Fig. 10.1 Dual-chamber pacemaker Fig. 10.2 Single-chamber ICD Fig. 10.3 CRT-D A transvenous CIED will generally have a pulse generator located in the prepectoral region. An epicardial system may have an abdominal pulse…

Past medical history: Atrial fibrillation, COPD, CHF Medications: Coumadin 3 mg PO daily, Albuterol MDI 2 puffs prn for shortness of breath, Spiriva 2 puffs daily, furosemide 20 mg PO daily, metoprolol…

  Gastroschisis Omphalocele Incidence 4.5: 10,000 3: 10,000 Embryology Anterior abdominal wall defect, umbilical cord intact and to the right of defect. No membranous sac. Usually small and large intestines…

Additional history includes moderate renal artery stenosis and breast cancer, s/p lumpectomy. PSH: Left hip replacement, CEA, CABG × 3, AVR Meds: Amlodipine, atorvastatin, bumetanide, metoprolol, aspirin Allergies: simvastatin (muscle aches), cefazolin…

PMHx: Obesity Asthma Medications: Oral contraceptives Allergies: None known PSHx: C/S × 2 Sinus surgery Physical Exam: Height 5′6″ (167 cm) Weight: 210 lbs (95.5 kg) (BMI 34) VS: HR 106 BP 108/59 RR 22…

Medications: Gabapentin 100 mg three times a day  Tramadol 50 mg every 6 h if needed  Hydrochlorothiazide 12.5 mg twice a day  Metoprolol 25 mg once a day  Losartan 50 mg once a day  Pantoprazole 40 mg…

Medications: Simvastatin 20 mg oral daily Lisinopril 20 mg oral daily Glyburide 10 mg oral daily Allergies: NKA Past Medical History: Hypertension Hyperlipidemia Obesity Recent admission with Congestive heart failure Remote smoker Physical…

Medications     ASA 81 mg daily     Lisinopril 10 mg daily     Simvastatin 40 mg daily     Sertraline 100 mg daily     Coumadin 5 mg daily     Tylenol PRN Allergies     No Known Drug Allergies Past Medical History     Hypertension     Hyperlipidemia     Depression     DVT…