OK experienced Cardiac nurses..Quick question for you...
A pt came to hospital complaining of "feeling dizzy" normal BP, HR around 60s-70s NSR. No cardiac history. She was being admitted under dx of CVA b/c CT showed " very minor ischemic changes" although she walked into hospital and had no deficits or other suggestions of CVA.
When in deep sleep, her heart rate dropped and became irregular, stayed SR but brady into the 40s-50s. The monitor was constantly going off because the episodes of brady would cause it to read in the 40s for a few minutes. But when I went in to assess her, as soon as she woke up it went back into 60s and regular. Completely asymptomatic. NO CP/light headed/dizzy.
My question is: Would you have called the doctor in the middle of the night to let him know this? Doc placed standard parameters for this pt: HR 110.
I believe this needed to be communicated to the doctor, but maybe not at 3am, since the pt was asymptomatic. I understand I would not have been wrong to call, but also trying to think critical about the pts condition
Do you see this often and, would you have called??
Thx for your advice!