Your 4-month-old patient has severe bronchiolitis with copious secretions that require frequent suctioning. Lung fields have diffuse crackles bilaterally. The patient’s ECG is shown below. You should

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    

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

For the patient to be viable, which heart defect must accompany transposition of the great vessels?

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    

In younger children, cardiac output is most dependent upon

Your 67-year-old bedridden COPD patient complains of dyspnea, nausea and loss of appetite. JVD is present. During assessment, you expect to dependent edema in the

Your patient is complaining of a sudden onset of “ripping or tearing” pain between his shoulder blades that is constant and unrelenting. His past history includes hypertension, for which is is prescribed Lisinopril that he is non-compliant with. Which of the following assessment findings would MOST likely reinforce your suspicion regarding the cause of the pain?

Your 54-year-old COPD patient was recently diagnosed with cor pulmonale. During your patient assessment you would expect to find

A 55-year-old male complains of an earlier episode of substernal chest pain that self-resolved after a five minute rest. The patient’s spouse says to the husband, “I told you this seems to always happen when you mow the lawn!” You suspect