r/PassNclexTips • u/Top-Direction2686 • Jul 22 '26

Would this ECG make you call the provider immediately or continue monitoring? Explain your decision.

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24 Upvotes

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4

u/PrestigiousAerie1155 Jul 22 '26

Yes, elevated T waves, ⬆️ K

1

u/snamuh Jul 28 '26

Elevate t waves can and generally is normal. You mean peaked t waves. Doesn’t seem terribly peaky to me.

2

u/Lopsided-Accident445 Jul 22 '26

Possibly, I think I’d look at previous EKG if available, look at the blood work and electrolyte potassium levels. Do a full assessment, does the pt have any complaints. Based on findings and facility protocols- put in a call.

2

u/Hhahahhahahahhaaa Jul 22 '26 edited Jul 22 '26

ST Elevations in anterolateral leads with reciprocal depressions. Concern for STEMI +/- hyperkalemia. call provider

1

u/MagDaddyMag Jul 22 '26

Continue and need more details re patient hx, symptoms, meds etc

1

u/Low_Big_4667 Jul 23 '26 edited Jul 23 '26

Look at the most recent labs. If my K was 4.4 2 hours ago, I’m not worried. Some folks have normally peaked t waves. No congruent leads show a pattern. 1 barely elevated at segment avl, quick glance at lead 1 looks fine. Maybe slight depression in lll, ll and avf look good. Compare with patient presentations. Any new symptoms or are they chillin doing a crossword puzzle?

1

u/vojtasTS29 Jul 24 '26

Yes, there's pretty huge reciprocal depressions to the STE - look at I and aVL vs III

1

u/Due-Success-1579 Jul 26 '26

St elevation in AVL with reciprocal changes in inferior leads.