You have been called to transport a patient who is suffering from an illness that has impaired the ability of the involuntary muscles to contract. Which of the following conditions would you expect?
A) Decreased movement of wastes through the large intestine
B) Decreased heart rate and increased blood pressure
C) Difficulty in walking and grasping objects with his hands
D) Difficulty in maintaining an upright posture
Question 2
You respond to a medical call for a 59-year-old female complaining of tightness in her chest. You place her on a high concentration of oxygen and prepare for a short 5-minute transport to the hospital. The patient tells you she is on nitroglycerin, which she has not taken. Your partner tells you that you can give aspirin per protocol. Should you delay the patient transport to give the medication and why?
A) No, any delay will cause the patient more heart damage; each delay weakens the myocardium.
B) No, any delay will cause the patient more stress; she needs to be in a definitive care facility.
C) Yes, the nitroglycerin will cause the blood vessels to dilate and restore some blood flow, and the aspirin will slow the clotting process.
D) Yes, the nitroglycerin will cause the heart to beat stronger and restore some blood flow, and the aspirin will ease the pain.
Example of problem focused patient
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