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Nursing
E.W., a 76-year-old white man, comes to the emergency department after a syncopal episode at a local restaurant. He is accompanied by two friends.   Subjective Data Has been feeling weak for a few days Became dizzy and fainted while awaiting his dinner Takes one medication, a “water pill” for high blood pressure

E.W., a 76-year-old white man, comes to the emergency department after a syncopal episode at a local restaurant. He is accompanied by two friends.   Subjective Data Has been feeling weak for a few days Became dizzy and fainted while awaiting his dinner Takes one medication, a “water pill” for high blood pressure

Phlebotomy Essentials
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
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Case Study

E.W., a 76-year-old white man, comes to the emergency department after a syncopal episode at a local restaurant. He is accompanied by two friends.

 

Subjective Data

  • Has been feeling weak for a few days
  • Became dizzy and fainted while awaiting his dinner
  • Takes one medication, a “water pill” for high blood pressure

 

Objective Data

Physical Examination

  • Blood pressure 92/50, pulse 125 and irregular, respirations 24, temperature 97° F
  • Alert and oriented
  • Lung sounds clear in all fields

Diagnostic Studies

  • ECG monitor shows atrial fibrillation

 

Questions

  • What is atrial fibrillation?
  • What additional history should you obtain from E.W.?
  • Describe the risks associated with atrial fibrillation.
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