Question about unresponsive patient.

Specialties CCU

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i have a question....and yes it is from class. however we have freedom to find this answer any way we can using any source:)

you find your patient pulseless and unresponsive. the only abnormality that you notice on the ekg monitor was multifocal pvc's increasein in number over the last 2 hours. describe your interventions.

so im not just looking for an answer i am going to tell you what i think i should do first then perhaps you can let me know if im going in the right direction.

i dont think that at this point the pvc's are of importance. i would hit the code button or call light for assisstance immediately and then i should make sure the patients airway is open. then give the patient o2 because chances are respiratory will most likely begin bagging to oxygenate the patient. i would then begin cpr using good, hard, compressions. by this time i hope the code team would be there to take over.

are the pvc's important in the interventions that would be done? or is the most important thing at this point to begin cpr.

Specializes in Advanced Practice, surgery.

Again I have a slightly different view, when dealing with patients with no pulse with hypoxia I would associate bradycardias, if faced with multiple ventricular ectopics my first thought would be pottasium or electrolyte imbalance.

You are correct. 1st confirm pulslessness in two leads. Intiate cpr and call for a code blue. The PVC's are not even a concern at this point.

Specializes in Cardiac, Post Anesthesia, ICU, ER.
You are correct. 1st confirm pulslessness in two leads. Intiate cpr and call for a code blue. The PVC's are not even a concern at this point.

Confirm "pulselessness" in two leads???? Me thinks you're a little confused.....:uhoh3:

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