An 83-year-old male who was on the telemetry unit for a hear…

An 83-year-old male who was on the telemetry unit for a heart failure exacerbation has been transferred to the intensive care unit due to new onset atrial fibrillation with a rapid ventricular response. He was given a diltiazem bolus followed by a continuous diltiazem infusion without successful rate control. It has been less than 48 hours and direct current cardioversion is being considered. The success of electrical cardioversion is inversely proportional to which of the following?

A 24-year-old female presents to the ED with a complaint of,…

A 24-year-old female presents to the ED with a complaint of, “My heart is pounding out of my chest and I’ve been short of breath for 4 hours.” She has had similar episodes, but all have spontaneously stopped. She is in good health and takes no medications. Her blood pressure is 120/80 mmHg and pulse too rapid to count. Her rhythm is shown in the following ECG. ECG2.jpg What is the most appropriate immediate management for this patient?

Lorazepam, a benzodiazepine, has been ordered for a client i…

Lorazepam, a benzodiazepine, has been ordered for a client in a crisis phase. Physician orders: Lorazepam 0.05 mg/kg, IM PRN agitative or aggressive state X 1 dose. Client weights 148.5 lbs. Calculate the dose the nurse will administer for this client. Round to the nearest hundredths.