Taif University Nursing department Master of emergency and disaster nursing Emergency field experiences Case study 1 A 6

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Taif University Nursing Department Master Of Emergency And Disaster Nursing Emergency Field Experiences Case Study 1 A 6 1 (210.53 KiB) Viewed 29 times

Taif University Nursing department Master of emergency and disaster nursing Emergency field experiences Case study 1 A 62-year-old man anives at the emergency department complaining of severe chest pain (began one hour ago). Associated with shortness of breath. His son adds that he was very sweaty when the pain began. The patient is known diabetic and hypertensive and takes insulin and amlodipine. His blood pressure is 145/100 mm Hg, pulse rate 95 beats per minute, respiration 24 breaths per minute, temperature 37.1°C, and oxygen saturation (spo)77. The patient appears anxious. On auscultation faint crackles are heard at both lung bases. His random blood sugar (RBS) is 650 mg/dl checked by glucometer. Based on the above scenario give answers for the following question? 1. At what triage category you will assign this patient? [1 mark] 2. At what triage acuity level you will this patient assign (give rational)? [1mark] 3. After accurate assignment at the triage level, discuss how to assess this patient? [2 mark] 4. Based on priority what is the important nursing care should be done to this patient? [3 mark] 5. ECG was obtained and shown in the below figure. Give details analysis for this ECG Strip? [2 mark] M r 1 AVR V4 MMM w he TI aVL V V. HIE aVF Va VE MM MMMM nh hhhhhh hmhmhms 11 6. ABG was done and shown the following results: 1 pH=7.1 ii. Hco3 = 12 11. PaO;= 119 iv. PaCo=19 So, what types of Acid-based disturbance occur to this patient? [1 mark]