Rhythm change on hypothermic post code during hypertensive e | Figure 1

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Case Discussion

Rhythm change on hypothermic post code during hypertensive event. I'm not a cardiac nurse so if anyone could give me some patho on this I would appreciate it. The patient went from a MAP of 90 on quad strength levophed to rapidly becoming hypertensive to the point that the levo had to be turned off entirely for about 15 minutes. The block went away as soon as the pressure normalized.

Case Details

55YOF who reported increasing difficulty breathing today and went to see her PCP. Hypertensive and with 100% O2 saturation on room air. Normal mentation. ED consulted cardiology immediately upon arrival.

38 yo male, 2/7 hx chest pain. Crushing pain, pale and diaphoretic on arrival. Smoker, non compliant with bp meds. Hypertensive, obs otherwise normal. Trop t 380. Went to cathlab and had one stent placed.

71yo m presented w llq pain. Initially hypertensive, became unresponsive and hypotension. Ekg w inferior stemi however bedside sono concerning. Went for CT prior to cath lab, thankfully.

Patient found down at home. Only medical history #Hypertension and #Alcoholism. Patient found to have large #Cerebral-hemorrhage. Later went on to have #Herniation. Family did #Organ-donation.