Question: As You Check His Chart, You Note That His Vital Signs (VS) And All Of His Lab Tests Were Within Normal Range, Including Troponin And Creatinine Phosphokinase (CPK) Levels; Potassium (K) Was 4.7 MEq/L. Within The Hour, He Spontaneously Converted With Medication (diltiazem [Cardizem]) To The Following Rhythm Which Caused Lightheadedness And Hypotension. …

As you check his chart, you note that his vital signs (VS) andall of his lab tests were within normal range, including troponinand creatinine phosphokinase (CPK) levels; potassium (K) was 4.7mEq/L. Within the hour, he spontaneously converted with medication(diltiazem [Cardizem]) to the following rhythm which causedlightheadedness and hypotension.

1. What risks does the new rhythm pose for G.P.? If symptoms donot improve, what do you think the cardiologist might recommend tothe client?

2. If the recommended procedure takes place, G.P. is at risk forseveral serious complications. List three potential problems thatyou will monitor as you care for him post-procedure.

3. What education will you give him before he leaves thehospital?