Internal bleeding and cardiac arrhythmia

[Perfubetu]

I am writing a book and in it one of my characters is a medic. His patient is suffering from high blood pressure and a rapid pulse due to the breakdown of a fictitious drug in his system. There are also other symptoms associated with this drug: pale and clammy skin, dizziness, weakness, nausea, and difficulty breathing. I was originally going to have the medic give him some sort of intravenous cardiac antiarrhythmic, as his heart rate is dangerously high, but then I started thinking about internal bleeding and the symptoms of hypovolemic shock. The patient has been kicked in the ribs and there is severe bruising down the side of his body. Some of the symptoms of this would be masked by the presence of the drug, such as the cardiac components, so how can my medic test for and subsequently treat the possible internal bleeding, while also treating the accelerated heart rate and high blood pressure due to the drug?

[Dr. Tadeo]

Internal bleeding should be recognized during medical examination. You`ve said that your patient were kicked in the ribs, so I think, that the best what a doctor can do is to perform a x-ray scan or CT - scan on the patient and then - if there was an internal bleeding, doctor would perform an operation on the patient`s chest. After opening the chest, doctor should localize the bleeding region, and try to stop it.
Cardiac arrhythmia can be caused by different disorders, for example: blood loss, heart disease, drugs. If a doctor wants to slow down a heart rate, when the patient was given an unknown drug, a doctor must get know what kind of drug it was and then he should try to slow down a heart rate.
Generally he could give a patient a beta-blocker or other drug, but everything depends on what kind of a drug the patient was given.