Case study : Mr. Russell is a 69-year-old male who presents to your clinic with complaints heart palpitations and light headedness on and off for the past month.
Assignment: Heart Palpitations Discussion
Assignment: Heart Palpitations Discussion

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Week 3 discussion Mr. Russell is a 69-year-old male who presents to your clinic with complaints heart palpitations and light headedness on and off for the past month. He has a history of hypertension and is currently prescribed HCTZ. Vital Signs: B/P 180/95, Irregular HR 78, Resp. 20, Weight 99 kilograms Lower extremities with moderate 3+edema noted bilaterally, ABD + BS, Neuro AOX3, Labs: NA 143mEq/L, CL 99 mmol/L BUN 18mg/dL, Hbg 15. What are your treatment goals for Mr. Russell today? What is your pharmacologic plan; please state your rationale for your plan? What are five key patient education points based on your plan? How would your plan change if your patient is African American?A heart palpitation is the sensation that your heart has skipped a beat or added an extra beat. It may feel like your heart is racing, pounding, or fluttering. You may become overly aware of your heartbeat. … Most heart palpitations are harmless and resolve on their own without treatment

Causes of heart palpitations
Possible causes of heart palpitations include:

strenuous exercise
caffeine
nicotine from tobacco products such as cigarettes and cigars
stress
anxiety
fear
panic
dehydration
hormonal changes, including pregnancy
electrolyte abnormalities
low blood sugar
anemia
overactive thyroid, or hyperthyroidism
low levels of oxygen or carbon dioxide in the blood
blood loss
shock
a fever
over-the-counter (OTC) medications, including cold and cough medications, herbal supplements, and nutritional supplements
prescription medications, including beta-blockers, asthma inhalers, and decongestants
illegal drugs, such as amphetamines and cocaine
heart disease
arrhythmia, or an irregular heart rhythm
abnormal heart valves
smoking
Most heart palpitations are harmless, but they can indicate you have an illness when you also have:

an arrhythmia
a diagnosed heart disease
heart disease risk factors
a defective heart valve