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Discussion

P-QRS-T COMPLEXES???

I'm working on a case study about a client with ARDS and it goes on about her getting better and then it states the following and we have not studied this stuff yet and I have no idea what it's talking about or how to answer the question.. here is the question.

The patient's pulse is 66 beats/min and irregular. Her blood pressure is 92/70 mm Hg, and respirations are 26 breaths/min. she admits to being "a little lightheaded" but denies having pain and nausea. Your co-worker connects the client to the code cart monitor for a "quick look." You are able to distinguish normal P-QRS-T complexes, but you also note approximately 22 very wide complexes per minute. The wide complexes come early and are not preceded by a P wave. What do you think happened? What should your next actions be? What is the cause?

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Highly suggest that you try this website...Shows you how to read ECG strips, and how to distinguish the different patterns. Hopes this help as cardio is a pain in the you know where!

http://www.skillstat.com/learn.htm

Indeed I can give you the answer, but without knowledge of EKGs or of disease processes (ARDS) in this case, it will be of little use to you.

For the record, the patient is throwing PVCs (premature ventricular complexes) due most likely to cardiac hypoxia.

  • Expert

she is having pvc's (premature ventricular contractions), or skipped beats. your next action is to document what is happening by printing a strip of this and calling the physician with your assessment and telling him what the ekg monitor is showing. you are doing cardio this semester? you say you have not studied this stuff yet? so, you are working ahead?

there weblinks to ekg tutorial on post #39 of this sticky thread: https://allnurses.com/nursing-student-assistance/any-good-iv-127657.html - any good iv therapy or nursing procedure web sites

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