Branching Exercise Cardiac Case 1: 63 Year Old Female
Branching Exercise Cardiac Case 1: 63 Year Old Female
Week 2: 12-lead EKG Interpretation and Diagnostic Evaluation of Arrhythmias
Much like problems with a home’s heating and cooling system, arrhythmias begin with symptoms that often require expertise to diagnose. The symptoms of arrhythmias are routinely among the leading reasons for emergency room visits. Palpitations, racing hearts, anxiety, irregular heartbeats, and chest pain often alert sufferers to the potential for bigger problems. This puts cardiology squarely in the spotlight as the branch of medicine responsible for addressing not only arrythmias but the many cardiac and circulatory disorders that afflict so many each year.
As an advanced practice nurse, you must be prepared to effectively recognize, respond, diagnose, and treat these symptoms. Hence, it is important for nurses at every level of care to demonstrate expertise in heart arrhythmias as a component of cardiovascular care.
This week, you examine issues pertinent to arrhythmias. You examine diagnosis and management approaches to heart rhythm issues and the health problems that may trigger them. You also examine the tools used to help recognize and respond to these issues.
Learning Objectives
Students will:
- Interpret 12-lead EKGs
- Discern arrhythmias within 12-lead EKGs
- Develop appropriate treatment plans, including diagnostics and laboratory orders for patients with identified arrhythmias
Learning Resources for Branching Exercise Cardiac Case 1: 63 Year Old Female
Assignment: Branching Exercise Cardiac Case 1
For this Assignment, you will review the interactive media piece/branching exercise provided in the Learning Resources. As you examine the patient case, consider how you might assess and treat patients with the symptoms and conditions presented.
To prepare:
- Review the interactive media piece/branching exercise provided in the Learning Resources.
- Reflect on the patient’s symptoms and aspects of disorders that may be present in the interactive media piece/branching exercise.
- Consider how you might assess, perform diagnostic tests, and recommend medications to treat patients presenting with the symptoms in the interactive media piece/branching exercise.
- You will be asked to develop a set of admission orders based on the patient in the branching exercise.
The Assignment
Using the Required Admission Orders Template, write a full set of admission orders for the patient in the branching exercise.
- Be sure to address each aspect of the order template
- Write the orders as you would in the patient’s chart
- Make sure the order is complete and applicable to the patient
- Any rationale you feel the need to supply should be done at the end of the order set – not included with the order
- Please do not write per protocol. We do not know what your protocol is and you need to demonstrate what is appropriate standard of care for this patient.
- A minimum of three current, evidenced based references are required.
By Day 7 of Week 2
Submit your completed Assignment by Day 7 of Week 2 in Module 2.
Scenario #1 – 63 year old female
RESULTS OF DECISION POINT ONE
- Correct!
Decision Point Two
RESULTS OF DECISION POINT TWO
- Correct!
- These tests are all indicated to evaluate this rhythm and the potential pathophysiology related to this rhythm.
Decision Point Three
Guidance to Student
Correct.
Rate control in this patient is the first priority in order to enable ventricular filling and cardiac output. This would treat the initial symptoms and then medications for rhythm control can be considered.
