ACTION STAT: Asystole in a heart transplant recipient

April 2004 
Volume 34  Number 4
Pages 96 - 96
  PDF Version Available!


  • What's the situation?

  • What's your assessment?

  • What must you do immediately?

  • What should be done later?


  • Figure. No caption a...

    WHEN YOU ENTER Timothy Gray's room for your initial shift assessment, you find him pale and cool with a BP of 98/70; heart rate, 50; and respirations, 26 and shallow. As you're assessing him, he becomes unresponsive. A rapid assessment reveals that he's not breathing and is pulseless.

    What's the situation?

    Mr. Gray, 57, is on your nonmonitored medical floor for evaluation following a recent episode of upper gastrointestinal (GI) bleeding. His primary care provider suspects that Mr. Gray, a heart transplant recipient, has a duodenal ulcer related to his need for immunosuppressive drugs. Scheduled for an endoscopy in the morning, Mr. Gray is N.P.O. and hasn't had any active GI bleeding ...

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