An EMS note arrives – an obese 60 year old F with a history of the sugar, the pressure, and a “stomach problem…called digestive heart failure”.
VS: HR 120s, RR 40s, O2sat 88% on NRB, BP SEE BELOW.
PE diaphorectic,
Crackles all the way up the back.
Name the diagnosis and next appropriate therapy for the following blood pressures…
BP 240/140Dx: hypertensive emergency/acute pulmonary edema. Tx: Bipap, nitro
BP 80/40
Dx: Cardiogenic shock. Tx: ECG, Vasopressors, Cards
By Dr. Andrew Grock and Dr. Sally Bogoch
References
Rivers
uptodate.com
The following two tabs change content below.
andygrock
Latest posts by andygrock (see all)
- Levamisole Toxicity - May 26, 2015
- Of Course, US Only for Kidney Stones… - May 18, 2015
- Case of the Month 11: Answer - May 12, 2015
0 Comments