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+---- Thread: Unstable SVT (/showthread.php?tid=94)
Unstable SVT - ckchoung - 03-03-2020
Unstable SVT
Created August 2018
Developed by:
Lisa Ewart
Christina Choung
Christina Choung
Developed for: Health Authority High Acuity Unit
Submitted by: ckchoung
Contact Email: simulation@fraserhealth.ca
Peer Reviewed: Yes
Case Summary:
68 y.o. female admitted to HAU with Sepsis secondary to community acquired pneumonia. History of COPD, smoking, DMII, and HTN. Patient will have had increased SOB and ECG changes ~15 minutes ago, with the ECG from 10 minutes ago showing aflutter at 160 and CXR showing diffuse consolidation. The case will start with the patient normotensive initially but will become hypotensive, unstable, and have increased shortness of breath. The team should decide to electrically cardiovert and increase O2 delivery modality (ultimately ending up with intubation).
Target Learning Groups:
Physicians, Nursing, Respiratory Therapy, Interprofessional Team
Additional Target Learning Groups:
Proposed Setting:
High Acuity Unit
Educational goals:
• Recognize and practice treating unstable SVT as per ACLS algorithm
• Recognize and treat deteriorating respiratory status
• Establish role clarity and distribute the workload
• Communicate effectively, including closed-loop communication, clear commands and requests, sharing mental model/plan of care, and fostering input of information
• Mobilize resources early and use cognitive aids as needed
Additional Details:
References:
Scenario Links:
Additional Tags:
If you would like further information about this scenario please contact simulation@fraserhealth.ca or leave a comment below.