I have been in nursing for 35 years and have worked in a variety of settings including hospice, long term care, med-surg, supervision, cath lab, ER, special procedures and critical care. I enjoy working as a float nurse because it gives me a variety of clinical experiences. I am also a CPR, ACLS, and PALS instructor at our local hospital.
Tuesday, December 5, 2017
Elective Cardioversion of Atrial Flutter Part II
This patient was admitted with a SVT. She received adenosine 6 mg and 12 mg without conversion of the rhythm. However, the adenosine did clarify the rhythm as an atrial flutter. She was managed with a calcium channel blocker and anticoagulated. An echo was done and no atrial clots were noted. She underwent elective cardioversion and was successfully cardioverted after two attempts
12 Lead obtained in ICU
This is the strip off the monitor
These are the strips from the defibrillator/monitor. This is the initial rhythm