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+---- Thread: VT and Symptomatic Bradycardia 2° Hyperkalemia (/showthread.php?tid=95)
VT and Symptomatic Bradycardia 2° Hyperkalemia - ckchoung - 03-03-2020
VT and Symptomatic Bradycardia 2° Hyperkalemia
Created December 2019
Developed by:
Christina Choung
Developed for: Health Authority High Acuity Unit
Submitted by: ckchoung
Contact Email: simulation@fraserhealth.ca
Peer Reviewed: No
Case Summary:
A 68 year old gentleman with a history of coronary artery disease (CAD), Diabetes Mellitus (DM) Type II, hypertension (HTN) and chronic kidney disease (CKD) requiring hemodialysis (HD) twice a week is being admitted for continuous renal replacement therapy (CRRT), bradycardia, and hypotension. Upon admission, he will quickly deteriorate to VT. After ROSC is achieved, he will return to a symptomatic bradycardia requiring transcutaneous pacing (TCP) or an increase in chrono- and iontropic & vasopressor support
Target Learning Groups:
Physicians, Nursing, Respiratory Therapy, Interprofessional Team
Additional Target Learning Groups:
Proposed Setting:
High Acuity Unit
Educational goals:
• Identify and practice correct ACLS algorithms for patient presentation
• Practice calling a Code Blue using the overhead paging system
• Practice documentation during a Code Blue
• Establish role clarity and distribute the workload accordingly
• Communicate effectively using closed-loop communication, case and plan of care summaries, making clear requests, and fostering input from team members
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.