Scenario 3.3

Ventricular Tachycardia/Therapeutic Hypothermia

1

ECG

2

ECG

3

Rhythm Strip

4

Chest X-ray

Findings: The cardiac silhouette is moderately enlarged in size. The mediastinal contours are otherwise within normal limits. The lungs fields are adequately expanded with no consolidation, infiltrate, edema, or effusion. The visualized soft tissue and osseous structures are unremarkable.

Impression: Cardiomegaly. Otherwise, no radiographic evidence of acute cardiopulmonary pathology

5

Rhythm Strip

6

Chest X-ray

Findings: The cardiac silhouette is within normal limits. The mediastinal contours are otherwise within normal limits. An endotracheal tube is seen in the trachea in adequate position terminating 2 cm above the carina. The lungs fields are adequately expanded with no consolidation, infiltrate, edema, or effusion. The visualized soft tissue and osseous structures are unremarkable.

Impression: Endotracheal tube in proper position. No radiographic evidence of acute cardiopulmonary pathology.

7

Fingerstick Glucose

Value Normal range

Fingerstick glucose

115 70-185 mg/dL

8

CBC

Value Normal range

WBC 10.2 4.8-11.8 bil/L

HGB 14.4 10.5-15.0 g/dL

HCT 45 32-46%

Plts 203 130-460 bil/L

9

CMPValue Normal range

Na 142 134-147 mmol/L

K 4.2 3.5-5.0 mmol/L

Cl 103 98-109 mmol/L

CO2 20 23-33 mmol/L

BUN 15 7-20 mg/dL

Cr 0.9 0.7-1.3 mg.dL

Glu 118 70-185 mg/dL

Ca 2.4 2.2-2.7 mmol/L

Total protein 7.8 6.3-8.2 g/dL

Albumin 4.2 3.8-5.2 g/dL

AST 25 0-30 U/L

ALT 31 0-37 U/L

AP 89 37-112 U/L

T. Bili 0.7 0-1.0 mg/dL

10

Lactate

Value Normal range

Lactate 2.7 0.5-1.8 mmol/L

11

Cardiac Markers

Value Normal range

CK 154 41-266 U/L

CK-MB 2.4 0-7.5 ng/mL

Trop-T 0.01 0.03 ng/mL

12

PT/PTT

Value Normal range

PT 11.0 9.2-11.7 s

PTT 26 22-35 s

INR 1.0 0.8 – 1.2

13