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Old 06-13-2013, 12:55   #8
Sdiver
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Join Date: Feb 2004
Location: The Black Hills of SD
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Quote:
Originally Posted by Trapper John View Post
First, impression is A-fib (absent P wave with irregular HR ~160 bpm). Patient needs a full cardiac workup. Transport to ER with IV NS slow drip (10 gtt/min) just to have a line open. (Bet ya thought I was gonna say Dextran ). O2 nasal cannula. Transport semi-reclined. Aspirin sublingual wouldn't hurt to prevent clotting and possible occlusive stroke.
Just wondering here, you've got your IV set up for TKO but yet she's hypotensive. Would you consider a fluid bolus and if so, how much?

Also, would you consider cardioverting as an option and if so, how? (Adel, this is for you as well. )

Oh and BTW .... How much ASA and O2 are you giving? #attentiontodetail
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