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Chest Pain with a twist


chbare

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-He is awake and responsive; however, his ability to speak and articulate in sentences greater than a few words long is quite limited. He does respond appropriately to questions to the best of his abilities given his respiratory status.

-He is sitting in a chair and appears acutely ill. He is pale, diaphoretic, and appears to be having allot of difficulty breathing.

-His respiratory rate is around 32 and shallow, he is working hard to breath, and spitting up frothy sputum.

-His chief complaint is actually difficulty breathing.

Take care,

chbare.

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Syphilis

Next.

If you're right, what's the point?

If you're wrong, what's the point?

See what I mean?

We can use some good scenarios...

If you're not in the mood to contribute, why the need to pollute it for the rest...?

Be back in a bit chbare...thanks for taking the time to do this!

Dwayne

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Right away slap (not literally) a NRB at 12lpm on him, make sure you brought the BVM in, call ALS. What is this chest pain like? Crushing, Dull, Constant? Does it radiate anywhere? Lets do a quick stroke test (arm drift, squeezing fingers), is he leaning to one particular side? While partner gets vitals, does he have a medical history, was he doing anything strenuous? AO times ?

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Not a problem, glad to contribute something.

-NRB is placed. You gather that he may be experiencing a little chest pressure, but he continues to state with strained effort, "I cannot breath."

-He has strong movement of all extremities and you do not appreciate any facial droop. his is sitting up in a tripod like stance in a chair.

-Vital signs: R-32, P-128, B/P- 128/94, Pulse Oximetry-88%

-His past history is significant for NIDDM and he takes metformin 500 mg PO BID.

-He was washing dishes when his signs and symptoms began suddenly.

-He is awake, alert, oriented to person, place, time, situation, and appears to be answering questions appropriately and to the best of his ability.

Take care,

chbare.

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If you're right, what's the point?

If you're wrong, what's the point?

See what I mean?

We can use some good scenarios...

If you're not in the mood to contribute, why the need to pollute it for the rest...?

Be back in a bit chbare...thanks for taking the time to do this!

Dwayne

Apparently tongue-in-cheek humour is not appreciated. I shall try to remember that.

Anyway, from what I'm seeing so far I want to immediately get this guy on a high FiO2.

I would have my partner attempt to assist his respirations (if possible) while I auscultate the chest, get a full set of V/S (BP, Pulse, Resp, GCS, Saturation) and a rhythm strip.

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Not a problem, glad to contribute something.

-NRB is placed. You gather that he may be experiencing a little chest pressure, but he continues to state with strained effort, "I cannot breath."

-He has strong movement of all extremities and you do not appreciate any facial droop. his is sitting up in a tripod like stance in a chair.

-Vital signs: R-32, P-128, B/P- 128/94, Pulse Oximetry-88%

-His past history is significant for NIDDM and he takes metformin 500 mg PO BID.

-He was washing dishes when his signs and symptoms began suddenly.

-He is awake, alert, oriented to person, place, time, situation, and appears to be answering questions appropriately and to the best of his ability.

Take care,

chbare.

Implement Tx as I noted above.

Once I have a rhythm strip I want to get an IV line on this guy. Also, lung sounds?

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