What is abnormal in this ECG? Posted few days ago and someone answer, hyperkalemia...yes indeed it is. Noted esp. V1 V2 and V3 shows a high peak T wave which is not supposed to as the one is usu. the R wave...it is expected R wave to be in its highest at V1 to V3 and goes down by V4 to V6. So what are the possibilities of pt to have hyperkalemia? what drug to consider? what 'nurses' play our role here?
Reply - Sept 11th, 2008... ok the same person stated the Rx for this pt. Included Resonium 15 mg, 10 units of Humulin R in 50 cc of 50% Dextrose, 10% of Calcium Gluconate....put the pt on cardiac monitoring....as for Mx in AED, 2nd biochemist analysis not always initiated and usu. done when the pt is in medical ward. But hey, u did mentioned it and mostly its what has been done so far...well done!
hmmm....does these pt does not eat anything? so u just ask the pt to eat wateva he/she wants? not listed...diet on low potassium....tall peak T wave caused by high potassium...medical/nurses intervention will not improve if pt is 'babal' on his/her diet...u see..as people says..'you are what you eat'...i know its not easy to tell pts to restrict their diet but then ...i always remind meself...pt has every right and yes so does US (nurses)...they refuse us, let it be. Kejam kah tu? hehe ok sooner i would end this conversation...i would post another queries for this blog...
No comments:
Post a Comment