#but ye tachycardia and sinus arrhythmia

[cookiescr]

Sorry for being scared all the time but I gotta vent please I urge y'all to block the vent tag because I am annoying at dksjskke

[yep-ishouldbesleeping]

Hurray for me for getting my ECG back and upgrading from a non well defined  sinus arrhythmia to sinus tachycardia 🙃

Yes tachycardia is a type of arrhythmia if I understood correctly but it was never specified or written before so I don’t know ehat’s up

Really hoping that this will not influence on the decision to change my meds new dosage because I’m not doing fucking well and I need the ok to start the new dosage and now I’m fucking terrified that my mom will flip out and start yelling at the doctor and get angry at me and make me feel as if I was an addict aagain and -

🙃🙃

[oneshotnewbie]

Loves the story about being Amelia younger sister. Can this came to my mind could you pretty please make this a reality lol. So the reader is Amelia and dereks younger sister ( obviously lol) and she gets sick. But she doesn’t want them to know because they will overreact. So without her telling them that she is sick she ends up getting worse and ends up in the hospital, just for Amelia and Derek to find out . Does that make sense. This came to me late at night lol. Thank you:)

For a few days your well being in your body had been lost. From an initial exhaustion and fatigue, for which you had perceived stress as the main cause to slightly stinging in the chest and body aches that you only stamped as tiredness of the last week, there was a lot going at university; lectures until late in the evening, answering 80 quiz questions daily on top of your homework so that you don't forget what you have learned and the tests you had to write in what felt like every subject you could possibly have.

It was almost midnight when you started to finish up your work. You were the only one in this house, at least you thought so, who was still awake to do things that had no time to be postponed.

"You look pale," did you hear your sisters voice and startled for a second out of shock before you looked at the clock for the 10th time this minute and slowly began to collect the papers and pens from the brown coffee table."Is everything okay?"

You just nodded a 'yes', not even bothering to talk out of feeling sick, and got up from your chair to pile up the papers in the back of the table when a wave of dizziness caught up with you and you used your hands to support yourself. "Just totally stressed." you mumbled as you felt a worrying glance and a hand on your back.

Slowly your vision returned to normal, you picked up your things into your arms and turned to Amelia who was standing right behind you. With an attempted smile, you squeezed past her and walked up the stairs. "I'm good."

Before you went to bed, you stole a pill from the bathroom cabinet and disappeared. -It is just a little cold- you thought.

---

"Y/N Shepard, 22 years young." the paramedic called as soon as the doors were opened from the ambulance and he pulled out the stretcher and got out himself. "According to first responders, she passed out while she was about to order a coffee.. Mild sinus tachycardia, blood pressure is low. Temperature is 102,38°F"

You became conscious before the ambulance arrived, but the people around you didn't agree to let you go and wanted to have you examined and now you were here, the attempt to escape from the mess was unsuccessful.

A little confused, you looked around and saw the faces of Owen and Meredith. Almost immediately, before the blonde could even say something, you cut her out. "Don't tell Amy and Derek."

She stroked your hair and looked at you confused and worried. She didn't understood why you wanted to keep your ambulance arrival a secret from your siblings. Even if she had a medical confidentiality obligation towards her patients, she had to tell her sister in law and husband. They were your family.

She nodded to Owen and he understood immediately that he should beep both of them on their pagers. As soon as he disappeared, Meredith pushed you into one of the examination rooms and started to look you up and down.

"Why don't you want the two of them to know?" she asked cautiously while placing some adhesive stickers on your chest and hanging you on a machine. "You know exactly how they are as soon as I am sick. Overprotective - and that is annoying. I am not a little kid anymore."

She stopped moving and looked at you. Her hands found their way onto your shoulder and squeezed them once just before she sat down in front of you and looked deep into your eyes. "They are your siblings, Y/N. Be glad that you have someone who cares about you."

She stopped for a short time and looked at your heart rate on the monitor before turning to you a little worried, adapting a blood pressure cuff on your arm, waiting for the results to show up on her chart. "You have cardiac arrhythmia. Have you had a cold lately?"

"No, I've just been pretty tired and exhausted. I also had a slight sting in my chest once in a while but thought it came from my stomach; I haven't been eating particularly well lately."

---

"What were you thinking by not telling us that you are not feeling well? You don't have three doctors at your home around the clock for nothing!" said Derek a little louder, his face flashed red like a tomato.

When he got the news, he immediately ran down to the emergency room, fearing the worst. He was pissed of when he saw you lying there and he was even angrier when he had to hear every information from Meredith that she had found out and what she suspected. "And that's exactly why I didn't want you to know. You always overdo it!"

"Y/N, heart muscle inflammation is not a joke! If you had carried off the crap and hadn't passed out in the cafe, it could all have been worse than just a few needle sticks and a comfortable hospital bed!" he shouted in disbelief as his hands clenched into a fist and the knuckles were already turning white at the strength of his nervousness which he underpinned by pacing back and forth in front of your bed.

He didn't understand how you wanted to become a doctor but couldn't listen to your own body. It was impossible for him to understand how you could let it get this far. Derek asked for an answer, but you didn't feel like arguing with him anymore so you just stood silent; you were too tired and exhausted to continue this discussion.

You knew it was a fatal mistake, but you couldn't change and jump back in time either.

Just before Derek wanted to let his anger run free again, Amelia, who had previously been quiet, had stood in front of him and gave him an urgent look and some slight knocks on his now crossed arms. "You go now and calm down. The shouting doesn't help anyone here and I don't think the whole hospital has to know our family issues." he bit his lip and looked between you and your sister before he disappeared, but not without slamming the door behind him.

Startled, you let yourself fall back on the pillow, put your arm over your forehead and closed your eyes. You knew you messed up big time. "I'm sorry, Amelia."

"You should have told us, then you might not be here and have to stay for observation." she said calmly, unlike your brother and started moving towards the side of your bed where Amelia sat down on the chair that was already standing next to it and gently stroked the back of your head.

Amelia understood why you hadn't said anything, she had gone through the same with him too. But on the other hand, she could understand Derek. It also hurt her that you hadn't mentioned anything and that you didn't let her help you. "From now on, no more secrets, understand? I don't want to have this horrible feeling in my stomach when I get a message like that ever again. When you are in pain then let one of us know, regardless of whether you think it is a cramped muscle or not."

"You are so over caring." you said annoyed and rolled your eyes.

You knew it was in their nature to react like that, but as a young adult you couldn't understand that exactly this small gesture showed how important you were to a person. You just found it annoying.

"At some point in your life, you will think back to that moment and judge it completely different. Maybe we are far too caring now, later you will perhaps be grateful to us for it and understand why we do this." she sighed.

"We do this because we love you and we don't ever want to lose you."

[acls-bls-louisville]

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Algorithms for ACLS

How to get ready for your AHA as a healthcare provider will probably need to take the ACLS algorithms certification test. Advanced and basic life support techniques are included in the many invasive operations covered by protocols. Certification typically takes between 10 and 12 hours to complete; you can prepare for it beforehand by becoming familiar with its algorithms.

The Principles of the ACLS Algorithm

Healthcare professionals must deliver life support effectively and rapidly in the case of a cardiovascular emergency. A series of procedures known as the ACLS algorithms aid medical practitioners in deciding how to respond to various circumstances. Knowing the type of arrhythmias—such as bradycardia, or tachycardia — is the first step in using the algorithms. Medical experts can then start making choices based on the nature of the situation. Each algorithm defines a set of steps that respond to several possible yes/no circumstances. For cardiopulmonary resuscitation and emergency cardiovascular care, the guidelines had a few revisions in 2019. Undergoing training from ACLS Certification Louisville can help to get accustomed to the latest guidelines.

The latest 2019 ACLS algorithm guidelines mostly focus on:

Advanced     airway management for adult cardiac arrest.

Use     of vasopressors for seniors.

Adult     cardiac arrest is treated with extracorporeal cardiopulmonary     resuscitation.

Algorithm for Adult Cardiac Arrest

The adult cardiac arrest code algorithm is the most significant and popular. The algorithm's recommended course of the action centers on the administration of the drugs amiodarone and epinephrine. The flowchart is divided into two main branches, each of which describes how to treat various probable cardiac arrest rhythms. To treat ventricular fibrillation and pulseless ventricular tachycardia, the left branch adheres to the guidelines. Asystole and electrical activity without a pulse are treated on the right. Finding out if the beat is shockable is the first step in choosing the best branch.

Algorithm for care after cardiac arrest

For the best results after resuscitation, victims suffering cardiac arrest require systematic care. The post-cardiac arrest care algorithm describes additional care steps to be taken once the cardiac arrest algorithm is put into practice. The algorithm lays out a sequence of stages that start with IV fluids once spontaneous circulation has been restored and oxygenation is between 94 and 99 percent. To rule out myocardial infarction and determine whether the patient has to be moved into intensive care, an ECG is given after determining that the patient is in a sound mental state.

The Bradycardia Algorithm

Adults with symptoms of bradycardia typically have a resting heart rate under 60 beats per minute.

However, relative bradycardia could be present if the heart rate is within the typical sinus range but is still insufficient. In that situation, bradyarrhythmia could still be present with a heart rate over 60 bpm. The bradycardia algorithm directs the management of both stable and unstable bradycardia.

Having

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