Diagnostic: Cardiac respiratory arrest
Patient is 78 years old male patient with history of diabetes mellitus, hypertension, hyperlipidemia, obesity, BPH, likely gout, who presented in our facility status post cardiac arrest, Initially patient called EMS due to generalized weakness and hyperglycemia. Upon arrival of paramedics DVT test cardiac arrest. Patient initially was Afib and went into a systolic, Patient received according to the note 2-3 round of ACLS Protocol/CPR. Patient also receives supplemental oxygen multiple rounds of epinephrine, the for every protection an LMA was placed until arrival to the ED where patient was intubated< patient initiated in amiodarone drip. Initial EKG in the ER shows Afrib with RVR converted to wide QRS tachycardia and sinus rhythm with PACs. EKG also showed bundle blanch block with LVH and left axis deviation. Patient has a hyperglycemia of 507 with leukocytosis of 23 000. Patient also had severe lactic acidosis which normalized with couple of hours. Patient also had severely elevated BUN and creatine with acute kidney injury. Tropine initially were negative, CT of the brain showed no acute intracranial abnormalities, Chest x-ray showed no significant changes
Patient was seen in CVICU orotracheally intubated and sedated on fentanyl. Patient started opening his eye and follows simple commands
Past Medical History
Hypertension
Diabetes mellitus
Hyperlipidemia
BPH
Gout
Obesity