The paramedics put an oxygen cannula on Mr. T. and start an IV in his left arm. They give him a baby aspirin to chew, contact the local hospital, and prepare Mr. T. for transport. Upon arrival in the ED, Mr. T.’s heart rate is 110 beats/min, and he is diaphoretic. What is the danger of the tachycardia?
Answer: Tachycardia is a condition when the heart rate increases more than normal i.e 60 to 90 beats per minute. In the tachycardia, the heart rate increases more than 100 per minute. When the heart beats too fast, the supply of the blood to the rest of the body reduced as the heart work so hard that the myocardial muscles need more oxygen to pump the blood.
The danger of the tachycardia is that it may cause heart stroke. If the condition does not become normal then chances of heart failure occur as the heart gets weaker due to continuous fast work. The rapid heart rate may cause unconsciousness. If this not treated sudden death may occur.
The paramedics put an oxygen cannula on Mr. T. and start an IV in his left...
Mr. X., a 63-year-old white man, was admitted for ST elevation MI. He was in his normal state of health until 6 hours before admission, when he developed substernal chest pain (SSCP) with radiation to his left arm. Pain was accompanied by mild diaphoresis. After self-administering antacids without relief, he asked his wife to take him to the emergency department (ED). In the ED, he was found to be anxious and diaphoretic, and he complained of dyspnea and 9/10 SSCP....
Mr. A is an 18-year-old 80-kg African American man admitted to the intensive care unit after emergency surgery for gunshot wounds to the abdomen. The surgical procedure was extensive and involved repair of a perforated bowel, splenectomy, and hemostasis. Mr. A’s mean arterial pressure (MAP) dropped below 65 mm Hg during resuscitation, and he received 9 units of packed red blood cells and 4 L of lactated Ringer solution intravenously (IV) to achieve hemodynamic stability. Clinical Assessment Within 24 hours...
Case Study Tom Anderson is an 86-year-old white male who lives with his 82-year-old wife in their home in upstate New York. Over the past few years, Mrs. Anderson has noticed a decline in her husband’s mental status. Early on a January morning, Mrs. Anderson was awaked at 4 am by the doorbell. When she opened the door, a neighbor was standing with her husband who was wearing nothing but his pajamas. The neighbor explained he saw Mr. Anderson wandering...
Brief Patient History Mr. A is an 18-year-old 80-kg African American man admitted to the intensive care unit after emergency surgery for gunshot wounds to the abdomen. The surgical procedure was extensive and involved repair of a perforated bowel, splenectomy, and hemostasis. Mr. A’s mean arterial pressure (MAP) dropped below 65 mm Hg during resuscitation, and he received 9 units of packed red blood cells and 4 L of lactated Ringer solution intravenously (IV) to achieve hemodynamic stability. Clinical Assessment...
Brief Patient History Mr. A is an 18-year-old 80-kg African American man admitted to the intensive care unit after emergency surgery for gunshot wounds to the abdomen. The surgical procedure was extensive and involved repair of a perforated bowel, splenectomy, and hemostasis. Mr. A’s mean arterial pressure (MAP) dropped below 65 mm Hg during resuscitation, and he received 9 units of packed red blood cells and 4 L of lactated Ringer solution intravenously (IV) to achieve hemodynamic stability. Clinical Assessment...
Brief Patient History Mr. A is an 18-year-old 80-kg African American man admitted to the intensive care unit after emergency surgery for gunshot wounds to the abdomen. The surgical procedure was extensive and involved repair of a perforated bowel, splenectomy, and hemostasis. Mr. A’s mean arterial pressure (MAP) dropped below 65 mm Hg during resuscitation, and he received 9 units of packed red blood cells and 4 L of lactated Ringer solution intravenously (IV) to achieve hemodynamic stability. Clinical Assessment...
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For the case presented, complete a Root Cause Analysis and the following: Determine the members for a multidisciplinary team that should be involved in the investigationFishbone Diagram to determine causal factors that contributed to the error Recommend Corrective Actions and Next Steps, be sure to include immediate and long term solutions to improve patient safety Conduct an FMEA on your corrective actions and determine if the actions chosen will reduce the likelihood of reoccurrence Discuss if this event meets The Joint Commission definition for...
True or False: A nasopharyngeal airway (NPA) can be used on a semi-conscious or conscious individual, while an oropharyngeal airway (OPA) should only be used on an unconscious individual. True False True or False: An individual in PEA has an organized cardiac rhythm on ECG. True False True or False: Symptomatic bradycardia and poor perfusion may degrade into cardiac arrest. True False True or False: The definition of stable tachycardia is a fast but constant heart rate between 80 and...
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