rhan101277
Forum Deputy Chief
- 1,224
- 2
- 36
You arrive at a psych facility for a 83 y/o male with SOB. You arrive to find him breathing at 24BPM, clear lung sounds, pulse ox 93% on monitor. Monitor shows afib w/ occasional non-perfusing PVC's rate 110, BP 130/85. A hx is gathered and you find pt has CAD, CHF, no allergies, stents placed. Pt has altered mental status but it is not new onset, staff reports he has been getting more and more confused lately.
Pt SOB started two hours ago and staff states he has been having some heart rhythm issues. You stick him on 12L NRB and his pox goes up to 99%. In route you notice occasional PVC's but patient is still stable has good B/P and other vitals are good. You see nice longs runs of afib followed by several runs of the strip below. How would you proceed with treating these changes?..
Pt SOB started two hours ago and staff states he has been having some heart rhythm issues. You stick him on 12L NRB and his pox goes up to 99%. In route you notice occasional PVC's but patient is still stable has good B/P and other vitals are good. You see nice longs runs of afib followed by several runs of the strip below. How would you proceed with treating these changes?..