A 40-year-old patient comes to the ER complaining of severe pain in his left thigh which started three days prior. On physical examination, his thigh isred, warm, and swollen. His vitals were: Temperature 101F, Pulse 95 beats per minute, regular, 2+, Blood pressure left arm sitting 129/85 mm Hg,Respiratory rate 20 breaths per minute. Which of the following is the best interpretation of the vitals?Answers A - EA All the vital are elevatedB Tachycardia, tachypnoea, and fever. Blood pressure is normal.CDAll the vitals are normal.Normal pulse, respiratory rate and blood pressure. Temperature reflects a fever.E Blood pressure is elevated and the temperature reflects a fever. Other vitals are normal.

Introduction:- Monitoring of the vital signs is very important as they indicate the status of the…

Answered: A 40-year-old patient comes to the ER…

Biomedical Instrumentation Systems

1st Edition

ISBN:9781133478294

Author:Chatterjee

Publisher:Chatterjee

Chapter1: Introduction To Biomedical Instrumentation Systems

Section: Chapter Questions

Problem 1CS

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A 54-year-old male patient presents to the emergency department with chest pain that started 2 hours ago. He describes the pain as a pressure sensation in the center of his chest, radiating to his left arm. The patient has a history of hypertension and type 2 diabetes. His vital signs on admission are as follows: blood pressure 150/90 mmHg, heart rate 98 bpm, respiratory rate 20 breaths/min, and oxygen saturation 96% on room air. An electrocardiogram (ECG) shows ST-segment elevation in leads II, III, and aVF. Based on this information, what is the most appropriate initial nursing action? A) Prepare the patient for an immediate coronary angiography. B) Administer sublingual nitroglycerin and aspirin as ordered. C) Start an intravenous insulin infusion. D) Provide supplemental oxygen and initiate continuous ECG monitoring.
A 65 years old male patient with history of heart disease came to his doctor’s office for annual physical exam. On examination, his pulse was 78/minute, respiration 18/minute, temperature was 95.30F. His blood pressure was recorded as 170/93mm Hg. From this short history answer/calculate the following: Heart rate/minute: Systolic blood Pressure: Diastolic blood pressure: Pulse pressure: Mean arterial Pressure: Further tests revealed the patient’s stroke volume as 65 ml/beat and ESV as 80 ml. Calculate: Cardiac output: EDV: Ejection fraction:
A 65-year-old male patient, Mr. Thompson, has been admitted to the medical-surgical floor with a diagnosis of congestive heart failure (CHF). He has a history of hypertension and type 2 diabetes mellitus. Upon admission, Mr. Thompson reports shortness of breath, fatigue, and swelling in his legs and feet. His vital signs are as follows: blood pressure 160/90 mmHg, pulse 102 bpm, respiratory rate 22 breaths/min, and oxygen saturation 92% on room air.As his nurse, you are responsible for performing a comprehensive assessment and initiating appropriate interventions based on your findings.Describe the initial nursing assessment you would perform for Mr. Thompson, detailing the specific aspects you would focus on given his diagnosis and symptoms.
Ron is a 56-year-old male with a history of T1DM and hypertension. After assessment, He is suspected of DKA. Ron’s vital signs are: Blood pressure 90/50 mmHg Heart rate 124 beats/min Respiratory rate 36 and deep Temperature 38.5 C (Tympanic) Are these vital signs within the normal range for a patient of Ron’s age and medical history? If not, why not. Discuss your rationale.
A 67-year-old-man is in the operating room undergoing a hip replacement. The procedure is going along uneventfully, and there is no indication of acute blood loss. Suddenly, the patient develops supraventricular tachycardia. Intravenous injection is administered and within 15 s, the electrocardiogram shows normal sinus rhythm. What is the most likely drug responsible for this normalization of the electrocardiogram? Select one: O ignocaine Quinidine Esmolol Verapamil Adenosine
Ben, 59 is an employee who works in a post office. He is 5ft. Tall and weighs 150 pounds. His vital signs are the following : T 36.3°C; HR 94;BP 135/85; pain level 0. At the clinic, he presents himself with a major complaint of "just not feeling well" Dusting ascultation, you hear a heart murmur. How would you identify Ben's heart murmur?
A 73-year-old male complain with severe chest pain, irradiating to the left armand jaw. The patient vital sign are the following: BP: 165/110 mm/Hg HR: 112b/m and RR: 35 r/m. You were sent to the patient room to reassess again his Vital Sign.What is the 1st step to do?A. Call a code blue, stay with the patient until the emergency team comes in.B. Call a code blue, Performed an EKG and stay with the patient until the emergency teamarrives.C. Call a code blue, Performed an EKG, put the patient in Trendelenburg position and stay withthe patient until the emergency team arrives.D. Reassess the patient the patient vital sign like you were told and call for help and wait untilthe emergency team arrive.
Nicole is a very healthy, 33-year-old female. She is coming to you to receive an exercise stress test as part of her routine physical as an EMT. Nicole’s primary mode of training is cycling, which she does about 5 days per week. When you look at Nicole’s EKG, you notice occasional PVCs and a couple PACs on her resting EKG. There is no physician available to examine the EKG. Would you test this person, yes or no? If yes, please indicate what protocol you would choose and whether or not the test would be maximal or submaximal? Please include the rationale for your choices.
John, age 24, is involved in an automobile accident. Ken, a paramedic, arrives on the scene and does emergency first aid. John has multiple lacerations on his hands and arms; the laceration on his right arm is bleeding profusely. Ken applies a pressure bandage and notes that John’s blood pressure is 90/60. Ken starts an intravenous line and transports John to the hospital. The emergency department physician examines John and notes he also has contusions near his liver. The physician has the medical technologist draw blood for a CBC and to type and crossmatch the blood. It is determined that John has type A+ blood. Can John receive blood from Ken, who is O-?
JOHN, AGE 24, IS INVOLVED IN AN AUTOMOBILE ACCIDENT. Ken, a paramedic, arrives on the scene and does emergency first aid. John has multiple lacerations on his hand and arms; the laceration on his right arm is bleeding profusely. Ken applies a pressure bandage and notes that John’s blood pressure is 90/60. Ken starts an intravenous line and transports John to the hospital. The ER doctor examines John and notes he also has contusions near his liver. The doctor has the med tech draw blood for a CBC and to type and crossmatch for blood. A severe loss of blood may lead to what condition? Name the blood components and their function. Why is the ER doctor concerned about possible liver damage? How does liver damage relate to the blood?
John, age 24, is involved in an automobile accident. Ken, a paramedic, arrives on the scene and does emergency first aid. John has multiple lacerations on his hands and arms; the laceration on his right arm is bleeding profusely. Ken applies a pressure bandage and notes that John’s blood pressure is 90/60. Ken starts an intravenous line and transports John to the hospital. The emergency department physician examines John and notes he also has contusions near his liver. The physician has the medical technologist draw blood for a CBC and to type and crossmatch the blood. Describe the role of a medical technologist.
John, age 24, is involved in an automobile accident. Ken, a paramedic, arrives on the scene and does emergency first aid. John has multiple lacerations on his hands and arms; the laceration on his right arm is bleeding profusely. Ken applies a pressure bandage and notes that John’s blood pressure is 90/60. Ken starts an intravenous line and transports John to the hospital. The emergency department physician examines John and notes he also has contusions near his liver. The physician has the medical technologist draw blood for a CBC and to type and crossmatch the blood. Why is the emergency department physician concerned about possible liver damage?

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