Name of Student: DULAY, Nicole B.

RIMPILLO, Edmarc D.
SANTOS, Aldrein Jude C.
TUPONG, Dourine G.

ID #: 2193776, 2194101, 2191796, 2195324

PATIENT: BEE, JOYLY ROOM: PR-302-SICU

AGE: 62 years-old SEX: Female

DATE/ NURSES’ NOTES

TIME
02/12/22 F Decrease cardiac output related to altered heart rhythm secondary to
2:30 PM cardiac arrest as manifested by an ECG reading of pulseless ventricular
tachycardia—————————————————————————————-DRST
2:30 PM D Received lying on bed, unconscious, accompanied by significant other.
Connected to mechanical ventilation with ongoing IVF of PNSS 1L x 8hrs at 800
mL infusion on left metacarpal vein. Has cold clammy skin and diaphoretic.
ECG reveals a bradycardia rhythm. With initial vital signs of HR:54 bpm, RR:12
cpm, T: 36.0 C, BP: 110/70 mmHg, and SPO2: 95% via endotracheal tube at 6
LPM.—————————————————————————————————-DRST
2:35 PM ECG reveals a pulseless ventricular tachycardia. Vital signs as follows: HR: 0
bpm, RR: 12 cpm, T: 36.2 C, BP: 130/90mmHg, and SPO2: 92 % via endotracheal
tube at 6 LPM.—————————————————————————————DRST
2:38 PM ECG reveals ventricular fibrillation. Vital signs are the following: HR: 0 bpm, RR:
14 cpm, T: 36.2 C, BP: 110/70 mmHg, and SPO2: 94% via endotracheal tube at
6 LPM. ————————————————————————————————-DRST
2:41 PM ECG reveals a pulseless electrical activity. Vital signs are the following:HR: 0
bpm, RR: 13 cpm, T: 36.4 C, BP:110/90 mmHg, and SPO2: 94 % via endotracheal
tube at 6 LPM. ————————————————————————————DRST
2:44 PM ECG reveals a sinus bradycardia. Vital signs are the following: HR: 55 bpm, RR:
16 cpm, T: 36.6 C, BP: 120/80 mmHg, and SPO2: 96% via endotracheal tube at
6 LPM.————————————————————————————————-DRST
2:30 PM Monitored vital signs, noting the pulse rate, respiratory rate and ecg tracing.
A
Assessed the patency of endotracheal tube and IV line. ————————DRST
2:35 PM Activated the code, brought the emergency crash cart at the bedside.—DRST
Placed the back board and started high quality chest compressions. Attached
bag valve mask to oxygen tank and started rescue breaths. Established an IV
line using a gauge 18 angiocath and normal saline. Performed defibrillation
correctly at 200J after ensuring that no member of the team is touching the
patient.————————————————————————————————DRST
2:38 PM Continued high quality chest compressions with rescue breaths every 6
seconds and performed the second defibrillation at 200J. Administered the first
dose of epinephrine 1mg.———————————————————————-DRST
2:41 PM Continued high quality chest compressions and rescue breaths every 6
seconds.———————————————————————————————-DRST
2:44 PM Continued high quality chest compressions with rescue breaths every 6
seconds and performed the second defibrillation at 200J. Administered the first
dose of Amiodarone 300mg.——————————————————————DRST
Continued high quality chest compressions with rescue breaths every 6
seconds.———————————————————————————————-DRST
2:47 PM
Titrated Fi02 for SpO2 92%-98, started at 10 breaths/minute, titrated to PaCo2 of
2:50 PM 35-45 mmH. ——————————————————————————————DRST
ECG reveals normal sinus rhythm. Return of spontaneous circulation noted with
2:50 PM R latest vital signs of T=36.8 C, PR= 85 bpm, RR= 15 cpm, BP= 110/80 mmHg, and
SpO2= 96% via endotracheal tube at 6 LPM.——————————————DRST

NICOLE B. DULAY / EDMARC D. RIMPILLO / ALDREIN JUDE C. SANTOS / DOURINE G. TUPONG