A 34 year old male electrician comes to the emergency room after receiving an el

Question

A 34 year old male electrician comes to the emergency room after receiving an electrical shock. He is 5’8” and 176 pounds. The man is aware of his surroundings, but he is sweating profusely, is dizzy, fatigued, and is experiencing chest pains for over an hour. His heart rate was found to be 175 beats per minute and his blood pressure was 80/50 mm Hg. The doctors at the E.R. ran a number of tests to verify what is wrong with the man. After looking at the results, the man was given fluids first, then phenylephrine, heparin, and finally Diltiazem. After treatment, the man was released from the hospital. Answer the following questions based on this scenario.

What is wrong with the patient?

What is the likely outcome if the man’s condition was left untreated? Explain.

3.What is likely the main cause of the physiological problems the man is experiencing?

4. What parts of the heart are most likely affected in this case?

5. Why is the patient experiencing the symptoms he is presenting? Explain in detail.

6. What is one of the tests the doctors performed that that could help elucidate what is wrong with the man? Explain what this test is, how it works, and what it is showing about the man’s condition.

7. What are the purposes of the fluids and drugs that were given to the man?

8. How do the drugs given to the man work and how are they affecting the physiological state of the body?

9. What kind of follow up or medication should the man do/take after he left the hospital?

10. Are there any alternative treatments that could have been done to help the patient? Explain either your Yes or No answer.

Explanation / Answer

Electric shock can cause myocardial necrosis or cardiac arrhythmias.

Symptoms during atrial fibrillation are:confusion,anxiety,sweating,cold extremities,f fatigue,shortness of breath

Fibrillation can lead to thrombus which causes angina.the patient is experiencingcardiogenic shock right now

if the condition is left untreated it may cause myocardial infarction and death.

phenylephrine is used to prevent PAH,heparin to prevent thrombus due to fibrillation and Diltiazen is a calcium channel blocker to stabilize heart rate

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