Mary is a 57 years of age female, who was recently diagnosed
with high cholesterol after some routine bloodwork. She has
diabetes mellitus Type II poorly controlled and a history of
hypertension poorly controlled. Mary presented to the emergency
department for epigastric discomfort described as an “ache” that
has been intermittent for a couple of days. Mary has been a smoker,
about 10-15 cigarettes per day for 30 years. She has been
overweight most of her life and doesn’t exercise.
Vital signs are: T36.8 HR 172 RR 26 BP 94/52 SpO2 92% on
room air. Point of care blood sugar is 16.4 mmol/L. Color is pale,
diaphoretic, increased work of breathing with tachypnea. You start
the cardiac monitor and observe the following rhythm.
6 sec rhythm
What are the hemodynamic effects of this rhythm and possible
complications if not treated?
Mary is a 57 years of age female, who was recently diagnosed with high cholesterol after some routine bloodwork. She has
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