A patient who is recovering from an Inferior Wall MI has bee…

A patient who is recovering from an Inferior Wall MI has been rather bradycardic all shift, but stable. Now you notice a change. As she brady’s down to the low 50’s, there is a sinus pause and the rhythm drops into a junctional escape rhythm at a rate of about 45bpm on the monitor. It resembles the following strip: When you check on the patient, she is awake and denies chest pain, but says she feels “woozy”, lightheaded. As you take a set of vital signs (86/46), you anticipate the following: 

Extra Credit: 1 potential points available   12-Lead EKG’s g…

Extra Credit: 1 potential points available   12-Lead EKG’s give us twelve different points of view for viewing a patient’s cardiac electrical activity. Many views!  1) Which of these twelve views is considered the BEST one to use for dysrhythmia interpretation? 2) And why?

The patient in the previous question, with ST depressions wi…

The patient in the previous question, with ST depressions with T wave inversions in leads V2-V4, is showing a pulse ox of 90%.  You place him on supplemental oxygen and give him an SL nitro, per the doctor’s orders.  After Giving nitro X3 and achieving a pulse ox of 95% the patient complains that his chest pain is becoming more severe.   What might account for this situation of worsening symptoms despite treatment? Next actions?