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Nursing - Cardiac Arrhythmia - Pathology and Treatment - Systematic Patient Assessment - Case Study Assessment Answer
Task:

CASE STUDY ONE: Mr Curtis

You are caring for Mr Curtis, a 74 year old man who has been admitted for a routine cholecystectomy. He has a medical history of hypertension and acute myocardial infarctions (AMI) x 2 over the last year.
QUESTION 1: Cardiac arrhythmia
When performing your observations, you find that Mr Curtis has an irregular Heart Rate (HR). You take an Electrocardiogram (ECG) and see the following cardiac rhythm:
a) Interpret and explain the above cardiac rhythm.
b) Discuss three (3) potential reasons for this cardiac rhythm to occur.
c) Discuss three (3) treatment options for a patient in this cardiac rhythm.

QUESTION 2:
You notice Mr Curtis is coughing and short of breath. His respiratory rate (RR) is 26 and his SaO2 is 91%. The Chest X-Ray and clinical signs confirm Mr Curtis is in Acute Pulmonary Oedema (APO). His Blood Pressure (BP) is 170/80. An arterial blood gas (ABG) is performed.
a) Provide a basic interpretation of the above ABG results.
b) Discuss the pathophysiology of APO.
c) Discuss the medical and nursing interventions generally for a patient in APO 

QUESTION 3: Patient assessment with respiratory focus
You are providing a hand over to the RN on the PM shift. a) Describe and outline each component of an ED or HDU patient assessment.
b) Discuss three (3) respiratory signs and symptoms of APO and why they occur.

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  • Posted on : August 21st, 2018
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