Re: Fw: Interesting Test question from medic student

[Guest guest]

The patient has a palpable pulse of 40 so they are not perfusing. If they were perfusing, the patient would have a pulse of 80 as indicated by the rhythm strip which demonstrates a HR of 80.

Stay safe

Jim Easley

-----Original Message-----From: Rick Sent: Sunday, May 02, 1999 2:33 PMTo: egroupsSubject: [texasems-L] Re: Fw: Interesting Test question from medic student

Question are they perfusing PVC's or non-perfusing beats?

Interesting Test question from medic student

What if ???

54 y o m pt c/o mild chest pain, dypsnea, diaphoretic, cap refil = 3 sec.,

vital signs BP 80 / 40, P 40, R 22 , EKG shows HR 80 bigeminal PVCs,

Have pt on high flow O2, IV established. You have two treatment options...

1. Treat with atropine to attempt to cure mechanical HR of 40 w/ hopes of stopping PVC's indirectly.

2. Treat pt with Lidocaine to relieve PVC's and hopefully HR would maintain at 80.

PICK ONE.... let us know

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