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Case Study Dysrhythmia Gloria Milhouse, a 68-year-old woman, is driven to the ED by her husband, who states she "passed out" while riding in the car, and he had a difficult time rousing her. Suspecting a cardiac dysrhythmia, the MD places Mrs. Milhouse under observation on a cardiac monitor. During her interview, Mrs. Milhouse revealed that she passed out 2 weeks ago at home but recovered quickly. She admits to having frequent heart palpitations and a feeling that her heart is "racing." She denies alcohol or tobacco use and drinks one cup of coffee daily. She is pale and anxious, her BP is 160/82, and her apical pulse is 114 and regular. 1. Which of the following pathways does normal cardiac electrical conduction follow? a. SA node - AV node - bundle of His - bundle branches - Purkinje fibers b. Purkinje fibers - bundle branches - bundle of His - AV node - SA node c. AV node - bundle of His - SA node - bundle branches - Purkinje fibers 2. While the technician is attaching the ECG electrodes and the nurse is starting an IV line, Mrs. Milhouse becomes anxious and complains of heart palpitations.
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