Mod 5 STUDENT-Pharmacology_Reasoning_Bradycardia_LongQT (Marilyn Fitch, 78 years old)

Marilyn Fitch, 78 years old Medication Categories: Concepts/Content: Antidysrhythmics ACE Inhibitors Beta Blockers Statins Oral Anticoagulants Diuretics Electrolytes Assessment Drug-drug interactions Evaluation of desired outcomes Monitoring for adverse effects Emergency treatment of dysrhythmias Client education Psychosocial support NCLEX Client Need Categories Percentage of Items from Each Category/Subcategory Covered in Case Study Safe and Effective Care Environment  Management of Care 17-23% X  Safety and Infection Control 9-15% X Health Promotion and Maintenance 6-12% X Psychosocial Integrity 6-12% X Physiological Integrity  Basic Care and Comfort 6-12%  Pharmacological and Parenteral Therapies 12-18% X  Reduction of Risk Potential 9-15% X  Physiological Adaptation 11-17% X © 2020 KeithRN LLC. All rights reserved. No part of this case study may be reproduced, stored in retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior written permission of KeithRNI. Initial Presentation: Marilyn Fitch is a 78-year-old Caucasian woman with a history of hypercholesteremia, hypertension, and heart failure and has NKDA. She was brought in by her daughter after Marilyn complained of feeling dizzy several times this morning and then almost passed out at home. Marilyn has a six-month history of paroxysmal atrial fibrillation. Her heart rate has been regular and she has had no episodic dizziness since she had a synchronized cardioversion one week prior to this visit. Her initial VS in triage were: T: 98.9 F/37.2 C (oral) P: 52 R: 16 BP: 94/52 and O2 sat: 98% room air.