Ok- figured I'd get more folks to answer here.
I'm a new grad, tonight was my second night off of orientation. I know there is always someone there if I need them though. I loved cardiac, knew my rhythms, and thought I'd be confident of what I saw when I saw it.
I was in a patients room, charting something, went to chart his vital signs, and noticed his HR had went to 130's (had been 90'). Guy was there for chest pain, negative enzymes, but significant cardiac history. I look at the monitor and notice the rhythm looks way different than it did before (I'll try and scan a copy later). Then he has a PVC, and has about 8 of them. My understanding of PVC's was that once you hit 3-4 in a row, it basically becomes a run of v-tach? This is where I am getting confused. So MY heart starts racing, I look at him, he's awake, breathing, says he feels the same. Then he goes back into a NSR. WEIRD!!!
Was what I saw v-tach? I was watching it, and by the time I realized that was what I thought I was looking at, and had asked him how he was, it was gone. The machine only recorded the funky rhythm before (which the machine called v-brady). Is v-brady a v-tach that is just not above 100bpm?
I'm dying to take ACLS, but have been told it will probably be next year before I can take it. I feel so lost sometimes, and I did awesome in cardiac (and loved it)! TIA-Andrea