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Emergency Room Case Study: Identifying Heart Rhythm and Nursing Assessments

Symptoms possibly related to the heart rhythm

CASE ONE
Mr. James, age 67, arrives in the emergency room feeling short of breath and dizzy. He complains of sub sternal chest discomfort that he describes “like a toothache”. The cardiac monitor shows the following:

1. Analysis of rhythm: Identify the following: (2 marks/ 0.5 marks each).
Heart rate_____
PR interval_____
RR interval – regular/irregular (choose one).
Name the rhythm: ________

2. What symptoms experienced by Mr. James possibly relate to this rhythm? (3 marks).
 

3.  What two PRIORITY nursing assessments should the nurse make related to this rhythm? (2 marks).


4. What pharmacologic treatments would the nurse expect to implement for this patient?  List two (2 marks).


5. List two potential complications of this rhythm:

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