Your 52-year-old diabetic patient complains of weakness, nau…
Your 52-year-old diabetic patient complains of weakness, nausea, and shortness of breath that began about 10 minutes ago. He is awake and alert and has pale, cool, and moist skin. Breath sounds are present and equal bilaterally without adventitious sounds. He has taken his insulin today and has eaten his normal diet. He has not experienced any abnormal levels of stress or activity. Vital signs are BP 162/98, P 78 and weak, and R 22. The ECG is shown below. You suspect
Read DetailsA 56-year-old patient is complaining that his “heart is raci…
A 56-year-old patient is complaining that his “heart is racing”. He is disoriented and having difficulty breathing. Examination reveals a BP of 64 by palpation, a weak and rapid carotid pulse, and pale cool skin. The ECG is shown below. Your partner is in the process of administering oxygen. You should
Read DetailsYou are transporting a 23-year-old trauma patient from a com…
You are transporting a 23-year-old trauma patient from a community hospital to a Level I trauma center. She is receiving a unit of packed RBCs and IV fluids. Vital signs are BP 94/50, P 110, R 26, and SpO2 97% on 4 lpm NC O2. During transport she complains of chills, back pain, and she vomits. Vital signs are now BP 80/42, P 128, and R 30. You suspect
Read DetailsA 56-year-old patient is complaining that his “heart is raci…
A 56-year-old patient is complaining that his “heart is racing”. He is disoriented and having difficulty breathing. Examination reveals a BP of 64 by palpation, a weak and rapid carotid pulse, and pale cool skin. The ECG is shown below. Your partner is in the process of administering oxygen. You should
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