• In the early hours of next morning, the RN goes in to give your patient his morning medications and finds him lethargic, with muscle weakness and shortness of breath.
•Vital Signs:
HR 120, irregular pulse, O2 sats: 78%, RR: 7
• A rapid response is activated, and the patients is started on Oxygen supplementation. As is respiratory distress is getting progressively worse, a decision made to intubate him and transfer to ICU.
• 12 lead EKG is performed and is attached below
• Repeat labs show
Sodium: 140 Meq/ L, K: 2.8 Meq/ L ,
Phosphorous : 0.8 mg/dl and Magnesium 1.2 mg/dl
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