asystole then DC

  1. 2
    Had a funny thing happen the other day. A young woman came in for some vague complaints of weakness. It was busy and some nurse not from our department was starting an IV and really digging around. I went in to talk with the patient and the monitor was right in front of my face. I noticed her rhythm slow, then she had 13 seconds of asystole! Her eyes rolled back as I put the back of the bed down and I shook her pretty hard and yelled at her. She gave a big jerk then woke up and said "what happened"? Her boyfriend then tells us, "oh yeah she always passes out when they start IVs". The funniest part was that the MD was chapped he couldn't find precanned discharge instructions for asystole. God I love this job...
    emtb2rn and Esme12 like this.
  2. 14 Comments so far...

  3. 0
    "Release body to funeral home?" Seriously, I am glad I haven't had a patient do that when starting an IV -

    Anne, RNC
  4. 5
    Yeah in my hospital she'd be admitted to the ICU, or should I say admitted to the emergency department as a hold
  5. 3
    I can't believe she was discharged.
  6. 5
    Quote from nurse2033
    Had a funny thing happen the other day. A young woman came in for some vague complaints of weakness. It was busy and some nurse not from our department was starting an IV and really digging around. I went in to talk with the patient and the monitor was right in front of my face. I noticed her rhythm slow, then she had 13 seconds of asystole! Her eyes rolled back as I put the back of the bed down and I shook her pretty hard and yelled at her. She gave a big jerk then woke up and said "what happened"? Her boyfriend then tells us, "oh yeah she always passes out when they start IVs". The funniest part was that the MD was chapped he couldn't find precanned discharge instructions for asystole. God I love this job...

    A vagal reaction to be sure......but an extreme one. I would have thought she deserved an overnight tele and a tilt table in the am.

    Do the Doc really discharge ger?????
  7. 5
    I would have told the doc he could do the discharge, because I wasn't signing it! LOL. I guess you could argue that a 13-second pause with complexes on either side is just severe bradycardia, but geez.
    Crux1024, netglow, MassED, and 2 others like this.
  8. 11
    I would've started a second line in her to see if the episode was reproducible. In the interest of science of course.
    Roy Fokker, JSlice., casi, and 8 others like this.
  9. 0
    Quote from emtb2rn
    In the interest of science of course.
    But of course!
  10. 5
    Wonder what other fun activities cause her to pause like that.
    JSlice., merlee, emtb2rn, and 2 others like this.
  11. 0
    I have vagal responses when I have IV's started on myself. Comes on quick and goes away quick with no effects. I feel an aura coming on and then out. I have even told nurses that I was about to go out. I used to do it upon any injection/stick. Now it only happens with IV's that they have to dig on.


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