Dehydration-nausea and vomiting

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Reference no: EM133843827

Scenario:

You are caring for an 81 years of age female patient who was admitted to CCU from the emergency department with dehydration, nausea, and vomiting for the last 4 days, from a long term care. There is no history of diarrhea. The patient has a history of atrial fibrillation, diabetes Type II and heart failure. The patient has no known allergies and her current medications are: Lanoxin (Digoxin) 0.125 mg daily, Furosemide (Lasix) 60 mg daily, Warfarin 5 mg daily, Metformin 500 mg bid. You are completing your incoming assessment and noticed the following rhythm on the cardiac monitor:

A 6-second rhythm strip shows:

Rhythm is - regular

Rate- 180 bpm

P wave - present

PR interval - 0.08

QRS interval- 0.06

Rhythm interpretation- Junctional Tachycardia

Answer the following questions based on the scenario.

Questions

1. What are the characteristics to identifying this rhythm?

2. You would anticipate which of the following blood tests to be drawn?

1. INR

2. potassium to check for hyperkalemia

3. potassium to check for hypokalemia

4. cardiac protein

5. electrolytes

6. digoxin level

3. This patient has a rapid rate that can cause the patient to become unstable. Identify signs of concern to be on the alert?

4. What is a possible cause(s) of this rhythm with the scenario given and why?

5. What are interventions that may be necessary for this patient?

6. What is another possible cause for this rhythm in this scenario?

7. You notice that your patient is pale, decreased level of awareness and the BP is 92/48. The significance of this rhythm may be compromising. What is the significance of this rhythm and how may it compromise this patient?

Reference no: EM133843827

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