A 35 y/o male is seen by his physician complaining of shortness of breath, dizzi

Question

A 35 y/o male is seen by his physician complaining of shortness of breath, dizziness, intermittent palpitations and chest pain. The Px has a history of paroxysmal atrial dysrhythmia and has been taking 400 mg/3x/day quinidine over the past year. He has not had an episode since going on the medication. The Px lives alone and is the CEO of a local software company. He states that he recently suffered a serious bout of the flu where he experienced diarrhea and vomiting for five days. However, he has been feeling better, started taking his medication again and returned to work the previous day. The physical test shows that he is alert, but is experiencing dizziness. His respiration is 28 breaths/min but lung sounds are clear in all lobes. He has normal bowel sounds, yet is complaining of nausea. His pulse is 150 and irregular with a BP of 102/56. His nailbeds are pink and his O2 stats are 96.

His blood work shows: Na+ = 135 mEq/L K+ = 2.9 mEq/L Cl- = 96 mEq/L BUN = 29 mg/dL Creatinine = 1.3 mg/dL Glucose = 100 mg/dL (fasting)

The physician ran an ECG and during recording, the Px had another arrhythmic episode shown below:

How to treat this patient? Explain in detail.

Explanation / Answer

by daignosis test we dine dine he/she has paroxysmal

here we trated with them by ELECTRICAL CARDIOVERSION followed by inpatient care, diet and activity & consultations

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