what are the rest of his vital signs? what is his usual bp? how does he feel? was this found on...
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![Page 1: What are the rest of his vital signs? What is his usual BP? How does he feel? Was this found on routine vital sign check or is something wrong?](https://reader035.vdocument.in/reader035/viewer/2022070403/56649f2f5503460f94c48e7c/html5/thumbnails/1.jpg)
![Page 2: What are the rest of his vital signs? What is his usual BP? How does he feel? Was this found on routine vital sign check or is something wrong?](https://reader035.vdocument.in/reader035/viewer/2022070403/56649f2f5503460f94c48e7c/html5/thumbnails/2.jpg)
•What are the rest of his vital signs?•What is his usual BP?•How does he feel? Was this found on
routine vital sign check or is something wrong?
![Page 3: What are the rest of his vital signs? What is his usual BP? How does he feel? Was this found on routine vital sign check or is something wrong?](https://reader035.vdocument.in/reader035/viewer/2022070403/56649f2f5503460f94c48e7c/html5/thumbnails/3.jpg)
• Cardiac: –Tachyarythmia –Bradycardia –MI• Physiologic: –ESLD, CHF –Young and asleep• Sepsis• Meds• Hypovolemia: –Dehydration –Bleeding
![Page 4: What are the rest of his vital signs? What is his usual BP? How does he feel? Was this found on routine vital sign check or is something wrong?](https://reader035.vdocument.in/reader035/viewer/2022070403/56649f2f5503460f94c48e7c/html5/thumbnails/4.jpg)
•See the patient•Call your resident; Call MICU•Recheck vital signs, check
orthostatics•IV Fluids•Get Access•Consider EKG, CBC, T&S, Broad
spectrum ABx
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•What are her vital signs?•How do her lungs sound?•What are her IV Fluids?
![Page 6: What are the rest of his vital signs? What is his usual BP? How does he feel? Was this found on routine vital sign check or is something wrong?](https://reader035.vdocument.in/reader035/viewer/2022070403/56649f2f5503460f94c48e7c/html5/thumbnails/6.jpg)
•Reactive Airway Disease/COPD•PE•Cardiogenic –MI, CHF•Too much IV Fluid•Pneumonia•PTX•Anxiety
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•Examine patient –listen to lungs, JVP, LE Edema
•CXR•EKG; cardiac enzymes•ABG•I/Os•On DVT prophylaxis?
![Page 8: What are the rest of his vital signs? What is his usual BP? How does he feel? Was this found on routine vital sign check or is something wrong?](https://reader035.vdocument.in/reader035/viewer/2022070403/56649f2f5503460f94c48e7c/html5/thumbnails/8.jpg)
•Oxygen•Diurese•Chest CT r/o PE•Nebulizer/BIPAP•Head of bed up•Nitro•Call resident
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•What are his vital signs (check both arms)?
•How does he look?•When did it start?•Get an EKG
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•MI/aortic dissection•GERD•PE•Anxiety•MSK•Pneumonia; cholecystitis; pancreatitis•Pericarditis
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•Evaluate patient•Treat as angina-tele, ASA, B-blocker, nitro,
serial CKs, heparin, tell resident•Treat as GERD-mylanta•Treat as MSK-ibuprofen•Treat as anxiety-reassure; ativan?•Treat as PE –chest CT, heparin?, oxygen Treat as dissection – CT chest, control BP