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Part l- Emergency Mrs. Helms came in through the front door of her house with an

ID: 3524485 • Letter: P

Question

Part l- 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. It 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: tolic blood pressure (mm H Diastolic blood pressure (mm Hg) Oral temperature (F) Heart rate (beats per minute) Mr. Helms 90 52 98.9 Normal 120 80 97.8 to 99.1 60-80 12 to 20 95-100% 120 piratory rate (breaths per minute) 33, labored 89% n saturation 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?

Explanation / Answer

Answer 1

Mr. Helms’ had an anabnormal diastolic blood pressure at 52 (normal is 80), abnormal systolic blood pressure at 90 (normal is near 120), an abnormal heart rate at 120 irregular beats per minute (normal is 60-80 beats per minute), an abnormal respiratory rate at 33 labored breaths per minute (normal is 12-20), and his oxygen saturation was also a little low at 89% (normal is 95-100).

Answer 2

I think his doctors could see inside his heart to see what is causing these issues internally that giving an MRI or CT Scan on his heart

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