NR 508 Week 6 Grand Rounds Presentation: Anticoagulants for Outpatient Treatment of Patients with Non-valvular Atrial Fibrillation
-
$15.00
| Institution | Chamberlain |
| Contributor | Melissa |
Case Study
Barry is a 65-year-old male who presents for his yearly physical examination and follow up from Holter monitor. His review of systems is significant for fatigue, complains of feeling “heart is racing”, frequent urinating, and unable to do daily exercises with out feeling short of breath. His previous medical history is notable for hypertension and overweight. He reports his understanding that he should be on a low fat, 2gram , and no added salt diet with moderate aerobic exercises 4-5 times per week but also notes that still running a business full-time makes this difficult to achieve.
He has NKDA and takes a multi-vitamin and Norvasc 5mg daily. Barry reports a family history of Hypertension (HTN), and Coronary Artery Disease (CAD) (Father). He is a nonsmoker. Occasionally consumes ETOH. His diet largely consists of red meat. He drinks water or milk with every meal , 1-2 cups of coffee in the AM and an additional 1-2 cans of soda per day. Previous labs and exam last year are unremarkable.
Vitals today: BP 129/80 mm Hg, pulse 102, temperature 98.5, respirations 20, height 5’11”, weight 185 pounds. Urine dip negative, fasting plasma glucose 110mg/dl, HgbA1C is 5.9, TSH 2.40mU/L and Free T4 0.9 ng/dl. CBC WNL,EKG shows irregular QRS complex no visible P-wave, ventricular rate 100. Holter monitor shows irregular heart beats at times. The physical exam is notable for non-valvular atrial fibrillation.
Test Questions
- Atrial fibrillation caused by which of the following would NOT be classified as non-valvular atrial fibrillation?
- Common symptoms include:
- Your doctor may also order blood tests to look for underlying conditions that may be causing your symptoms, such as thyroid problems.
- More than 5 million people today are affected by A fib?
- Which Anti-Coagulation requires closely monitoring INR?
| Instituition / Term | |
| Term | Summer 2020 |
| Institution | Chamberlain |
| Contributor | Melissa |
/Book Image (Pharmacotherapeutics For Advanced Practice Nurse Prescribers)-80x80.JPG "Pharmacotherapeutics For Advanced Practice Nurse Prescribers 4th Edition: Testbank Solutions")
/Pharmacology for the Primary Care Provider (4th Edition) Book Image -80x80.JPG "Pharmacology for the Primary Care Provider (4th Edition): TESTBANK SOLUTIONS")
