Your 52-year-old diabetic patient complains of weakness, nau…

Your 52-year-old diabetic patient complains of weakness, nausea, and shortness of breath that began about 10 minutes ago. He is awake and alert and has pale, cool, and moist skin. Breath sounds are present and equal bilaterally without adventitious sounds. He has taken his insulin today and has eaten his normal diet. He has not experienced any abnormal levels of stress or activity. Vital signs are BP 162/98, P 78 and weak, and R 22. The ECG is shown below. You suspect    

A 56-year-old patient is complaining that his “heart is raci…

A 56-year-old patient is complaining that his “heart is racing”. He is disoriented and having difficulty breathing. Examination reveals a BP of 64 by palpation, a weak and rapid carotid pulse, and pale cool skin. The ECG is shown below. Your partner is in the process of administering oxygen. You should    

You are preparing to perform synchronized cardioversion on a…

You are preparing to perform synchronized cardioversion on an unstable tachycardia patient after administering a sedative and analgesic. You are about to deliver the electricity when your patient becomes unresponsive and pulseless. The ECG is shown below. When you attempt to cardiovert the patient, the defibrillator will not discharge. This is because the