You are working in the hospital today and you have to give ECG stress tests to two different patients. One patient is a renowned professional athlete (such as a football or basketball player) who has a physical workout 6 days a week. Another patient is obese and elderly with Type II diabetes mellitus not under control. This patient also has a sedentary lifestyle. What would you expect to see in each of their electrocardiograms before and after each stress test? Would there possibly be any differences in the results of their electrocardiogram?

You are working in the hospital today and you have to give ECG stress tests to two different patients. One patient is a renowned professional athlete (such as a football or basketball player) who has a physical workout 6 days a week. Another patient is obese and elderly with Type II diabetes mellitus not under control. This patient also has a sedentary lifestyle. What would you expect to see in each of their electrocardiograms before and after each stress test? Would there possibly be any differences in the results of their electrocardiogram?

Basic Clinical Lab Competencies for Respiratory Care: An Integrated Approach

5th Edition

ISBN:9781285244662

Author:White

Publisher:White

Chapter10: Noninvasive Monitoring

Section: Chapter Questions

Problem 5SEPT

See similar textbooks

Similar questions

You are working in cardiopulmonary rehabilitation. It is your patient, Dave’s, first day of rehab. Dave had a heart attack 45 days ago. He is 40 years old and feels comfortable and confident enough to walk on a treadmill or ride a bike. Upon talking with Dave, you learn that he regularly exercised up until his heart attack. He completed resistance training 3 days/week at his local gym and would play tennis with friends several days each week. He can walk comfortably without an assistive device on flat surfaces at his own speed. You need to determine Dave’s VO2 in order to create a correct exercise prescription. Would you test this person, yes or no? If yes, please indicate what protocol you would choose and whether or not the test would be maximal or submaximal? Please include your rationale.
Nicole is a very healthy, 33-year-old female. She is coming to you to receive an exercise stress test as part of her routine physical as an EMT. Nicole’s primary mode of training is cycling, which she does about 5 days per week. When you look at Nicole’s EKG, you notice occasional PVCs and a couple PACs on her resting EKG. There is no physician available to examine the EKG. Would you test this person, yes or no? If yes, please indicate what protocol you would choose and whether or not the test would be maximal or submaximal? Please include the rationale for your choices.
Your client, Claire, is performing an exercise stress test. During a blood pressure reading, you hear 260/120 mmHg. To be certain, you reassess it and hear 250/120 mmHg. Claire then describes a pain in her chest getting worse. Is it safe to continue the test, and why? Group of answer choices Yes; safe BP reading Yes; appropriate emergency equipment is available No; relative contraindications No; absolute contraindication(s)
Cassie has come to you for a maximal exercise treadmill test. During a client’s stress test, blood pressure is measured at the end of each stage of the test. At the end of stage 3, Cassie’s blood pressure is 254/100 mmHg, her heart rate is 195 bpm (87% of her age-predicted maximal heart rate), and she expresses that she feels just fine. The EKG is normal. What is your next step? Do you continue the test, or do you stop? Please elaborate.
A student nurse is measuring a patient’s pulse rate and the patient places his free hand against his neck. When the nurse finishes her count, the patient says, “It’s 82, isn’t it?” How should the nurse respond?
If the patient is given a beta blocker, which of the following would best describe the actions of this drug with the patient’s current condition? This drug would help reduce clot size This drug would reduce long term effects of remodeling and decrease oxygen demand This drug would help increase coronary dilation This drug would increase preload and increase cardiac output and blood pressure
You are a pharmacist working in the cardiac ward of a hospital where Mr. Smith (48 years) was admitted to the hospital seven days ago with a diagnosis of myocardial infarction (MI). He has a history of hypertension and hyperlipidemia but no previous psychiatric history. Mr. Smith reports occasional worry about his health, especially his heart condition. He sometimes experiences restlessness, muscle tension, and difficulty falling asleep. Upon assessment, his GAD-7 score was 11 (on a scale of 0-21). He sleeps approximately eight hours in the night. Mr. Smith is asking to add a sleeping pill to his current medication list. As a pharmacist, which initial management option do you suggest for the anxiety and sleep complaints of the patient? lease answer this at your own easy words. Answer should be to the point (Specific)..
Sam comes to you for an exercise stress test. He wants to have his VO2and EKG measured as he is an avid hiker and preparing for a backpacking trip. Sam is 52 years old, has a BMI of 28 kg/m2, and is generally healthy. The only medication he takes is for high blood pressure, but it is working well, and his blood pressure is controlled. He states that he took his blood pressure medication this morning. Would you test this person, yes or no? If yes, please indicate what protocol you would choose and whether or not the test would be maximal or submaximal? Please include your rationale.
Lydia is a retired nurse. She is 63 years old. As a child she had rheumatic fever. At the age of 34 she had a mitral valve replaced. She is 10% over her ideal body weight. She used to be quite active when she was working, but she has slowed down a lot with retirement. She has noticed bouts of dizziness and sometimes she thought she was close to fainting. Other times her heart seemed to race. She thought that maybe she needed to see a cardiologist and so she set up an appointment for a cardiac evaluation. Her examination included x-rays, EKG, blood pressure measurement, and a full cardiac workup. The results showed a mild pulmonary congestion, an enlarged left atrium and ventricle. Cardiac output was 3.0 L/ min, blood pressure was 101/57, left atrial pressure was 17 mm Hg, and the right ventricular pressure was 44/8 mm Hg. The EKG indicated an atrial arrhythmia and there appeared to be some valvular regurgitation when the cardiologist listened to her heart sounds. Include references…
You are a pharmacist working in the cardiac ward of a hospital where Mr. Smith (48 years) was admitted to the hospital seven days ago with a diagnosis of myocardial infarction (MI). He has a history of hypertension and hyperlipidemia but no previous psychiatric history. Mr. Smith reports occasional worry about his health, especially his heart condition. He sometimes experiences restlessness, muscle tension, and difficulty falling asleep. Upon assessment, his GAD-7 score was 11 (on a scale of 0-21). He sleeps approximately eight hours in the night. Mr. Smith is asking to add a sleeping pill to his current medication list. As a pharmacist, which initial management option do you suggest for the anxiety and sleep complaints of the patient? Please answer this at your own easy words. Answer should be to the point (Specific).
You have been asked to take a pulse and a blood pressure reading on 80-year-old Mrs. Leonard, who is very frail and thin. The provider is running ahead of schedule and is waiting on you so he can examine the patient. You have to work rather quickly. You take the patient's pulse rate, which is 96 beats per minute. You notice that the patient's heart appears to skip a few beats. The patient's blood pressure is 152/94. A. What type of blood pressure cuff would work best on this patient? B. What may be a contributor to the patient's pulse rate being so high? C. Would the patient be considered to have controlled blood pressure? D. The patient's heart rhythm would be termed as what?
Mr Rupinder Patel is a 70 year old retired businessman. He has a past medical history of Congestive Cardiac Failure (CCF). This developed after he experienced a two myocardial infarctions 8 years ago. Both ventricles were affected. The death of his wife 2 years ago has led to Rupinder experiencing several episodes of depression which has been exacerbated by his sons both moving to Western Australia for work. The loneliness and sadness makes it difficult for him to be concordant with his CCF management and sustain the necessary lifestyle adjustments required to prevent exacerbations. This has resulted in several admissions to hospital for management and review of his CCF. For this current admission, Mr Patel was referred to hospital by his Nurse Practitioner, after recently rapidly gaining weight (currently 110kg), since his previous visit. The time now is 0800 and you have just come on for your morning shift. Mr Patel has been on the ward for only two hours after spending…