Respiratory therapist working in small

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Reference no: EM133803664

Question

The Scene: You are the lone respiratory therapist working in a small, community based hospital. It is late (because bad things always happen when it is late) and you have been called to the emergency department to assess Carl Grimes, a 34 year old cystic fibrosis patient. He has come to the emergency department for increasing shortness of breath. He routinely takes respiratory medications at home that include Albuterol, Advair, Dornase-Alfa (Pulmozyme) and hypertonic saline. He utilizes a vest, airway clearance system for secretion management. The physician is out getting dinner at Denny's across the street. She (the doctor) trusts you completely and told you before she left that you could order anything you want and she will write the orders later. So, you are in charge. You take a deep breath and go in to meet Carl. Upon entering the room you see Carl, sitting upright, utilizing some accessory muscles of breathing. He appears to be skinny and is slightly diaphoretic. He is not on any oxygen at this point. You assess him and record the following in Carl's chart: Heart Rate: 123 BPM Respiratory Rate: 20 BPM SpO2: 83% Blood Pressure: 134/88 mmHg Tidal Volume: 500.

Reference no: EM133803664

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