I think I originally posted this in the wrong area, I hope this is the right one. I am fairly new to the hospital setting on a tele unit. This may be a siI mple, should know, question, but I didnt know where else to ask it. I had a pt who had been running NSR for three days. Out of the blue, she had a 12 sec run of vtach 27 beats long. I work night shift and calling the docs in the night is allways a stressful thing for me. I was fortunate to have a strong nurse working with me that night, and helped me with calling. I guess most docs want to know in few words what is wrong and what you want. The problem being, most of the time I cant figure out what I want, I thought that was why they were the docs? Anyway, I called and explained she was asymtomatic, had been asleep at the time, vs were stable, her potassium was borderline at 3.6 and no mag had been checked since her admission. I also let him know whe was not on a beta blocker. He ordered a mag and x1 postassium 20meq po, he also asked me if she had any resp issues. Im not so sure why he wanted to know this except to decided on the beta blocker? She was in with bronchitis and has a hx of asthma. The mag came back good at 2.0, what other reasons for this sudden burst of vtach? Was the question for respiratory r/t beta blocker? I struggle to know what to know before I call, it seems no matter how much info Im ready to give, they allways find another question I didnt expect. Im sorry if this is so basic, but I am trying to learn the best I can.
Any good interactive websites, pay or free, for cardiac knowledge/arrythmias? I learn best buy interaction...
Thanks soo much!
Nov 26, '10
i agree with the sleep apnea. she came in for URI and has h/o asthma. did you chek a sat on the pt? hypoxia can also trigger VT; so good call on the lytes its also a good idea to always include o2's with your heart pts.
Last edit by surferbettycrocker on Nov 26, '10
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