NRNP 6566 Week 3 Knowledge Check

1. 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: 2. Question: What is your interpretation of this 12-lead EKG? 3. Question: Mrs. Franklin is a 68-year-old woman with long-standing, persistent AF being managed with rhythm control on do fetilide. 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? 4. Question: What is your interpretation of this 12-leadEKG? What initial treatment is indicated? 5. Question: A 79-year-old male with a history of atrial fibrillation is taking the following medications: 6. Question: The EKG shows an extensive acute anterolateral STEMI. There are ST elevations in V2-6, I, and a VL with reciprocal changes in leads III and aVF. 7. Question: The patient has an extensive anterior Myocardial Infarction. The tombstone pattern is evident in the pre cordial leads (V1-V6) and high lateral leads (I, and aVL). Occlusion in the LAD is likely and is showing infarction in large areas with poor left ventricular eje ction fraction that if not addressed will cause cardiogenic shock and death. 8. Question: The AGACNP has ordered Inderal 5 mg IV to treat a patient with atrial tachycardia. What are the critical side effects of this drug? 9. 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? 10. Question: A 66-year-old female complains of dizziness, fatigue, and shortness of breath. Her EKG is below. What is your working diagnosis? What immediate treatment is indicated?