What is first line treatment for afib in patients

Assignment Help Other Subject

Reference no: EM133927523

Question: Bertha, a 58 - year - old Hispanic female, presents to the primary care clinic to establish care. She states that in 1985 she received a blood transfusion after sustained an MVA. She had tested positive for hepatitis C virus ( HCV ) in the past, but ignored any advice regarding treatment options. She brings a previous lab result with her today that shows :(ALT) level of 85 IU/mL (range 8 - 35 IU/mL). The lab form also states, " HCV antibody is positive by enzyme immunoassay - confirmation is suggested. The patient also arrived with diagnosis with exacerbation of A-Fib (pulse 110 beats per mint. and COPD exacerbation as well (O2 sat: 87%)

Past medical h story: Hypertension, dyslipidemia, hepatitis C. Family history: Unremarkable
Social history: She works as a case manager of an HMO and is married with 2 children. Denies use of illegal drugs, denies alcohol abuse, and has no tattoos.
Medications: HCTZ, 12,5 mg daily; Atorvastatin 20 mg daily, Metoprolol Succinate 25 mg and Pro-Air HFA 90mcg one puff q 4- 6 hrs as needed x pain.
Allergies: No known drug or food allergies.
OBJECTIVE General a ppearance: 58 - year - old female; pleasant, in no acute distress; good eye contact. Vital signs: T: 96.8; P: 110; RR: 23; SaO 2 : 87; BP: 150/100. Her weight is 214 lb, and her height is 6.3 inches.
HEENT : Negative. Neck: Thyroid nonpalpable. No lymphadenopathy. Cardiovascular: A-fib rhythm. irregular and rapid heartbeat.
Respiratory: Crackles and Wheezing. Get the best assignment help from our pro-writers.
Abdomen: Mild tenderness in right upper quadrant. BS x 4 no bruits. Nondistended, soft. No organomegaly. No ascites.
Neurological: A & O × 4, CN II - XII grossly intact.
Depression scale: negative. Musculoskeletal: Full ROM. No deformities. Muscle strength is 5/5.
CRITICAL THINKING

Which diagnostic or imaging studies should be considered confirm the diagnosis?
What is the most likely differential diagnosis? What is your plan of treatment?
Are there any emergency referrals needed?

What is first line treatment for AFib in patients with the mentioned comorbidities? What is the first line of treatment for COPD exacerbation?

Reference no: EM133927523

Questions Cloud

What symptoms of depression does jane exhibit : What symptoms of depression does Jane exhibit, and how do they align with the diagnostic criteria for Major Depressive Disorder (MDD)? How might her symptoms

Define cultural marginality in your own words : Describe how the theory of cultural marginality corresponds with caring in the human health experience. Provide an example from practice where you worked

Which step of us army criminal investigation commands crime : Using alternate light source to locate body fluids and other evidence. Which step of the US Army Criminal Investigation Command's crime scene processing method?

What michael lipsky mean by term street-level bureaucrat : What does Michael Lipsky mean by the term street-level bureaucrat? Explain how a street-level bureaucrat, in implementing public policy, may make policy.

What is first line treatment for afib in patients : What is first line treatment for AFib in patients with the mentioned comorbidities? What is the first line of treatment for COPD exacerbation

What are the potential benefits and drawbacks : What are the potential benefits and drawbacks of using this theory as a foundation for law enforcement practices?

How can the judiciary ensure the systems align with values : How can the Judiciary ensure these systems align with constitutional values such as gender equality, human rights and the rule of law?

Develop a nuanced perspective on how principles are applied : Why It Matters: By considering the four pillars of fairness, voice and transparency. Develop a nuanced perspective on how these principles are applied.

Talking with patients about quitting smoking : What Are E-cigarettes - Talking With Patients About Quitting Smoking - the U.S. Department of Health and Human Services, and The Joint Commission

User Account

All Pages