TY  - CHAP
M1  - Book, Section
TI  - Rhythm Disturbances in Critically Ill Patients
A1  - Singh, Anurag
A1  - K. Gidwani, Umesh
A1  - Reddy, Vivek
A2  - Lee, Kiwon
Y1  - 2017
N1  - 
T2  - The NeuroICU Book, 2e
AB  - A  68-year-old  woman  is  admitted  to  the  neurologic  intensive  care  unit  (NeuroICU)  after  a  fall  that  led  to  a  subdural  hematoma.  Past  medical  history  is  remarkable  for  hypothyroidism,  hypertension,  and  hyperlipidemia.  Admission  medications  include  levothyroxine,  75  μg  daily;  carvedilol,  6.25  mg  twice  daily;  and  aspirin,  81  mg  daily.  Vital  signs  on  arrival  include  a  heart  rate  of  30  bpm  (beats  per  minute),  blood  pressure  of  68/30  mm  Hg,  temperature  of  98°F,  respiratory  rate  of  18  per  minute,  and  a  pulse  oximetry  of  96%  on  room  air.  Physical  examination  reveals  an  elderly  woman  of  average  build  who  is  mildly  dyspneic  and  slow  to  respond  to  questions.  Cardiac  examination  is  remarkable  for  bradycardic  S1  and  S2  without  any  murmurs,  rubs,  or  gallops.  Lung  examination  reveals  normal  breath  sounds  with  no  rales  or  rhonchi.  Extremities  are  cold  to  touch.  Neurologic  examination  reveals  no  focal  deficits.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/16
UR  - neurology.mhmedical.com/content.aspx?aid=1143956800
ER  -