jaksasquatch
Forum Crew Member
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Looking at that 12 lead in conjunction with the patient's symptoms I'm seeing a Sinus rhythm with a RBBB with PVC's, there are (as of now) no signs of infarct, to call those T waves symmetrica/hyperacute and evidence of LAD occlusion is tempting but considering the Hx they are more than likely Hyper K. If I was on a truck at this moment I would really want an SpO2 pleth so that I could see if every PVC is really getting through, I've been confused by the radial pulse one too many times. If the rate is indeed 35 (which I don't believe) with a blood pressure that high being of a different source (chronic medical conditions) I would lower the pressure and continue monitoring cardiac (12 lead every 5 min). Paying attention to signs of stroke I would also like to confirm this pressure manually. SL Nitro would be necessary at this time. BB's would be contraindicated. ASA given prior.