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Old 06-13-2013, 17:48   #18
Trapper John
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Join Date: Nov 2012
Location: Harrisburg, PA
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Quote:
Originally Posted by Brush Okie View Post
It is like defibrillation, however the monitor times the shock with the rhythm so that it will happen within a specif part of the rhythm. If and that is a big if I remember correctly it happens during the QRS complex to avoid the T wave.
Thanks BrushOkie. BTW, interesting assessment. I learned a few things.

Why do you select D5W in this case instead of NS? From your questions, it looks like your thinking dehydration. Wouldn't D5W exacerbate dehydration?

With your assessment I understand the atropine. Good call IMO. If you are correct.

Doesn't heart block lead to bradycardia? Don't see that here so I am curious. I briefly thought about atropine in this patient, but dismissed it. Thought it too risky. Could you expand on your reasoning a bit? I find this interesting.
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Last edited by Trapper John; 06-13-2013 at 18:06. Reason: Added afterthought and new question
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