A 65 year old man presents for her annual physical examination and notes increas

Question

A 65 year old man presents for her annual physical examination and notes increasing fatigue and heart palpitations over the past 2 months. Her history is notable for longstanding, but now well-controlled, systolic hypertension. A physical examination demonstrates a blood pressure of 120/70 mm Hg and an irregular pulse of approximately 120 bpm at rest. The patient weighs 130 pounds with a body mass index of 22.

The remainder of her examination is completely normal with no clinical evidence of right- or left-sided congestive heart failure. An ECG was done and shows this rhythm:

What is the medical diagnosis?

What diagnostics (blood work, radiology, etc) would you order to rule out this diagnosis? (Please explain why you are ordering these diagnostics)

What is the medical treatment plan? (pharmacological and nonpharmacological)

Implement the nursing process

Assessment

Diagnosis

Planning

Implementation

Evaluation

What is the expected outcome?

Explanation / Answer

This ECG shows the patient is having Sinus Tachycardia

ECG is the basic test to detect Sinus tachycardia. Here due to tachycardia the p ways are usually affected and the ways will be rhythmic.

Echo cardiogram to see the blood pumping capacity

Treatment given to maintain normal heart rate are

Altered cardiac function related to increased body weight as evidenced by BMI

The outcome is to normalize the heart function and avoid complications.

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