You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information.
What is You are posted as an EMO on duty. You receive a call at 11:30 PM, regarding an unconscious patient who arrives in an ambulance after 15 minutes. On assessment, you barely feel the radial pulse. No evidence of trauma noted. SBP is 58 mm Hg. You note the following finding while ECG is carried out. Patient had the following USG film . Which electrolyte abnormality is likely to cause the above clinical scenario? and explain in detail?
The patient has sinusoidal ventricular rhythm, which is due to electrolyte abnormality in above case. The patient has USG repo suggestive of CKD due to raised coical echogenicity. AV fistula in forearm is suggestive that patient undergoes dialysis but may have missed and landed up in hyperkalemia. As a pa of management, defibrillation and control of hyperkalemia is priority while emergency hemodialysis is being readied.