A 16-year-old new patient presents to the free clinic. He briefly tells his story, \u201cI\u2019ve always had a heart condition since I was a kid. I had heart surgery and then developed what they called SVT or something like that. I used to take a lot of medication to keep my BP and heart adjusted. I think one was Dig or something like that, they said it was for my heart beating so fast. I don\u2019t remember the other one. I started drinking a lot a couple of years ago and mom kicked me out of the house. I\u2019m not drinking anymore. I quit last month while in the youth shelter. They sent me here to get checked over since I keep having a lot of chest pain now and can\u2019t keep up with my chores at the shelter.\u201d Old records are not available. Current findings include: BP 194\/100 P124 R22 CXR: left ventricular enlargement with pulmonary engorgement. No ankle edema. Liver enlarged on palpation.<\/p>\n
1. What might you expect\/do regarding pharmacologic management of the SVT?<\/p>\n
2. How would you manage the elevated BP in this pediatric patient?<\/p>\n
3. What would you do regarding the chest pain?<\/p>\n
4. Does this patient meet criteria for heart failure? If yes, what is the pharmacological management?<\/p>\n","protected":false},"excerpt":{"rendered":"
Case Study A 16-year-old new patient presents to the free clinic. He briefly tells his story, \u201cI\u2019ve always had a heart condition since I was a kid. I had heart surgery and then developed what they called SVT or something Read More …<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[15],"tags":[],"class_list":["post-436094","post","type-post","status-publish","format-standard","hentry","category-essay-paper-writing"],"_links":{"self":[{"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/posts\/436094","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/comments?post=436094"}],"version-history":[{"count":0,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/posts\/436094\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/media?parent=436094"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/categories?post=436094"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/tags?post=436094"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}