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Hypoxia in a Patient With No Cardiac or Pulmonary History

Case Study A rapid response event was activated by the bedside nurse for a patient who developed respiratory distress and required increasing oxygen supplementation. On arrival of the condition team, the patient was visibly dyspneic and using accessory muscles of respiration. Per the bedside nurse, the patient was a 40-year-old male with a history of hypertension and diabetes mellitus who was admitted to the hospital for…

Hypoxia in a Patient After Repair of Femoral Fracture

Case Study A rapid response event was initiated for a patient in the post-op recovery unit by the charge nurse for acute onset of hypoxia and altered mentation. On arrival of the rapid response team, it was reported that the patient was a 62-year-old male who was 4 h post-op after intra-medullary nailing procedure of his left femoral shaft fracture. His comorbidities included chronic hypertension and…

Tachypnea in a Patient After Hip Repair Surgery

Case Study Rapid response event was activated by bedside nurse for a patient with tachypnea and tachycardia (heart rate of 180 beats per min). On arrival of the rapid response team, the patient was quickly assessed along with a brief history from the bedside nurse. The patient was a 69-year-old male with no known comorbidities who was admitted to the hospital for the past five days…

Tachypnea in a Patient With Asthma

Case Study A rapid response code was activated for a patient who developed severe dyspnea at rest. On arrival of the condition team, it was found that the patient was a 30-year-old female with a history of asthma who was admitted two days ago for acute cholecystitis. She had undergone laparoscopic cholecystectomy a few hours prior and was successfully extubated without incident. She developed acute severe…

Tachypnea in a Patient With Severe Anemia

Case Study A rapid response event was activated by the bedside nurse for a patient who developed acute respiratory distress. Upon the arrival of the rapid response team, it was found that the patient was a 55-year-old male with a history of alcohol abuse, chronic obstructive pulmonary disease (COPD), congestive heart failure (most recent left ventricular ejection fraction 20%) who initially presented for evaluation of chest…

Cardiac Arrest in a Patient With Torsades de Pointes

Case Study A rapid response event was initiated by the bedside nurse for a patient with sustained ventricular tachycardia. On prompt arrival of the rapid response team (RRT), it was noted that the patient was a 66-year-old female who was admitted for acute exacerbation of congestive heart failure and was being treated with intravenous diuretics. Per the nurse, the patient had been drowsy, with recurrent episodes…

Cardiac Arrest in a Patient With Ventricular Fibrillation

Case Study A rapid response event was initiated by the bedside nurse for a patient with acute onset chest pain. Upon prompt arrival of the response team, the patient was noted to be a 59-year-old male with a history of coronary artery disease (CAD) status post-percutaneous coronary intervention with stent placement five years ago, newly diagnosed type 2 diabetes, and chronic liver cirrhosis. Moreover, 15 min…

Cardiac Arrest in a Patient With Pulseless Electrical Activity

Case Study A rapid response event was initiated by the bedside nurse for a patient with sudden unresponsiveness. On prompt arrival of the rapid response team, it was noted that the patient was a 69-year-old male with a known history of type 2 diabetes, hypertension, COPD (on 4 L/min of oxygen at home), and tobacco abuse disorder, who was admitted with ST-elevation myocardial infarction and was…

Hypotension in a Patient With Myocardial Infarction

Case Study A rapid response event was initiated by the bedside nurse for a patient who had a syncopal event, hypotension, and new tachyarrhythmia on the monitor. On prompt arrival of the rapid response team, chart review suggested that the patient was a 70-year-old female admitted for the management of myocardial infarction (MI) in the left anterior descending artery territory, requiring a percutaneous coronary intervention with…

Hypotension in a Patient With Heart Failure

Case Study A rapid response event was initiated by the bedside nurse after the patient had sudden acute shortness of breath and severe chest pain. On prompt arrival of the rapid response team, the patient’s telemetry showed tachycardia with a regular rhythm. Chart review showed a 70-year-old male with a known history of coronary artery disease with coronary artery bypass grafting in the past, peripheral vascular…

Bradycardia in a Patient With Heart Failure

Case Study A rapid response event was initiated by the bedside nurse for a patient with a heart rate of 44 beats per min (bpm) on the telemonitor. On prompt arrival of the rapid response team, it was noted that the patient was a 64-year-old male with comorbidities of chronic systolic heart failure, atrial fibrillation, and osteoarthritis, who was admitted three days ago for severe gastroenteritis…

Bradycardia in a Patient With Myocardial Infarction

Case Study A rapid response event was initiated by the bedside nurse for a patient with new-onset fatigue, lightheadedness, and substernal pain at rest. On prompt arrival of the rapid response team, the patient’s telemetry showed that he was gradually getting bradycardic to 50-60 beats per min (bpm). He was a 70-year-old male with a known history of coronary artery disease, hyperlipidemia, type 2 diabetes, and…

Bradycardia in a Patient With Atrial Fibrillation

Case Study A rapid response event was initiated by the bedside nurse for new-onset hypotension and bradycardia. On prompt arrival of the rapid response team, it was noted that the patient was a 65-year-old male with a known history of atrial fibrillation treated with oral metoprolol, who was admitted to the hospital two days before for evaluation and management of uncontrolled tachycardia. The patient had been…

Tachycardia and Hypotension in a Patient on Anticoagulation

Case Study A rapid response code was activated for a patient who developed decreased responsiveness along with tachycardia and hypotension. On arrival of the condition team, the patient was lying in bed, minimally responsive to painful stimuli. The patient was a 72-year-old female with a history of diabetes and coronary artery disease who was admitted to the hospital one day prior with unstable angina and was…

Tachycardia in a Patient with Severe Pain

Case Study A rapid response code was activated for a patient who developed persistent tachycardia on continuous telemetry. Upon the arrival of the condition team, the patient was noted to be a 60-year-old male with a past medical history of peptic ulcer disease and alcohol use, admitted two days prior for severe abdominal pain. The patient had undergone an esophagogastroduodenoscopy (EGD) a few hours before when…

Tachycardia in a Patient With Alcohol Withdrawal

Case Study A rapid response event was initiated by the bedside nurse for a patient who developed persistent tachycardia on telemetry. On arrival of the rapid response team, the patient was lying in bed, diaphoretic and uncomfortable. The patient was a 32-year-old male with a history of alcohol abuse, admitted to the hospital three days prior requesting alcohol detox. The patient was on a phenobarbital taper…

Tachycardia in a Patient With Ischemic Cardiomyopathy

Case Study A rapid response event was initiated by the bedside nurse for a patient who had sudden onset palpitations, followed by a pre-syncope event as the patient was walking to the restroom. Upon prompt arrival of the rapid response team, it was noted that the patient was a 45-year-old male with a history of ischemic cardiomyopathy and substance use disorder who was admitted earlier in…

Tachycardia in a Patient with Atrial Fibrillation

Case Study A rapid response event was initiated by the bedside nurse for sudden onset palpitations. Upon the prompt arrival of the rapid response team, the patient was found to be a 56-year-old male with a known history of hemorrhagic stroke status post tissue plasminogen activator (t-PA) a month prior with residual right-sided neurological deficits and tobacco abuse disorder. The patient was admitted to the hospital…

Chest Pain in a Patient With Hypertensive Emergency

Case Study A rapid response event was initiated by the bedside nurse for new-onset, severe chest pain. Upon prompt arrival of the rapid response team, it was found that the patient was a 47-year-old male with a known history of insulin-dependent diabetes mellitus, hypertension, and substance abuse. He was admitted a few hours earlier for altered mental status and bizarre behavior, and a urine toxicology screen…

Chest Pain in a Patient With Coronary Artery Disease – II

Case Study A rapid response event was initiated by the bedside nurse for sudden onset chest pain. On prompt arrival of the rapid response team (RRT), it was noted that the patient was a 59-year-old male with a known history of bronchial asthma, coronary artery disease who had a coronary artery bypass graft eight years ago, and coronary stent placement five years ago. The patient was…