- Get Your Wife Settled In I Am Afraid There S A Mountain Of Paperwork Waiting For You 7 What Is Barbara S Heart Rate 1 (25.33 KiB) Viewed 11 times
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Later that night, John awoke to the sound of his wife coughing. "Are you okay, Barb?" He set up the nebulizer, carried it into the bedroom, and gave the mask to his wife as he plugged it into the outlet. Her breathing became more regular, but it was fast; and she was still wheezing. Barb looked pale and anxious and the nebulizer didn't seem to be working. "I have this pain in my chest and neck, John, and it's making its way down my left arm." He reached for her hand and it felt cold and sticky. He placed his finger on the inside of her wrist and felt her pulse racing. "I think we need to go to the hospital, Barb." "I know, but the pain gets worse when I move. It was just an ache before you went to the bathroom, but now it really hurts and I feel like I am going to pass out." Dave knocked on the open bedroom door and entered his parents' room. His father was dressed and his mother was clearly distressed. "I heard Mom coughing. Is everything okay?" "I'm not sure. This is the worst attack she's ever had. I think we need to get her to the hospital." Dave pulled on some clothes and in no time he and his father had his mother in the backseat of the car. The hospital was only a few miles away. 5. What additional symptoms does Barbera exhibit? 6. These symptoms might point to another problem besides asthma. Propose another explanation for her symptoms. Part II-The Hospital John pulled up in front of the hospital and opened the back door of his car. He saw Dave holding a bloody tissue as they picked up his wife and carried her into the Emergency Room. The nurse saw the two men holding the older woman and the blood on the tissue, and ushered them into a cubicle. The nurse put a clip on
Barbara's finger and turned on the heart monitor. The two men could hear the fast beeping sounds and saw" 95 bpm" appear in the lower right corner next to the heart icon. The nurse started an IV, and took Barbara's blood pressure (90/58). Finally, she put a plastic ring around Barbara's head and a tube up each nostril. "What's that for?" asked John, concerned for his wife. "It's called a nasal cannula. It's used to administer oxygen, should the doctor decide that it's necessary." The nurse stepped back when the doctor entered the cubicle and she began to examine Barbara. John told her about the asthma attack that afternoon, and the second unusual attack that had happened in the last hour. "Did your wife complain of chest pain?" "Yes, she said that it was in her chest, neck and left arm. I thought that she was having a heart attack." "That is possible," continued the doctor. "Are your wife's legs usually swollen?" John explained that his wife's legs often swelled when they took road trips because they were in the habit of driving long distances without stopping. The doctor frowned at John. "Did you notice that the swelling is worse in her right leg?" "No doctor," replied John. "But her right hip was replaced about six months ago." "Your wife had major surgery, and you drove how far?" "That was my fault," said Barbara. "My granddaughter was born around the time I had my hip surgery, and I wanted so desperately to see her." "If my initial prognosis is correct," the doctor continued, "you may be staying here for a few days." She reached down and turned on the flow of oxygen through the nasal cannula, and made notes on a chart. "An orderly will take you to your room. I'll schedule you for some tests." The bed was pushed out of the cubicle and John went to follow. The doctor turned to John and continued, "Perhaps you should go to Admissions while we get your wife settled in. I am afraid there's a mountain of paperwork waiting for you." 7. What is Barbara's heart rate? What is the normal range?.