Nаme the rhythm: __________________________________ Explаin yоur аnswer abоve:__________________________ Clinical Significance (pick оne): Life threatening, go assess patient, or finish lunch (Explain why): ___________________ Potential causative factor: ___________________ Things you want to know/will assess: _______________________ Mr. J is a 55-year-old patient admitted to the Medical/Telemetry unit. Patient is admitted with new onset of syncope with nausea/vomiting. In the ER, patient vitals are the following: B/P 120/80, HR 90 (Normal Sinus Rhythm), RR 16, SP02 97% on Room Air, Temp 37.2C (98.9F). Mr. J has a past medical history significant for HTN & Atrial Fibrillation status post ablation 1 year ago. Patient medications are the following: Lopressor (Metoprolol) 50 mg P0 BID, ASA (aspirin) 81 mg- PO Daily, and Multivitamin. All labs are pending, chest x-ray- normal. You placed Mr. J on a telemetry monitor (#47) and contacted the telemetry technician. Rhythm demonstrates the following: Mr. J is lightheaded and now complains of chest pain. Blood glucose is 100, B/P 85/40, SP02 92. Labs K+ 4.0 mEQ/L (3.5-5.0mEQ/L), Na+ 140 mg/dL (135-145 mg/dL), Ca+ 9.5 mg/dL (8.8-10.2 mg/dL), Mg+ 2.5 mg/dL (1.8-2.9mg/dL). Negative for Troponin, CK-MB normal. Rapid Response was called. Please answer the following questions- What is this rhythm: ________________________? RR Team administered started 02 at 2 L NC, administered 0.5mg Atropine and a bolus of 500 ml of Normal Saline. Do you agree with the Rapid Response Team's interventions for this rhythm? Yes or No & why: __________________________________________________________________________________________________________________________
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