Author Question: A 67-year-old male with a history of coronary artery disease called 911 for chest pain. At the ... (Read 75 times)

drink · **on:** Jul 3, 2018

A 67-year-old male with a history of coronary artery disease called 911 for chest pain. At the patient's side, he states that the pain started when cleaning out his garage, but after a period of rest, the pain has resolved. His airway is patent, breathing adequate, radial pulse irregular, and skin warm and dry. He has a past medical history of atrial fibrillation (irregular heartbeat), coronary artery disease, and diabetes for which he takes insulin. Vital signs are pulse 68, respiration 16, blood pressure 148/88, and SpO2 97 on room air. He took 81 mg of aspirin as prescribed this morning on awakening. Of the following, what would you do first?

A) Administer aspirin
B) Check breath sounds
C) Assist with nitroglycerin
D) Provide supplemental oxygen

Question 2

A trauma patient has been struck in the abdomen by the steering column of the car he was driving. He is hypotensive, confused, and short of breath. Both you and your partner are concerned that he may have ruptured his spleen and is bleeding internally. Normal saline is being provided through the IV for transport. As such, you recognize that this solution will provide:

A) sugar for cellular energy.
B) red blood cells to carry oxygen.
C) clotting factors to stop bleeding.
D) electrolytes to replenish lost plasma.