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Question - Tom Drummel is a 28-year-old client who was diagnosed with ventricular dysrhythmias 2 years ago when he collapsed during a soccer game. He has had several additional episodes of ventricular dysrhythmias over the past 2 years, all precipitated by exercise. He has not had an episode since beginning his current medication, oral propranolol. Tom presents to the medical clinic with complaints of frequent dizziness.
1. Describe the possible relationship between the propranolol and Tom's reports of dizziness. As the nurse discusses this issue with Tom, what teaching should be included?
2. What additional teaching should be completed with Tom related to his medical therapy?
3. Tom develops PSVT ( Paroxysmal Supreventricular Tachycardia) accompanied by dizziness and hypotension. He is hospitalized and receives orders for IV diltiazem. The nurse should monitor Tom for what potential adverse effects while he is receiving the IV diltiazem?
4. Tom's physician recommends a radiofrequency ablation for control of his dysrhythmias. Tom tells the nurse that he is hesitant to undergo the procedure and asks why he cannot just continue to use medications. How should the nurse respond?
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