Homework Answers
Ans1) first ECG strip shows pacing spikes just before every p wave so this person is on atrial pacing
Ans2) second ecg strip pacing wave is preceding QRS complex so it's a ventricular pacing
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Pacemaker Rhythms This rhythm strip is from a 52-year-old man with syncope. Mempenheureur Mententementen المعالم المسلم...
For each of the following rhythm strips, determine the presence of atrial- and ventricular- paced activity,...
For each of the following rhythm strips, determine the presence of atrial- and ventricular- paced activity, the paced interval rate, and then identify the rhythm. All strips are lead II un- less otherwise noted. Figure 8-11 Atrial pacing? Paced interval Ventricular pacing? Identification Figure 8-12 Atrial pacing? Paced interval Ventricular pacing?. Identification This rhythm strip is from a 74-year-old woman complaining of weakness. Figure 8-13 Ventricular pacing? Atrial pacing? Paced interval Identification
this rhythm strip is from an 85 year old man complaining of chest pain and shortness...
this rhythm strip is from an 85 year old man complaining of
chest pain and shortness or breath
w wwandelt Fig. 4.26 Fig. 4.26. This rhythm strip is from an 85-year-old man complaining of chest pain and shortness of breath. Rhythm: Rate: _Pwaves: PR interval: QRS duration: QT interval: Interpretation: WWWWWW Fig. 4.27 From Aehlert B: ECG study cards, St. Louis, 2004. Mosby) 43. Fig. 4.27. This rhythm strip is from a 53-year-old woman with an altered level of responsiveness....
rate, rhythm, axis, hypertrophy? infarction? interuptation it was a 12 lead EKG 70 year old man...
rate, rhythm, axis, hypertrophy? infarction?
interuptation
it was a 12 lead EKG
70
year old man with bradycardia following cardiac surgery
A 70-year-old man with bradycardia following cardiac surgery Chet om my Lamb: 10 mm sec Speed 25 LOC 01156-0006 1. RATE - determine rate by any of the methods discussed 300,150,100,75,60,50 10 second strip (R count x 6) 6 second strip (R count x 10) 2. RHYTHM - basic rhythm (regular vs irregular): scan for premature, pause, irregular, abnormal...
A 52-year old woman was admitted to the hospital because of several episodes of dizziness and...
A 52-year old woman was admitted to the hospital because of several episodes of dizziness and lightheadedness that caused her to occasionally fall. These episodes were associated with palpitations and diaphoresis. The symptoms would improve when she sat down. Her heart rate was often very rapid (> 120 beats per minute) when she would stand. She had a history of hypertension and occasional atrial fibrillation (she is normally in sinus rhythm though). Upon being admitted to the hospital she was...
Scenario 1 RR is a 58 year old man who has had been diagnosed with hypertension...
Scenario 1 RR is a 58 year old man who has had been diagnosed with hypertension of 178/92 and hyperlipidemia. Over the course of 1 year he has had several blood pressure checks and medications have been added. Currently his blood pressure is running 128/66 He is currently prescribed metoprololopressor), lisinopril (zestril), and hydrochlorothiazide for the hypertension and pravastatin (pravachol). 1. When he asks the nurse why he has so many medications now that his blood pressure is low -...
Scenario 2 MG is a 78 year old woman who has previously been diagnosed with atherosclerosis...
Scenario 2 MG is a 78 year old woman who has previously been diagnosed with atherosclerosis and now with atrial fibrillation. She has previously been on nitroglycerin for intermittent chest pain. She has been prescribed warfarin (coumadin). 1. Please explain how this warfarin (coumadin) works for her. 2. What teaching would the RN need to provide? Six months later, M G falls. She stated she was light-headed. Her cardiologist performs a cardioversion and prescribes amiodarone (cordarone). 3. Please provide patient...
Brief Patient History Mr. K is a 58-year-old white man admitted to the cardiac unit from...
Brief Patient History Mr. K is a 58-year-old white man admitted to the cardiac unit from the medical unit after cardiac arrest (VF). He was successfully defibrillated after one shock (biphasic at 200 joules). He has a history of hypertension, myocardial infarction, mitral valve regurgitation, atrial fibrillation, and hyperlipidemia. Mr. K was scheduled for mitral valve replacement and the maze procedure. Mr. K is a school administrator, is married, and has two daughters who live out of state. Clinical Assessment...
A Fib Case Study A 67-year-old man presents to the ER with palpitations and dyspnea which...
A Fib Case Study A 67-year-old man presents to the ER with palpitations and dyspnea which began approximately 4 hours ago. He has a history of HTN, left ventricular hypertrophy, Diabetes, and GERD. His current medications are lisinopril, metformin, and omeprazole. He has no history of stroke or TIA. He is accompanied by his wife who reports drinking 1 pot of coffee daily and 1-2 beers on the week-ends. He does not binge drink or use herbal or alternative mediations....
A 67-year-old man presents to the ER with palpitations and dyspnea which began approximately 4 hours...
A 67-year-old man presents to the ER with palpitations and dyspnea which began approximately 4 hours ago. He has a history of HTN, left ventricular hypertrophy, Diabetes, and GERD. His current medications are lisinopril, metformin, and omeprazole. He has no history of stroke or TIA. He is accompanied by his wife who reports drinking 1 pot of coffee daily and 1-2 beers on the week-ends. He does not binge drink or use herbal or alternative mediations. His wife reports he...
CASE STUDY #3 While working as a nurse in the hospital, 35-year-old Emily noticed that she...
CASE STUDY #3 While working as a nurse in the hospital, 35-year-old Emily noticed that she was experiencing a persistent tachycardia and lightheadedness. She went to the emergency room and asked to be linical history revealed that she had contracted rheumatic fever as a child. Chest x-rays were performed, which revealed an enlarged left atrium and left ventricle and some pulmonary congestion. The ECG showed atrial fibrillation and the following are the results of her cardiac evaluation Cardiac output (CO100/58...
For each of the following rhythm strips, determine the presence of atrial- and ventricular- paced activity, the paced interval rate, and then identify the rhythm. All strips are lead II un- less otherwise noted. Figure 8-11 Atrial pacing? Paced interval Ventricular pacing? Identification Figure 8-12 Atrial pacing? Paced interval Ventricular pacing?. Identification This rhythm strip is from a 74-year-old woman complaining of weakness. Figure 8-13 Ventricular pacing? Atrial pacing? Paced interval Identification
this rhythm strip is from an 85 year old man complaining of
chest pain and shortness or breath
w wwandelt Fig. 4.26 Fig. 4.26. This rhythm strip is from an 85-year-old man complaining of chest pain and shortness of breath. Rhythm: Rate: _Pwaves: PR interval: QRS duration: QT interval: Interpretation: WWWWWW Fig. 4.27 From Aehlert B: ECG study cards, St. Louis, 2004. Mosby) 43. Fig. 4.27. This rhythm strip is from a 53-year-old woman with an altered level of responsiveness....
rate, rhythm, axis, hypertrophy? infarction?
interuptation
it was a 12 lead EKG
70
year old man with bradycardia following cardiac surgery
A 70-year-old man with bradycardia following cardiac surgery Chet om my Lamb: 10 mm sec Speed 25 LOC 01156-0006 1. RATE - determine rate by any of the methods discussed 300,150,100,75,60,50 10 second strip (R count x 6) 6 second strip (R count x 10) 2. RHYTHM - basic rhythm (regular vs irregular): scan for premature, pause, irregular, abnormal...
Scenario 1 RR is a 58 year old man who has had been diagnosed with hypertension of 178/92 and hyperlipidemia. Over the course of 1 year he has had several blood pressure checks and medications have been added. Currently his blood pressure is running 128/66 He is currently prescribed metoprololopressor), lisinopril (zestril), and hydrochlorothiazide for the hypertension and pravastatin (pravachol). 1. When he asks the nurse why he has so many medications now that his blood pressure is low -...
Scenario 2 MG is a 78 year old woman who has previously been diagnosed with atherosclerosis and now with atrial fibrillation. She has previously been on nitroglycerin for intermittent chest pain. She has been prescribed warfarin (coumadin). 1. Please explain how this warfarin (coumadin) works for her. 2. What teaching would the RN need to provide? Six months later, M G falls. She stated she was light-headed. Her cardiologist performs a cardioversion and prescribes amiodarone (cordarone). 3. Please provide patient...
CASE STUDY #3 While working as a nurse in the hospital, 35-year-old Emily noticed that she was experiencing a persistent tachycardia and lightheadedness. She went to the emergency room and asked to be linical history revealed that she had contracted rheumatic fever as a child. Chest x-rays were performed, which revealed an enlarged left atrium and left ventricle and some pulmonary congestion. The ECG showed atrial fibrillation and the following are the results of her cardiac evaluation Cardiac output (CO100/58...
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