jojocommon

I think ya'll are right. K+ most likely the culprit. Thank you all!

before the bradycardia, yes perfusing. after..no--pt was unresponsive..not sure why no art line. i just can't seem to figure out the cause of the bradycardia/junctional rhythm. any insights?

I had suggested an A line but the Md didn't want to put one in. But is it possible that because I gave the lasix before the prbcs that it made him brady down?

Hi, I am a new grad in an ICU. Had this one pt who was on levo, coorifice lung sounds, edematous with no urine output, extremely high K. Pt had a low Hct so i was ordered to give IV lasix and transfuse 1 PRBCs. At the time I didn't think much of it. I thought lasix would help with the urine, decrease K and prevent further fluid overload esp. with the blood. I just didn't happen to think of the BP (no arterial line, machine wasn't picking up BP--either from the edema or it was too low--and needed to ausculate for BP). Well right before I hung the blood, I gave the lasix. Few minutes after pt brady'ed down and we couldn't get a BP. Was this because of the lasix I gave? Looking back now I know I should have given the Lasix after the blood or maybe not even at all. Was it my messing up that caused the pt's condition to worsen? Or should the doctor not have written for lasix in the first place? Please help me understand what happened. I can't sleep over it.