A patient in the Surgical Trauma Intensive Care Unit (STICU)…
A patient in the Surgical Trauma Intensive Care Unit (STICU) develops a sudden onset of narrow-complex tachycardia with a rate of 220 beats per minute. The patient’s blood pressure is 124/64 and the pulse oximetry is 99%. The patient has vascular access in the right arm and has not been given any vasoactive drugs. A 12-lead ECG confirms supraventricular tachycardia (SVT) with no evidence of cardiac ischemia. The heart rate has not responded to a modified valsalva maneuver. What is your next action?
Read DetailsA nurse in the emergency department (ED) is assessing a pati…
A nurse in the emergency department (ED) is assessing a patient following a 25 foot fall. Findings include absent breath sounds in the left lower lobe with dyspnea, blood pressure 118/68 mm Hg, heart rate 124 beats per minute, respirations 38 breaths per minute, and oxygen saturation (SaO2) 92% on room air. Which of the following actions should the nurse take first?
Read DetailsA patient previously diagnosed with a pulmonary embolism was…
A patient previously diagnosed with a pulmonary embolism was on a weight-based heparin protocol at 12 units/kg/hour. His aPTT was drawn at 1800 and was 35 seconds. Per the heparin order, you will need to increased the heparin by 2 units/kg/hour. What will be the new infusion rate? The patient weighs 157 pounds. (round to the nearest whole number)
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