arrhythmias, not sure if chads2 is correct, please adjust if incorrect or correct . – nursing homework essays

Instructions:

Scenario: A
64-year-old female patient enters the walk-in clinic reporting dizziness and
fainting that has been happening off and on for the last 48 hours. The patient
reports a 10-year history of hypertension, which she describes as “usually”
controlled. The woman reports being recently ill with a “bad case” of
influenza but otherwise well, with a history of depression controlled with
antidepressant medication. The woman reports taking an ACE inhibitor daily for
her hypertension and notes she has taken a dose today. Her vital signs upon
arrival are: blood pressure 104/48, heart rate 180, respiratory rate 30, and
temperature 99.1°F. The woman appears diaphoretic, fatigued, and weak. Physical
assessment reveals an irregularly irregular heart rate, weak peripheral pulses,
cool, pale skin, and decreased capillary refill. The ECG shows atrial
fibrillation. The woman reveals that she is in the United States illegally and
is undocumented. The patient expresses concern about her status as you prepare
her for treatment.

1.      What
additional symptoms should you ask the patient if she has experienced?

2.      Using
Table 36.1, calculate the patient’s CHADS2 score and determine whether Anticoagulation
is recommended based on the score.

3.      What is
the significance of this condition happening off and on for the last 48 hours?

4.      You,
the nurse practitioner, decide the patient needs treatment beyond the walk-in
clinic’s resources. What action do you take to ensure that the patient is
treated promptly?

5.      Because
the patient is an undocumented immigrant, what considerations will be needed
while care is provided?

Estimated time to
complete: 2 hours