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Scenario 3.3
Ventricular Tachycardia/Therapeutic Hypothermia
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ECG
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ECG
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Rhythm Strip
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Chest X-ray
Findings: The cardiac silhouette is moderately enlarged in size. The mediastinal contours are otherwise within normal limits. The lungs fields are adequately expanded with no consolidation, infiltrate, edema, or effusion. The visualized soft tissue and osseous structures are unremarkable.
Impression: Cardiomegaly. Otherwise, no radiographic evidence of acute cardiopulmonary pathology
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Rhythm Strip
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Chest X-ray
Findings: The cardiac silhouette is within normal limits. The mediastinal contours are otherwise within normal limits. An endotracheal tube is seen in the trachea in adequate position terminating 2 cm above the carina. The lungs fields are adequately expanded with no consolidation, infiltrate, edema, or effusion. The visualized soft tissue and osseous structures are unremarkable.
Impression: Endotracheal tube in proper position. No radiographic evidence of acute cardiopulmonary pathology.
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Fingerstick Glucose
Value Normal range
Fingerstick glucose
115 70-185 mg/dL
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CBC
Value Normal range
WBC 10.2 4.8-11.8 bil/L
HGB 14.4 10.5-15.0 g/dL
HCT 45 32-46%
Plts 203 130-460 bil/L
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CMPValue Normal range
Na 142 134-147 mmol/L
K 4.2 3.5-5.0 mmol/L
Cl 103 98-109 mmol/L
CO2 20 23-33 mmol/L
BUN 15 7-20 mg/dL
Cr 0.9 0.7-1.3 mg.dL
Glu 118 70-185 mg/dL
Ca 2.4 2.2-2.7 mmol/L
Total protein 7.8 6.3-8.2 g/dL
Albumin 4.2 3.8-5.2 g/dL
AST 25 0-30 U/L
ALT 31 0-37 U/L
AP 89 37-112 U/L
T. Bili 0.7 0-1.0 mg/dL
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Lactate
Value Normal range
Lactate 2.7 0.5-1.8 mmol/L
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Cardiac Markers
Value Normal range
CK 154 41-266 U/L
CK-MB 2.4 0-7.5 ng/mL
Trop-T 0.01 0.03 ng/mL
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PT/PTT
Value Normal range
PT 11.0 9.2-11.7 s
PTT 26 22-35 s
INR 1.0 0.8 – 1.2
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