You are called to a 56-year-old patient who complains of che…
You are called to a 56-year-old patient who complains of chest discomfort. The pain is worse when they take a deep breath and has been accompanied by a productive cough for 3-4 days. The patient’s skins is warm and moist. Vital signs are P 94, RR 20, BP 172/94, SpO2 95% on room air.
Read DetailsAs an important part of your secondary assessment of a 52-ye…
As an important part of your secondary assessment of a 52-year-old male, you must determine whether he is taking any specific medications. Examples of medications he may have in his possession that you may assist him in taking under the appropriate circumstances, are:
Read DetailsBased on the patient’s presentation, select whether each sym…
Based on the patient’s presentation, select whether each symptom is more consistent with excited delirium or an acute manic episode. Scenario:Dispatch reports a 48-year-old male with altered mental status. His wife states he is paranoid, agitated, and “acting crazy”. He has a known history of bipolar disorder. Police are on scene. On assessment, the patient is tachycardic, diaphoretic, paranoid, and disoriented with pressured speech. He has not eaten or slept in two days and is pacing. Vitals show a heart rate of 120(irregular), BP 160/90 mmHg, RR 24. Skin is hot and sweaty, pupils are dilated.
Read DetailsBased on the patient’s presentation, select whether each sym…
Based on the patient’s presentation, select whether each symptom is more consistent with pulmonary embolism (PE) or anaphylaxis. Scenario: A 54-year-old female presents with sudden shortness of breath. She is upright, grasping for air, and unable to speak in full sentences. Her respiratory rate is 34, and she has audible wheezing. She appears pale, diaphoretic, and her SpO2 on room air is 85%. Lung sounds reveal diffuse wheezing. Her heart rate is 126 bpm and regular, and her bP is 148/90 mmHg. There are no signs of trauma or chest pain.
Read DetailsAn adult female patient with a history of type 2 diabetes co…
An adult female patient with a history of type 2 diabetes complains of dark urine and generalized weakness for the last few days. Her respirations are 18 breaths per minute with an oxygen saturation of 92%. Her pulse is 126 beats per minute, and her blood pressure is 100/70 mmHg. After high-flow oxygen therapy, her blood glucose is 650 mg/dL. If the patient does not receive medical intervention, which of the following is most likely to occur?
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