NRNP 6566 Week 3 Knowledge Check

1. Question: Mrs. Franklin is a 68-year-old woman with long-standing, persistent AF being managed with rhythm control on dofetilide. She also has type 2 diabetes mellitus (T2DM), hypertension, and a myocardial infarction 3 years ago.What is her CHADS2 and CHA2DS2-VASc score? How would you interpret those scores in deciding on treatment for Mrs. Franklin? 2. Question: A 58-year-old male complains of a galloping heart rate and shortness of breath. Vital signs are BP 110/74, P 156, RR 22 Oxygen sat is 96%. Continuous EKG monitoring identifies periods of sinus tachycardia as well as episodes of atrial fibrillation. Laboratory results for this patient show: 3. Question: A 63-year-old female has been successfully cardioverted and is now on amiodarone for rhythm maintenance. The patient is on the following medications: 4. Question: What is your interpretation of this 12-lead EKG? 5. Question: A 62-year-old male develops acute atrial tachycardia with a heart rate of 155. BP has been stable at 122/ 86. He is alert and oriented with adequate urine output. What medication would be utilized to treat the heart rate? 6. Question: Mrs. Franklin is a 68-year-old woman with long-standing, persistent AF being managed with rhythm control on dofetilide. She also has type 2 diabetes mellitus (T2DM), hypertension, and a myocardial infarction 3 years ago. She also takes an 81 mg aspirin every day.Based on her CHADS2 score and HAS-BLED score, would you recommend starting her on anticoagulation? What data would help you explain why this is important preventative step for the patient? 7. Question: What is your interpretation of this 12-lead EKG? 8. Question: A 59-year-old male complains of dizziness, palpitations, weakness, and chest tightness. EKG shows atrial fibrillation with rapid ventricular response. His blood pressure is very labile, with readings of 70/42 to 110/66. Heart rate ranges from 150—210. Because he is hemodynamically unstable, immediate electric cardioversion is considered. Prior to the procedure, what testing is essential to complete? 9. A 79-year-old male with a history of atrial fibrillation is taking the following medications: Brilenta 60 mg po bid 10. What medication could cause these lab results? 11. What is your interpretation of this 12-leadEKG?what initial treatment isindicated?