CASE STUDY 3-1
A 78-year-old female is admitted due to increasing lethargy, lack of appetite and general decline. While assessing her vital signs, you note a pulse rate of 30 per minute. Her blood pressure is measured at 52/20. The patient is lethargic and seems confused. You place her on low-flow oxygen and attach her to the ECG monitor. You observe the following:
The emergency cart is present and you decide to wait until cardiology responds to the stat page before you place transcutaneous pacing patches on the patient. You establish IV access and cardiology arrives. After a brief assessment, they decide that the patient will tolerate a quick transport to their lab for insertion of a temporary cardiac pacemaker or possibly a permanent pacemaker.
CASE STUDY 3-2
A 63-year-old patient is admitted to the Surgical ICU from the Post Anesthesia Recovery Unit intubated and receiving assisted ventilation. His vital signs are stable. However, while suctioning his endotracheal tube, he becomes cyanotic and you notice the following change on the ECG monitor:
Suctioning is immediately terminated, and positive pressure ventilation with 100% oxygen is instituted. The patients skin color rapidly improves, and the following response is noted on the ECG monitor: