A cardiac monitor revealed sinus tachycardia.
(Medication you chose was given) Ten minutes later she appeared to be
so somnolent that her ability to protect her airway
was questioned.
***Question: What did you give her?***
She
suddenly awakened and became increasingly agitated, rapidly reaching a
level of agitation at which, even in restraints, she posed a risk to
the staff and to herself.
Twenty minutes after admission, the
trachea was intubated. A gastric tube was placed and 50 g of activated
charcoal was administered. A radiograph of the chest revealed that the
endotracheal tube was correctly placed and that there were no obvious
pulmonary lesions.
Her heart rate became labile, dropping as low
as 46 beats per minute. Electrocardiography was performed (see
Electrocardiogram): What can you tell from this 12 lead EKG?
Electrocardiogram Obtained Shortly after the Patient Arrived in the Emergency Department.