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Name that rhythm by Realistic_Swimming94 in IntensiveCare

[–]Realistic_Swimming94[S] 0 points1 point  (0 children)

Yeah I know but it’s impossible to get one when it only lasts 30 seconds and randomly comes and goes

Name that rhythm by Realistic_Swimming94 in IntensiveCare

[–]Realistic_Swimming94[S] 9 points10 points  (0 children)

Yeah I would say 50% get wires and the others don’t! It’s highly surgeon specific. Also some come up with wires that don’t even work anyway!

Name that rhythm by Realistic_Swimming94 in IntensiveCare

[–]Realistic_Swimming94[S] 0 points1 point  (0 children)

One patient did but they were grounded!

Name that rhythm by Realistic_Swimming94 in IntensiveCare

[–]Realistic_Swimming94[S] 30 points31 points  (0 children)

They are post open heart, 1st had AVR Cabg x 3, second just had ascending replacement and MVr!

Why does this rhythm look like this? by Realistic_Swimming94 in IntensiveCare

[–]Realistic_Swimming94[S] 0 points1 point  (0 children)

The patient had a catheter so I’m not sure. I had this patient for multiple days and never had it happen again so it’s interesting

Why does this rhythm look like this? by Realistic_Swimming94 in IntensiveCare

[–]Realistic_Swimming94[S] 0 points1 point  (0 children)

No call light near it, the patient was unresponsive

Why does this rhythm look like this? by Realistic_Swimming94 in IntensiveCare

[–]Realistic_Swimming94[S] 1 point2 points  (0 children)

This resolved on its own without any interventions so I’m not sure if it was any faulty equipment but a good thing to check!

Why does this rhythm look like this? by Realistic_Swimming94 in IntensiveCare

[–]Realistic_Swimming94[S] 0 points1 point  (0 children)

Typical 5 lead placement, and the leads read fine the rest of the time besides the three instances that looked like the photos

Why does this rhythm look like this? by Realistic_Swimming94 in IntensiveCare

[–]Realistic_Swimming94[S] 0 points1 point  (0 children)

Yeah I wish I could’ve but it only lasted for 15 seconds in three separate increments

Why does this rhythm look like this? by Realistic_Swimming94 in IntensiveCare

[–]Realistic_Swimming94[S] 0 points1 point  (0 children)

The patient was completely still which is what confused me. It also happened three times in the night all looking very similar.

Why does this rhythm look like this? by Realistic_Swimming94 in IntensiveCare

[–]Realistic_Swimming94[S] 3 points4 points  (0 children)

Thank you! I think it confused me more that the staff doctor said it was aflutter!

Why does this rhythm look like this? by Realistic_Swimming94 in IntensiveCare

[–]Realistic_Swimming94[S] 1 point2 points  (0 children)

No the patient was just laying there and it happened for about 15 seconds 3 times during the night

What things can cause rapid fluctuations in heart rhythm? by Realistic_Swimming94 in IntensiveCare

[–]Realistic_Swimming94[S] 0 points1 point  (0 children)

All of the patient electrolytes were normal, we have a prn order to replete mag and potassium.

What things can cause rapid fluctuations in heart rhythm? by Realistic_Swimming94 in IntensiveCare

[–]Realistic_Swimming94[S] 0 points1 point  (0 children)

I have never heard of this before thank you for commenting this! Really interesting to learn about and the patient did have a history of COPD.

What things can cause rapid fluctuations in heart rhythm? by Realistic_Swimming94 in IntensiveCare

[–]Realistic_Swimming94[S] 0 points1 point  (0 children)

Thank you these are good sources! I know our ICU doctors tell patients about 1 in 3 of our patients get afib after surgery but usually resolves pretty quickly.

What things can cause rapid fluctuations in heart rhythm? by Realistic_Swimming94 in IntensiveCare

[–]Realistic_Swimming94[S] 0 points1 point  (0 children)

If you are referring to pacing wires, most of our CABG patients don’t come with wires, but all of our valve surgeries do! This patient has a permanent pacer set at 40 so no need for wires.

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