In the case of carbon monoxide poisoning, what should a nurse be alert for in the patient?

In cases of carbon monoxide poisoning, it is essential for the nurse to be alert for the potential for dysrhythmias in the patient. Carbon monoxide binds to hemoglobin with a much greater affinity than oxygen, reducing oxygen delivery to tissues and leading to hypoxia. This lack of oxygen can negatively impact heart function, resulting in electrical disturbances that can manifest as dysrhythmias.

Monitoring for dysrhythmias becomes particularly crucial because these can lead to serious complications, including cardiac arrest if not identified and addressed promptly. The risk is further exacerbated in patients with existing heart conditions, as they may already be vulnerable to arrhythmias.

In contrast, while other symptoms such as increased appetite, rising blood sugar levels, and increased skin temperature might occur for various reasons in different clinical contexts, they are not characteristic or significant indicators in the case of carbon monoxide poisoning. Prioritizing the assessment for dysrhythmias helps ensure timely intervention and improves patient outcomes.