Read the case study and answer the questions below. Taylene is a 25-year-old Native Americ
Read the case study and answer the questions below. Taylene is a 25-year-old Native American who has had four emergency room visits in the past 6 months for chest pain and shortness of breath. She has had a cardiac work-up and all blood work including a thyroid profile and electrocardiogram are within normal limits. Her toxicology screens and physical examination are negative and she has a body mass index (BMI) of 20. She describes episodes lasting up to 1 hour of extreme anxiety, chest pain, diaphoresis, shortness of breath, and rapid heart rate that “comes on suddenly” with no association with activity. She has about three of these episodes a week and is “scared to death” that they will return. She feels “no control” over them. These episodes started 5 years ago, waking her up from sleep. She has eliminated all caffeine but nothing has helped. She denies any depressed mood or any suicidal thoughts. She remembers that her mother was given “pills for her nerves” all of her life. She does not want to take anything that will cause her to gain weight. What do emergency department providers need to do in this situation?Which medications are not great choices for her?What education must be shared with her? Health Science Science Nursing NURSING RN NUR202 Share QuestionEmailCopy link Comments (0)
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