Your patient is a 44-year-old woman, alert and oriented, in moderate distress and complaining of difficulty breathing. She gives a one-week history of fever and malaise, with shortness of breath developing three days ago. She also has left-sided chest pain with deep inspiration and a phlegmy cough. Physical examination reveals hot, pale, dry skin, and rhonchi and crackles throughout the left lung. The right lung sounds are clear. HR = 134, BP = 88/64, RR = 24, SaO2 = 92. She has a history of two previous myocardial infarctions and takes nitroglycerin as needed. Which of the following is the best course of prehospital management?
A) Endotracheal intubation, ventilation with supplemental oxygen, IV of NS KVO, nebulized albuterol and Atrovent, and corticosteroids IV
B) Albuterol via nebulizer with 100 percent oxygen and IV of NS KVO
C) Oxygen via nonrebreather mask and IV of NS with fluid challenge
D) Oxygen by nonrebreather mask; IV of NS KVO; and furosemide, 40 mg IV
Question 2
Normal pediatric respiratory and heart rates ________ as children grow older.
A) stay the same
B) decrease
C) increase
D) increase, then decrease
Nurses may collaborate with social workers, physicians, and other members of the health care team to
Example of problem focused patient
Early in the twentieth century, when malnutrition was common, companies such as this one advertised
Toxoplasma gondii in the heart of an HIV patient.
Inadequate Airway, Breathing and Circulation in the Trauma Patient (Part 1)