Hey consistory I hope you’re all doing well video number five will be discussing arrhythmia changes arrhythmia changes so any change in arrhythmia obviously this is probably for those that are in a setting where they are in a continuous like EKG monitor I want you to first understand two things if it’s a new arrhythmia changes that life-threatening is it.
I’m so if you need to call the physician about or is it something that’s expected with what’s going on so let me just try and clarify if you see an arrhythmia.
Change this is what I normally do I go ahead.
And look at my EKG okay did a change in my just missing this person up with someone else if there is obviously a big change I grab a 12-lead EKG see if there’s anything else that that 12-lead can tell me I go ahead.
And pull another nurse hey is this what you what you’re thinking can you look at the strip what do you think of this and then utilize to see your Chargers hey can.
You come look at the rhythm change or anything like that obviously if they are.
Life-threatening you would activate let’s say your staff assists or like rapid response or anything like that common steps obviously assessing your patient you know the alert oriented do you need more information with the 12-lead EKG do need to call a cardiologist do they have like an intensivist that you can work with or the attending physician to get a concept for a cardiologist you want to gather as much information as you can.
So when you do make that call then you can.
Provide the physician the most accurate details so they can give you appropriate order so this is an example let’s say a patient came in with afib rbr their rate wasn’t a Wednesday these we’ve gone through the bullets of amiodarone they’ve gone through the 24-hour administration of the amiodarone drip they’ve even gone to their.
Pl medications and all of a sudden they go up to the bathroom and they come back and now they’re consistently in the 130s when they were like saying that ATS a tribulation.
But it was controlled and now they’re in the.
130s so that’s an arrhythmia change they are obviously still at atrial fibrillation and again if you don’t know what go ahead and you know ask your nurses your charge nurse do that 12-lead EKG see what.
It finds compare it call the cardiologist and let them know hey you know so-and-so.
Just went back to anything RvR this is where she.
Was running and what we got for me to do they may give you like a one-time medication to try.
To see if you can convert them back or just make it controlled and just follow from there so I hope that helps if you find yourself in a situation where you just don’t know practice your EKG interpretation skills sometimes I used to do was go with my preceptor to the monitors.
And literally go through all of the rhythms and just see like okay hey that’s is that a flutter.
Or is that a fib and go from there learn the only way you can get better on it is to obviously go and see real-life EKG rhythms on days on the monitor obviously print them out too that can help and the more you work the more you work with your population and you’ll start feeling more confident in your abilities to.