AFIB Case Study Student A.pdf - IN-­‐CLASS/ONLINE CASE STUDY Atrial Fibrillation Patient Profile E.W a 76-­‐year-­‐old white man comes to the

AFIB Case Study Student A.pdf - IN-­‐CLASS/ONLINE CASE...

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Unformatted text preview: IN-­‐CLASS/ONLINE CASE STUDY Atrial Fibrillation Patient Profile E.W., a 76-­‐year-­‐old white man, comes to the emergency department after a syncopal episode at a local restaurant. He is accompanied by two friends. Subjective Data • Has been feeling weak for a few days • Became dizzy and fainted while awaiting his dinner • Takes one medication, a “water pill” for high blood pressure Objective Data Physical Examination • Blood pressure 92/50, pulse 125 and irregular, respirations 24, temperature 97° F • Alert and oriented • Lung sounds clear in all fields Diagnostic Studies • ECG monitor shows atrial fibrillation Discussion Questions 1. What is atrial fibrillation? 2. What are your priority actions at this time? 3. What additional history should you obtain from E.W.? 4. Describe the risks associated with atrial fibrillation. 5. E.W. is placed on diltiazem (Cardizem), warfarin (Coumadin), and dronedarone (Multaq). What is the purpose of each of these medications in treating E.W.’s atrial fibrillation? Case Study Progress E.W. is admitted with a diagnosis of new onset of atrial fibrillation. Despite medical therapy, 12 hours later, he is still experiencing dizziness, and his systolic blood pressure remains below 100. A transesophageal echocardiogram is done, showing E.W. does not have any blood clots, so the physician elects to perform a cardioversion. 6. What instructions should you give E.W. to prepare for a cardioversion? What do you tell him to expect during the procedure and what nursing assessments will you be performing? ...
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