Congestive Charlie in Education and Training Posted February 22, 2010 You're sent two suburbs over to pick up Charlie fron a walk in medical centre and take him to the hospital. - 84 year old male complaining of severe SOB - Immeadiate hx of feeling sick for 5 days, no significant prior history - Looks sick; pale, sweaty, nauseous, feels fluey, markedly increased work of breathing - HR 63, RR 24 laboured, mid & basal crackles, speaks 4-5 words per sentance, temp 38.5°, ECG new onset 1° AVB with bigeminy PVCs - No meds, NKA The doctor is trying to find some chest films he took and it'll take a minute or two. This is a two part scenario: a) BP is 96/86, how do you treat? a) If BP was 136/96, how would that alter your treatment?
Congestive Charlie
in Education and Training
Posted