern of heart using skin electrodes and a monitoring device for use,heart electric activity.

1. Identify rhythm and intervene appropriately when life threatening dysarhythmia occurs

Normalsinus rhythm,ventricular and atrial rate less than 60 bpm

P. Wave represents atrial depolarization ,precedes each QRS complex

2. Sign and symptoms

Heart rate less than baseline 60 bpm,fatigue,anorexia,angity,increasing respiratory rate

Management

Antidysarrythmic agent

Lidocaine

Amioderon adrenaline

Intervention check vital signs and provide positions, maintaining dietary plan