A 70-year-old man presents to the ER with palpitations and dyspnea which began approximately 4 hours ago. He has a history of HTN, left ventricular…

Question Answered step-by-step A 70-year-old man presents to the ER with palpitations and dyspneawhich began approximately 4 hours ago. He has a history of HTN, left ventricular hypertrophy, Diabetes, and GERD. His current medications are lisinopril, metformin, and omeprazole. He has no history of stroke or TIA. He is accompanied by his wife who reports drinking 1 pot of coffee daily and 1-2 beers on the week-ends. He does not binge drink or use herbal or alternative mediations. His wife reports he snores and has daytime sleepiness. He quit smoking 10 years ago. He appears to be in mild respiratory distress. Blood pressure is 88/60mmHg, pulse rate is 140 bpm, respiratory rate is 24/min, and temperature is normal. Oxygen saturation is 90% of 40% oxygen by face mask. His BMI is 36. Cardiac exam reveals tachycardia with an irregularly irregular tachycardic rhythm. There are crackles in the lower lung fields. A chest radiograph does not show infiltrates, pleural effusions, masses, blebs, or hyperinflation. Laboratory analysis reveals normal thyroid function, D-dimer and cardiac biomarkers.Electrocardiogram demonstrates atrial fibrillation (AF) with rapid ventricular rate. This patient is determined to need acute management of AF with hemodynamic instability. -Following the treatment, he converts to a normal sinus rhythm. What is the patient at risk for now and how would this risk be reduced? Describe the nursing management of this medical intervention. -What other primary medications do you anticipate the patient to be discharged home on to help control his heart rate? references, please Health Science Science Nursing NUR 470 Share QuestionEmailCopy link Comments (0)