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Mr. Y is a 59 yo man brought to the hospital via ambulance w…

Mr. Y is a 59 yo man brought to the hospital via ambulance with acute dyspnea.  He complains of progressive SOB with exertion, dry cough, weight gain, and stiffness in hands and feet.  He denies any chest pain.  Jugular vein distention noted.  2+ LE pitting edema noted.  He was diagnosed with CHF. PMH:  HTN, appendectomy.  He denies cardiac history and does not smoke.  He states he drinks a few beers per week. SH: He lives with his wife in a 2 story house.  He is retired from an auto assembly plant.  He reports heavy yardwork and housework are getting difficult.  He takes daily walks with his wife but has cut back the distance this past month due to fatigue. Vital signs:  BP 151/95, HR 105, RR 26, and on 4L O2 nc to maintain SpO2> 93% Lab values:  RBC normal, WBC normal, Troponin I 0.1 (↑), HGB 10 g/dL Prior to treatment, the physical therapist assistant sees the following ECG on the telemetry monitor:   Mr. Y’s heart rhythm on ECG is:

A physical therapist assistant attempts to select an assisti…

A physical therapist assistant attempts to select an assistive device for an elderly patient rehabilitating from an ORIF of the R hip s/p fall. The patient is TTWB of the R LE and has a history of emphysema, atrial fibrillation, and hypertension.  Prior to admission the patient was on supplemental oxygen at 2L/min. Which of the following would be the most appropriate assistive device?

Mr. Y is a 59 yo man brought to the hospital via ambulance w…

Mr. Y is a 59 yo man brought to the hospital via ambulance with acute dyspnea. He complains of progressive SOB with exertion, dry cough, weight gain, and stiffness in hands and feet. He denies any chest pain. Jugular vein distention noted. 2+ LE pitting edema noted. He was diagnosed with CHF. PMH: HTN, appendectomy. He denies cardiac history and does not smoke. He states he drinks a few beers per week. SH: He lives with his wife in a 2 story house. He is retired from an auto assembly plant. He reports heavy yardwork and housework are getting difficult. He takes daily walks with his wife but has cut back the distance this past month due to fatigue. Vital signs: BP 151/95, HR 105, RR 26, and on 4L O2 nc to maintain SpO2> 93% Lab values: RBC normal, WBC normal, Troponin I 0.1 (↑), HGB 10 g/dL Prior to treatment, the physical therapist assistant sees the following ECG on the telemetry monitor:   The heart rate of the 6 second ECG strip is: