5:00 ull Heart-Case-Study-READ INSTRUC… !] PartI Emergency Mrs. Helms came in th

Question

5:00 ull Heart-Case-Study-READ INSTRUC… !] PartI Emergency Mrs. Helms came in through the front door of her house with an armful of groceries. She put the bag down on the kitchen counter and called to her husband. "Herb, I'm home! Are you ready for lunch?" She didn't get an answer, so she walked to the living room and found Mr. Helms lying on the floor."Herb! Are you okay?" she asked as she grabbed his shoulder. Mr. Helms responded weakly while clutching his chest. Mrs. Helms frantically called 911. I only took EMS a few minutes to arrive and the paramedics transported Mr. Helms to the hospital. Upon admission to the hospital, Mr. Helms vital signs were recorded as follows Mr. Hel 90 52 98.9 Normal 120 80 97.8 to 99.1 60-80 12 to 20 95-100% c blood Diastolic blood Oral t Heart rate (beats per minute) (mm H ture (F) 120, i 33, labored 89% iratory rate (breaths per minute) Questions 1. Which of Mr. Helms' vital signs and lab values were abnormal 2. What additional medical tests would you order for Mr. Helms? In other words, what other information would be useful: The Heart of the Problem by Garner and Ree

Explanation / Answer

Ans 1... systolic and.diastolic BP was abnormal low that shows shock

Heart rate was fast and irregular that show compensation of heart.

Respiratory rate was high to.overcome.the shock like condition so that more oxygen can be saturated in blood for vital organ

Mr hems heart was abnormal

Differential diagnosis of condition may be Shock,Myocardial infarction etc

Ans 2...other test would be complete haemogram

Cardiac markers test

Heart type fatty acid binding protein which elevates in 2 hrs of MI

CPK-MB elevates with in 6 hr

Troponin I elevates with in 6 hr

We can go for ECG

We can go for ECHO to look for site of lesion

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