Reference no: EM133578281
Assignment:
- Age: 75 years
- Complaints: syncopal episode, dizziness, and shortness of breath
- Vital signs: BP 86/40 mmHg, SpO2 90%, HR 39 bpm , RR 22
- Cardiac monitor shows bradycardia
- Shoch MAP 55
- Disarm 5.2
Please indicate all data you believe to be relevant in this scenario. Please outline your rationale.
What is the first action the nurse needs to take in this scenario? Outline your rationale.
If you had to triage this patient using a 5-level triage system: ESI 1 to 5, what triage level would you assign? Please outline your rationale.
The HCP orders that a 12-lead ECG is performed. He also signals to you to get the crash cart in the room.
You open the drawer and observe the following medications. Which one do you believe the MD will order to be given? Please state the mechanism of action of the medication you have chosen
Atropine sulfate inj 1mg/70 or epinephine 1mg /01mg/ml
or
Before administering the medication ordered by the HCP, the RN would need to ensure that there is available access. What access would be necessary in this case? How many accesses would you try to establish and what size gauge would you attempt with?
You have established access and have delivered the medication as ordered. How would you determine that the medication has been effective?
Define mean arterial pressure (MAP). What is the significance of mean arterial pressure in this case?
A recommendation is made for this patient to receive a pacemaker. The patient asks what a pacemaker is; how would you explain to this patient so that he can understand?