Question

1) 47 year-old female, in the Emergency Department for severe pain in back of neck, radiating down L arm and making fingers numb. RR 40, deep breaths, diaphoretic, and very anxious.

HR 140, complaining to nurse of feeling faint, never had this pain before, s/p weight lifting and sit-ups, usual exercise routine. After speaking with patient, suddenly patient passes out.

What do you initially do??

List the assessments:

2) 55 year-old male, 30 pack year smoking history, COPD/Emphysema patient.

•RR 28 labored, HR 150, B/P 156/95, Temp 99 F

• B/S bilateral slight wheezing and very diminished at both bases.

•A-P diameter increased, accessory muscle use, Central/peripheral cyanosis, JVD present, tri-pod position and pursed lips breathing

•02 Sat = 90% on 21%

•ABG on 21% 7.38/58/58/34/90%

•?????? Assessments?

3) 48 year-old female, status post MI in ED

•HR 150, RR 38, B/P 167/110, T 98.7

•Was shocked x 3 and is now in Atrial Flutter

•What 02 device?

•What diagnostic tests should be ordered?

•Follow up assessments?

4) 28 year-old male, s/p Appendectomy, in Recovery Room

HR 80, RR 16, B/P 125/82, T 100,

02 Sat on 21% 92%

What O2 device (s)?

Humidity therapy?