Scenario: A 77-year-old white male comes into your office complaining of feeling dizzy, short of breath, easily fatigued and having a sensation of his heart ‘skipping beats’.
• He reports he has had these same symptoms numerous times over the last year or so, but they only lasted for about a day.
• He thought since he has been experiencing them now for about 3 days he should come in and get checked out.
• He was diagnosed with type 2 diabetes twenty years ago and hypertension fifteen years ago.
• Current medications include Lisinopril 20 mg daily and Metformin 1000 mg daily.
• BP 172/100, P 123 irregularly irregular, R 20
• Skin is warm, pale with a slight gray cast; lungs are clear to auscultation; heart irregular rhythm
Please develop a discussion that responds to each of the following prompts.
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