An older adult patient is brought to the emergency room

Mr. John McDougal is a 67-year old male just admitted to the Telemetry Unit with a history € sick sinus syndrome awaiting pacemaker insertion in the morning. The nurse quickly responds to telemetry alarms by walking into the patient room and finding the patient on the floor. He is slightly confused, drowsy, and pale. His heart rate is 38 with occasional premature ventricular contractions (PVCs). A RRT is called and you, the RRT nurse responds. You are to call the physician to discuss the situation. Current orders: Oxygen 2LPM nasal cannula Continuous pulse oximetry monitoring V Dextrose 5/0.45% NS at 50mL/hour Meds: Lisinopril, Lasix, Metoprolol HR=38 Ð’Ð =90/60 RR=14 Sp02=96% Cardiac Rhythm=Sinus bradycardia Breath Sounds=Rales; Pupils equal Drowsy, states, “I’m tired” Doesn’t know how he got onto the floor, Oriented x3; Bowel Sounds=+ all 40. Temp=36°C Activity- Bedrest

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