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
62-year-old man arrives 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 (spo2)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] 6. ABG was done and shown
the following results: i. pH=7.1 ii. Hco3 = 12 iii. PaO2= 119 iv.
PaCo2=19 So, what types of Acid-based disturbance occur to this
patient? [ 1 mark]