List Archives

Tue Jan 2 22:08:38 GMT 2007

Hello All, 

I know that this list is more trauma based education, and cases, but I came across a "routine" medical call and got a strange answer from the MD that accepted my pt. here it is 

82 yoF from Nursing home, pt c/o 6/10 c/px 30mins, staff admin 1 NTG tab, and her pressure droped to 80/40 the called EMS, we found her in bed CAOx4, still c/o of the chest pain, her vitals where 140, 90/60, 22, l/s CTAB. bs 184mg/dl pt was moved to the ambo where there was no acute change, IV, o2, monitor, and 12 lead EKG done, along with a right sided 12-lead too 162mg asprin PO. her rate didnt change and bounced back between high 130s and mid 140s.

while I was finishing my trip sheet, the MD told me that she broke her SVT w/ adenosine, and that she was doing better. I asked her why, and she told me that NTG can induce SVT, I understand why pts become tachacardic as a compensatory mechanism for the vasodialation, but the NTG must have worn off within 10 min transport. I was very confused, any help would be appreciated 

dave sullivan BA NREMT-P
_________________________________________________________________
Type your favorite song.  Get a customized station.  Try MSN Radio powered by Pandora.
http://radio.msn.com

List Archives

For your convenience, find the Trauma List Archive Below

NYG induced SVT