(Source: nurse-on-duty)
WHEN THE ATTENDING YELLS AT THE RESIDENT
One of the other nurses called me into her patient’s room to show me something neither of us had ever seen before.
When a bullet hits a wall
That is astounding. I legitimately watched it about fifteen times before reblogging it.
this is so fucking satisfying to watch oh my god
Does anyone else hear it crash into the wall?
I had exactly one minute to call my friend from work to let him know I would be very late for our dinner date.
AVRT (Atrioventricular reentrant tachycardia)
seen in patients with WPW syndrome.
electrical impulse make a circuit, which consists of an anterograde limb(normal pathway) and a retrograde limb(accessory pathway).
impulse start from atrium → AV node(anterograde) → His-Purkinje → ventricle → accesory pathway(retrograde) → back to atrium
- narrow QRS regular tachycardia
- negative P waves seen after QRS complex.
- no delta wave, since antegrade conduction is not occurring via the accessory pathway
Tx.
- Valsalva maneuver
- Adenosine i.v.
- Ca channel blockers (verapamil or diltiazem)
Wow I’ve never seen adenosine convert a rhythm that quickly. Every time I’ve given it, the asystolic phase lasts seconds! Probably one of my favorite drugs to administer.
