69 Yr old female patient triage with a 2 day history of ABD pain, frequent vomiting. She is alert but hunched over in pain while sitting in the triage chair. Resp 23/min and unlabored. ED handshake reveals a rapid and treandy pulse( approx. 120), her skin is pale, cool and clammy to the touch. She reports feeling dizzy and weak at the present time.
A) what is her CTAS score?
B) What is her Level of urgency? Stable, unstable, or potentially unstable?
C) Provide rationale for each.
Case study #2
23 yr male presents to triage with a Hx of right quadrant ABD pain for 4 hrs. He vomited once, 1 hour ago. He is alert, speaking in full sentences, and his vital signs are: HR 101, BP 126/72, RR 18, Temp 37.5, O2 saturation is 99% on room air.
A) what is his CTAS score?
B) What is his Level of urgency? Stable, unstable, or potentially unstable?
C) Provide rationale for each.
Case study #3
34yr female with EHS. She used IV drugs, and was found very drowsy, lying in an alley. The paramedics report she had used needles beside her on scene, and at present she remains responsive to painful stimulus only.
When considering Leena’s primary assessment of breathing:
A: name 3 specific assessment for breathing you would perform on Leena.
B: name 2 potential interventions for breathing you would perform on Leena.
C: 3 potential reasons for Leena’s altered level of consciousness other than illicit drug use.
Case study #4
22 yr female with one day History of lower ABD pain.
A: name 3 different body system that could be responsible for Kary’s presentation.
B. name 1 specific hypothesis for each body system that you would consider for review your subjective assessment of the PT.
Question #5
What are two implications for O2 supply and demand whe considering the second degree AV block type 1?
What are 3 subjective questions you would ask the PT to determine if she is stable or unstable at the present time?
Question #6
A. Describe three physiological responses you would expect when sympathetic nervous system is stimulated due to blood loss in a patient with internal bleeding?
B. How would each of these responses impact oxygen supply and/or cardiac output?
Question #7
a. Name 4 criteria indicative of systemic inflammatory response syndrome (SIRS)
b. What is the physiological bases for these values being abnormal?
Questions 8
Case: Paramedics have just arrived with a 50yr male with history of chronic ETOH use. He is complaining of epigastric discomfort and dizziness he reports a 3 days history of vomiting coffee ground emesis.
V/S Hr 135, RR20, BP 110/80, SpO2: 99%, axilla temp 36.9.
a. list 1 potential and 1 actual problem you anticipate in your airway assessment of drake.
b. List your anticipated interventions for your airway assessment.
c. Provide rationale for your choice.