Question

A 72-year-old male pt has been suffering from progressive dizziness and bouts of palpitations after exercising last night. His symptoms reappeared and worsened this am.

The pt is conscious and alert, has a HR of 180/min, a weak radial pulse, BP 110/78 mmHg, and SpO2 of 96%

What are the most appropriate initial interventions?

Answer 1

The most appropriate initial interventions for a 72-year-old male patient experiencing progressive dizziness and bouts of palpitations after exercising and worsening symptoms include assessing the patient's vital signs, administering oxygen, considering cardiac issues, and consulting a specialist.

Step-by-step explanation:

The most appropriate initial interventions for a 72-year-old male patient experiencing progressive dizziness and bouts of palpitations after exercising and worsening symptoms are as follows:

1. Assess the patient's airway, breathing, and circulation. Ensure that the patient is conscious and alert.
2. Measure vital signs including heart rate (HR), blood pressure (BP), and pulse oximetry (SpO2).
3. Based on the HR of 180/min and weak radial pulse, the patient may be experiencing tachycardia. Administer oxygen to maintain adequate oxygenation.
4. Consider the possibility of underlying cardiac issues or myocardial infarction. Further evaluation may include an electrocardiogram (ECG) and cardiac enzyme tests.
5. Administer intravenous fluids if necessary to maintain blood pressure.
6. Consult a cardiologist or the appropriate specialist for further evaluation and management.