Vented Patient PEA
- 0Oct 18, '11 by whitecat5000So this might sound like a stupid question but . . .
how do you know your patient went into a PEA if he's on a vent?
We were told in school that one of the only ways to tell if they're having a PEA is if they stop breathing. . .
Maybe I'm just not thinking clearly about it?
- 0Oct 18, '11 by Ashley, PICU RNI would hope that anyone on a ventilator is also being monitored in other ways- EKG, pulse ox, etc. The EKG would detect the change in heart pattern and rate. The pulse ox would alarm as the Sp02 decreases.
You would also notice cyanosis, and of course, there would be no pulse.
- 4Oct 18, '11 by roser13Pulseless Electrical Activity
"We were told in school that one of the only ways to tell if they're having a PEA is if they stop breathing. . . "
Not a primary indication. You will learn to prioritize your observations. The lack of pulse will always take front and center stage.
- 0Oct 18, '11 by whitecat5000Quote from grnteai guess i just want a quick way to tell without walking all the way into the room. for instance on my hourly rounds at night i look it, see that they're breathing, and ask if they need anything (if they're awake).wait-- pea is pulseless electrical activity, and you want to know how to know whether your patient is pulseless? or am i missing something?
guess for these patients i'll just walk all the way in and check a pulse. nbd.
thanks for all that responded!