Description: John Miller, a 65-year-old male, arrives at the clinic complaining of his shoes not fitting...

Description:

John Miller, a 65-year-old male, arrives at the clinic complaining of his shoes not fitting and feeling like he cannot take a deep breath. During the patient interview, he also states that he is having intermittent pain in his chest. He is taking glyburide 2.5 mg daily, captopril 25 mg twice a day, and HCTZ 25 mg daily. He has not taken the HCTZ for 2 weeks and is hoping to get this medication refilled. The physician wants to evaluate his congestive heart failure. He orders an ECG and a stress echocardiogram. The patient has not previously had a stress echocardiogram and you need to explain it to him before the test begins.

Discussion Questions:

1. Explain to John the difference between an ECG and an echocardiogram.

2. John expresses concern about having a heart attack during the procedure. How can you alleviate his fear?

3. You must perform an ECG on this patient. Describe the steps in the procedure.

Please answer all 3 questions separately. Thanks.

Expert Solution

	ECG	ECHOCARDIOGRAM
Definition	It determines the Electrical activity of the Heart	It determines Mechanical syatem of the Heart
Result	Produces a wave like diagram	Producees a picture of Heart
Test Procedure	Medical professionals will attach electrodes to the patients chest and limbs. ECG results will be collected by those electrodes and represented in a graphical wave form,	Medical professionals will apply a cool gen on the patients chestm and a transduces is ment to pass, releasing sound waves,these sounds will echo back and produce a picture of Heart

Ans 2) As you are having Hypertension from long back, There might be some plaques (atherosclerosis) wich limit the oxygenated blood flow to myocardium inturn leads to Ischemia and pain. So while doing stress test there might be some pain but we are heare and we will look after you sooo carefully.This pain can be relieved by Nitrates.

Ans 3) EKG is a painless non invasive and quick process. It was invented by Willian Enthonven

a) Avoid drinking cold water before going to ECG. because water may interfere with ongoing ECG

b) Curing an ECG upto 12 sensors (lids) out of them 6 are Limb lids and other 6 are precordial lids attached to your body.

c) You can breath normally during the test but you will need to lie still.

Nightingale answered 2 years ago

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