Please use APA format to answer the questiion, provide 2 reference as possible,
Mr. Arencibia is a 70-year-old Hispanic male patient with history of obesity, HTN, ischemic left ventricular systolic dysfunction, and tobacco use. He quit smoking 20 years ago but has a 20-pck-year history and his last medical evaluation was 6 years ago. The patient presented to the Acute Care Clinic with syncopal episodes secondary to bradycardia. He was mildly hypothermic on arrival and his medication included digoxin (62.5 μg once daily, losartan, rosuvastatin, omega-3, and vitamin B-12. Laboratory Investigations revealed acute kidney injury with a serum digoxin level of 1.8 ng/mL. His electrolytes were within normal limits, and he was not hypothyroid.
The 12 Lead ECG (see below) revealed bradycardia (54 bpm), slow and irregular P-wave frequency due to sinus node disease. P-waves area appeared occasionally concealed in preceding QRS complex.
1. What do you see on 12-Lead EKG in relation to this patient’s heart rate and syncopal episode?
2. Is the patient taking any medication(s) that may contribute to his symptoms and signs? If yes, please explain their mechanism of action
3. Would you recommend the patient to continue, stop temporarily, or discontinue any medications(s)?
4. Look at precordial leads V1 and V6, what else do you see?
5. Taking into consideration the age and history of the patient, what screening, if any, is indicated?
Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.
You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.Read more
Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.Read more
Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.Read more
Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.Read more
By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.Read more