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Asked by GrandOstrich1369

Mary is a 57 years of age female, who was recently diagnosed with high cholesterol after some routine bloodwork. She has diabetes mellitus Type II poorly controlled and a history of hypertension poorly controlled. Mary presented to the emergency department for epigastric discomfort described as an “ache” that has been intermittent for a couple of days. Mary has been a smoker, about 10-15 cigarettes per day for 30 years. She has been overweight most of her life and doesn’t exercise.

Vital signs are: T36.8 HR 172  RR 26 BP 94/52 SpO2 92% on room air. Point of care blood sugar is 16.4 mmol/L. Color is pale, diaphoretic, increased work of breathing with tachypnea. You start the cardiac monitor and observe the following rhythm.

6 sec rhythm

 

Answer the following:

Rhythm 

Rate 

P wave 

PR interval 

QRS interval 

Interpretation 

 

2. What are the hemodynamic effects of this rhythm and possible complications if not treated? (4 marks)

 

3. What is the priority intervention?

 

4.The priority for this patient is to give a 250 to 500 ml bolus of normal saline to improve the blood pressure.

 True or  False

 

5. With Mary’s history, outline a) 3 modifiable risk factors associated with Coronary Artery Disease and b) 3 non-modifiable risk factors associated with Coronary Artery Disease. (3 marks each for a and b)
 

SCIENCE
HEALTH SCIENCE
NURSING
CNC 110

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