itku2er Posted April 10, 2009 Share Posted April 10, 2009 Its a hot June day its 1330 the sun is shining and the temperature is 75 degree. You are paged out to a Unknown illness: When you arrive on scene you find a 44 yo female sitting on the couch. Her husband came home for lunch and found here sitting on the couch pale and weak. He knows something is wrong with her but he dont know what. The middle class house is clean the woman is well kept. Ask away.... Link to comment Share on other sites More sharing options...
Just Plain Ruff Posted April 10, 2009 Share Posted April 10, 2009 But don't fix her, I like her when she's not talking. Link to comment Share on other sites More sharing options...
vetlemakt Posted April 10, 2009 Share Posted April 10, 2009 Right. Vitals first. AVPU. Breath? Circulation? Is she in pain? If so, what kind, what severity? Allergies and medications? Previous illnesses? What and when did she last eat today, and what has she been doing? Link to comment Share on other sites More sharing options...
itku2er Posted April 10, 2009 Author Share Posted April 10, 2009 Right. Vitals first. AVPU. Breath? Circulation? Is she in pain? If so, what kind, what severity? Allergies and medications? Previous illnesses? What and when did she last eat today, and what has she been doing? VS BP 155/94 Pulse 112 Resp 26 Skin cool to touch Awake and oriented but only talks when asked a direct question. She stated her stomach hurts but not real bad. NKDA No significant history the only time she was hospitalized was for 2 uncomplicated pregnancies. Link to comment Share on other sites More sharing options...
Just Plain Ruff Posted April 10, 2009 Share Posted April 10, 2009 blood sugar 12 lead IV monitor pulse ox what meds are lying around? any strange pills or chemicals the husband notices Link to comment Share on other sites More sharing options...
vetlemakt Posted April 10, 2009 Share Posted April 10, 2009 Any chance of her being pregnant now? Any bowel sounds? Physical examination - pain or tenderness upon palpation anywhere? Blood sugar, please. And a 3-lead. O2 for the lady. And have her lay on the guerney, head end elevated. Link to comment Share on other sites More sharing options...
Jeepluv77 Posted April 10, 2009 Share Posted April 10, 2009 What was she doing when this started? How long ago? Anything make it better or worse? Where in her stomach does it hurt? Any chance she's pregnant? Did it start suddenly or gradually? How has she felt the past few days? Any shortness of breath? Link to comment Share on other sites More sharing options...
itku2er Posted April 10, 2009 Author Share Posted April 10, 2009 blood sugar 105 12 lead no 12 lead just a 3 lead IV you have IV of NS at KVO running monitor pulse ox 93 on RA what meds are lying around? no meds laying around any strange pills or chemicals the husband notices No pills or chemicals just a half full glass of coke she was drinking Any chance of her being pregnant now? No Any bowel sounds? hyperactive Physical examination - pain or tenderness upon palpation anywhere? tenderness in the abd when palpated. Blood sugar, please. And a 3-lead. O2 for the lady. And have her lay on the guerney, head end elevated. Link to comment Share on other sites More sharing options...
Jeepluv77 Posted April 10, 2009 Share Posted April 10, 2009 Where is the tenderness? Ridgitiy, pulsing, etc? Link to comment Share on other sites More sharing options...
itku2er Posted April 10, 2009 Author Share Posted April 10, 2009 What was she doing when this started? She was watching her soap opera and drinking her coke How long ago? symptoms stated about 6 hours ago Anything make it better or worse? No Where in her stomach does it hurt? generalized all over abdAny chance she's pregnant? NoDid it start suddenly or gradually? about 6 hours ago How has she felt the past few days? Fine accept she has been fighting with her husband Any shortness of breath? yes Link to comment Share on other sites More sharing options...
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