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.
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?
REQUIREMENTS
2 PAGES
NO MORE THAN 10% PLAGIARISM OR STUDENT PAPER SIMILARITY ALLOWED
MUST BE ORIGINAL AND UNIQUE WORK
4 REFERENCES SCHOLARLY JOURNALS OR BOOKS NO OLDER THAN 5 YEARS, NO
BOOKS REFERENCES
REQUIRED IN-TEXT CITATIONS
APA 7TH EDITION FORMAT
CHECK YOUR GRAMMAR AND SPELLING
DUE DATE JUNE 12 , 2025 NO LATER
DO YOUR BEST
MUST BE ORIGINAL EACH WORD IN INDIVIDUAL
The post First Line Treatment for AFib in Patients appeared first on Nursing Depo.
Essay Writing Service Features
Our Experience
No matter how complex your assignment is, we can find the right professional for your specific task. Custom Essay Writing Services for Students Worldwide is an essay writing company that hires only the smartest minds to help you with your projects. Our expertise allows us to provide students with high-quality academic writing, editing & proofreading services.
Free Features
Free revision policy
$10Free bibliography & reference
$8Free title page
$8Free formatting
$8How Our Essay Writing Service Works
First, you will need to complete an order form. It's not difficult but, in case there is anything you find not to be clear, you may always call us so that we can guide you through it. On the order form, you will need to include some basic information concerning your order: subject, topic, number of pages, etc. We also encourage our clients to upload any relevant information or sources that will help.
Complete the order form
Once we have all the information and instructions that we need, we select the most suitable writer for your assignment. While everything seems to be clear, the writer, who has complete knowledge of the subject, may need clarification from you. It is at that point that you would receive a call or email from us.
Writer’s assignment
As soon as the writer has finished, it will be delivered both to the website and to your email address so that you will not miss it. If your deadline is close at hand, we will place a call to you to make sure that you receive the paper on time.
Completing the order and download