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Original Question

Question 1 Scenario: Your patient is a 61-year-old female who arrived to the emergency department complaining of substernal chest pain that started as mild discomfort and increased in severity about 30 minutes prior to arriving in the emergency. The pain is described as constant feeling of pressure on her chest. She is diaphoretic, cool, clammy, increased work of breathing and audible crackles throughout the lungs. She has no known medical history and no noted allergies. You do a stat ECG and show it to the physician. and explain the Location and type of MI The 12 lead ECG is as follows: Question 2 Which coronary artery(s) supplies the area of the heart with the location identified? Question 3 Identify the complications of this type of MI. Question 4 Patients with this type of MI are at risk for developing which type of arrhythmias. Question 5 The ECG shows which type of axis? 1. right axis deviation 2. left axis deviation 3. extreme axis deviation 4. normal axis Question 6 While caring for the patient, you observe the following rhythm on the cardiac monitor. 6 sec rhythm strip identify the following: rhythm rate ventricular rate atrial P-wave PR interval QRS interval QT interval interpretation Question 7 Outline key characteristics of this rhythm that helped you to identify it. (5 marks) Question 8 From an electrophysiology perspective, why does this rhythm occur? (2 marks) Question 9 Outline what some of the hemodynamic effects of this rhythm are and symptoms that the patient may experience. (5 marks) Question 10 The patient is symptomatic with a heart rate of 20 beats per minute with low BP and feeling like she is going to pass out. The immediate priority interventions for this patient is which of the following? Select all that apply. 1. external pacemaker 2. transcutaneous pacemaker 3. epinephrine 4. dopamine 5. repeat ECG to confirm 6. atropine 7. IV normal saline bolus and oxygen

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