You are a RN attending to the patients in cardiac ICU. Monitoring of the patients shows the following changes. Which of these patients the nurse should attend first?
  1. Monitor showing bradycardia with a sinus rate of 32 per minute
  2. Monitor showing asystole
  3. Patient of inferior wall myocardial infarction showing Wenckebach phenomena
  4. A patient of mitral stenosis whose ECG is showing fibrillatory waves and a ventricular rate of 140 beats per minute
Explanation
Answer- B - The nurse should first attend the patient whose monitor shows asystole.’. A monitor showing asystole indicates that the patient has undergone cardiac arrest which may be life-threatening; thus he should be attended to immediately. The patient ‘C’ is showing Wenckebach which should also be attended soon as he/she is liable to develop cardiac arrest or Stokes-Adams attack. The patient ‘A’ is having sinus bradycardia which needs attention but is not an emergency. Patient ‘D’ is having atrial fibrillation with a fast ventricular rate which gives discomfort due to palpitation but is not life-threatening and can be seen later.
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