Branching Exercise Cardiac Case 1: 63 Year Old FemaleWeek 2: 12-lead EKG Interpretation and Diagnost

RESULTS OF DECISION POINT ONE

• Correct!

Decision Point Two

RESULTS OF DECISION POINT TWO

•  Correct!
• These tests are all indicated to evaluate this rhythm and the potential pathophysiology related to this rhythm.

Decision Point Three

Guidance to Student

Correct.

Rate control in this patient is the first priority in order to enable ventricular filling and cardiac output. This would treat the initial symptoms and then medications for rhythm control can be considered.

NRNP 6566 BRANCHING EXERCISE CARDIAC CASE 1

The assignment this week is the branching exercise.  You can go through the exercise as much as you want, until it is submitted.  You can only submit the assignment one time for grading.   Your assignment at the end of the exercise is to write orders that reflect your treatment plan for this patient.  The template for your order set is located in the required reading. Please be sure that you are writing specific orders exactly as you would in a patient’s chart.   

BRANCHING EXERCISE CARDIAC CASE 1

For this Assignment, you will review the interactive media piece/branching exercise provided in the Learning Resources. As you examine the patient case, consider how you might assess and treat patients with the symptoms and conditions presented.

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources. 

To prepare:

Review the interactive media under Required Media: Branching exercise. This is provided in the Learning Resources.

Review the information provided in the case (patient presentation, vital signs, pmh, home meds, results of labs and diagnostics. With this information, critically think about what is happening with the patient.

Use your critical thinking skills and current guidelines to develop orders. Include additional labs/diagnostics, what needs repeated and followed up on. Medications that need to be ordered or changed.

The Assignment:

Using the required admission orders template found under the Learning Resources: 

Develop a set of orders as the admitting provider.

Be sure to address each aspect of the order template

Write the orders as you would in the patient’s chart. Be specific. Do not leave room for the nurse to interpret your orders.

Do not assume anything has already been done/order. Use the information given. Example: If the case does not mention fluids were given, the patient did not receive fluids. You may have to start from scratch as if you are working in the ER. And you must provide orders if the patient needs to be admitted.

Make sure the order is complete and applicable to the patient.

Make sure you provide rationales for your labs and diagnostics and anything else you feel the need to explain. This should be done at the end of the order set – not included with the order.

Please do not write per protocol. We do not know what your protocol is and you need to demonstrate what is the appropriate standard of care for this patient.

A minimum of three current (within the last 5 years), evidenced based references are required.

BY DAY 7 OF WEEK 2

Submit your completed Assignment by Day 7 of Week 2 in Module 2.

Here is some additional information that you need in order to complete your order set. 

63 year old female

VS:  BP  108/68   Temp  99 degrees F,  RR 18/min,  SpO2 95%  Wt   155 pounds ,   Ht 5’4?

Past Medical History:  Hypertension, Diabetes, TIA

Allergic to Penicillin  

Curents Meds:  Lisinopril, METFORMIN

Exam:    alert and oriented 

S1 S2  no murmur, rubs, or gallops heard.  No JVD or carotic bruits 

Lungs clear 

Abdomen soft, nontender, positive bowel sounds in all 4 quadrants 

LEARNING RESOURCES

Fuller, V. J., & McCauley, P. S. (2023). Textbook for the adult-gerontology acute care nurse practitioner: Evidence-based standards of practice. Springer Publishing Company.

Tachycardia’s, pp. 106-109

Harris, C. (2023). Adult-gerontology acute care practice guidelines (2nd ed.). Springer Publishing Company.

Arrhythmias, pp. 54-58

Document: Admission Orders Template (Word document)Download Admission Orders Template (Word document)

Required Media

MedCram. (2019, June 9). ECG interpretation explained clearly and succinctly – arrhythmias, blocks, hypertrophy.[Video file]. Retrieved from https://www.youtube.com/watch?v=Rv6l0ViRJDQ

MedCram. (2018, July 15). ST elevation – EKG/ECG interpretation case 12 (STEMI, MI, ACS). [Video file]. Retrieved from https://www.youtube.com/watch?v=8ajWCLqz3VQ

MedCram. (2017, July 23). EKG/ECG practice strip interpretation explained clearly – case 10. [Video file]. Retrieved from https://www.youtube.com/watch?v=zA1Dpwnzrxg

Walden University (Producer). (2019a). Branching exercise: Cardiac case 1.[Interactive media file]. Minneapolis, MN: Author.

The assignment this week is the branching exercise.  You can go through the exercise as much as you want, until it is submitted.  You can only submit the assignment one time for grading.   Your assignment at the end of the exercise is to write orders that reflect your treatment plan for this patient.  The template for your order set is located in the required reading. Please be sure that you are writing specific orders exactly as you would in a patient’s chart.    The assignment is due by Sunday. 

Here is some additional information that you need in order to complete your order set. 

63 year old female

VS:  BP  108/68   Temp  99 degrees F,  RR 18/min,  SpO2 95%  Wt   155 pounds ,   Ht 5’4?

Past Medical History:  Hypertension, Diabetes, TIA

Allergic to Penicillin  

Curents Meds:  Lisinopril, METFORMIN

Exam:    alert and oriented 

S1 S2  no murmur, rubs, or gallops heard.  No JVD or carotic bruits 

Lungs clear 

Abdomen soft, nontender, positive bowel sounds in all 4 quadrants

Also Read: NURS 6501 Module 2 Assignment Case Study Analysis

Solution: