Alright. Need some critical thinking here from others because I've exhausted mine and ended up with nadda. I'm also a new grad (3 months) so I'm still new at this stuff.
Had a patient admitted with abdominal pain and diagnosed with a pancreatic pseudo-cyst. Then patient starts getting SOB and dr orders SVN treatments prn. Her lungs cleared up within a day.
Tonight my patient took off her O2 to go to the bathroom (like she's been doing for the past two days), gets back in bed, and goes into A-fib and I get to transfer her to PCU for a Cardizem drip.
I can't figure out what caused it. She has some things that could have caused it, but none are new. HTN, CHF, obesity, and diabetes.
The only thing I can think of is that during AM shift there was a critical K of 2.7 but it was corrected by 1400. The A-fib started at 0430.
Can it take that long for the heart to react? Am I missing something?