ALS/ACLS - Team Response Scenario - Ross Jenkins [2022]
COMPLETE SOLUTION
On rapid assessment, Mr. Jenkins is responsive and his airway is patent. His body language indicates that he is experiencing retrosternal p
...
ALS/ACLS - Team Response Scenario - Ross Jenkins [2022]
COMPLETE SOLUTION
On rapid assessment, Mr. Jenkins is responsive and his airway is patent. His body language indicates that he is experiencing retrosternal pain or discomfort. He is not visibly dyspneic, cyanotic or diaphoretic and appears to be in minimal distress. What actions should the team take as part of the primary assessment? -
Primary assessment findings are as follows:Airway: Patent and self-maintainedBreathing: Respiratory rate, 18 breaths/min; no dyspnea; pulse oximetry, 98% on room airCirculation: Heart rate, 113 bpm; sinus rhythm; blood pressure 130/90 mmHg; normal pulses; capillary refill, 2 seconds; skin warm and acyanoticBased on Mr. Jenkins' clinical presentation and these assessment findings, what diagnostic test should be performed right away?
Dr. Bheda ordered the ECG to assist in accurately diagnosing the cause of Mr. Jenkins' chest pain. Which potentially life-threatening causes of chest pain other than ACS should be considered as part of the differential diagnosis? -
What should Dr. Bheda do next, considering both the patient's clinical presentation and the 12-lead ECG findings? -
Which clinical category should Dr. Bheda assign Mr. Jenkins to, based on these ECG findings?
What medication(s) should Dr. Bheda consider for Mr. Jenkins? -
What diagnostic studies would be appropriate for Dr. Bheda to order at this time?
What additional information should Dr. Bheda gather before initiating treatment? -
Reperfusion therapy is indicated for Mr. Jenkins. What is the time frame for percutaneous coronary intervention (PCI)? -
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