SOLVED1287

Joanna Smith is a 73 y.o female with a ( ) H/O HTN, DM, and acute myocardial infarction x 2 years ago. After awaking this am, Ms. Smith began c/o sx including angina, nausea and fatigue to care takers at the nursing home she resides at. Per protocol, an ambulance was called. On the way to the ER, an EKG was completed. Once in the Emergency Room, the physician interprets the EKG findings which indicate significant ST-segment elevation in the anterior leads and Q waves. Once at the ER, VS are collected and are as follows: B/P: 80/50 mmHg HR: 111 bpm (w/ frequent PVCs on the monitor) RR: 32 bpm at rest. Temp: 37 C SPO2: 91% on 2L NC. With a frantic look on her face, the patient states “I am having trouble breathing.” The patient is then placed on a portable monitor to go into the cath lab. At that time, the nurse notices that the cardiac rhythm has increased and the patient is in SVT at 180 bpm. The nurse notes that there isn’t P waves present anymore and the QRS portion of the wave is wide. The monitor alarms loudly and Joanna’s eyes then close,
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