Clinical
Scenario
nYou
have commenced working in an acute care
area
where patients are routinely
attached to cardiac monitors.
nOne of your patients suddenly becomes hypotensive &
short of breath and you notice her heart
rate has increased to 180/minute.
nYou rush to get the defibrillator but other staff
indicate this is not required and calmly
ask the patient to give several strong
coughs.
nTo your amazement the rhythm returns to normal and the
patient’s haemodynamic status
improves.
nYou are informed that the rhythm was from the atria and
thus was not life threatening - and
realise you need further education on
how to identify specific arrhythmias and
their significance.