First of all, asses for the sign of consciousness by shaking or taping the person's shoulder and shout by asking "ARE YOU OK", if he is not responding call out for help in an emergency help line number. Ask someone to get an AED (Automatic external defibrillator). Open the victim airway by tilting the head back and lifting their chin. Check for breathing by looking at the chest and feeling for air. If he is not breathing or even gasping immediately start chest compression (CPR) by placing the heel of one hand in the middle of the person's chest by covering the first hand with your other hand. (Chest compression helps for circulation of blood to the body). Your elbows have to be straight and lock the elbows and push the chest depressing 1.5 to 2 inches with every push. At least 100 push per minute. After giving 30 compressions you have to give 2 breaths. You have to give breath to the victim by lock the nose and give two slow breaths. If the person is not berating continue 15 compressions and 2 breaths for 4 cycles. If AED is available you can use it to restart the heart function by delivering the shock to heart. If there is no AED available keep going with CPR until the ambulance arrives. You prime responsibility is to maintain the person’s air-way, breathing and circulation (ABC) which increases the chance of survive.
You are at an event in the dramatic arts building when an elderly man sitting next...
CHINESE CASE STUDY #1 An elderly, Asian-looking man is admitted to the emergency room with chest pain; difficulty breathing; diaphoresis; vomiting; pale, cold, clammy skin; and apprehension. Three people, speaking a mixture of English and a foreign language to one another, accompany him. The nurse tries to speak English with the man, but he cannot understand anything she says. Accompanying the elderly man are two women (one elderly and very upset and one younger who stands back from the other...
CHINESE CASE STUDY #1 An elderly, Asian-looking man is admitted to the emergency room with chest pain; difficulty breathing; diaphoresis; vomiting; pale, cold, clammy skin; and apprehension. Three people, speaking a mixture of English and a foreign language to one another, accompany him. The nurse tries to speak English with the man, but he cannot understand anything she says. Accompanying the elderly man are two women (one elderly and very upset and one younger who stands back from the other...
An elderly man was brought to the emergency department by his wife when he was found unresponsive and lethargic. His blood glucose level was 25 mg/dL when seen in the field by EMS. Patient regained consciousness when given a D-50 ampule of insulin and IV Lasix. Patient has type 1 diabetes mellitus that is of long duration, hypertensive heart disease with congestive heart failure (CHF), and stage 3 chronic kidney disease due to diabetes and hypertension. Final diagnoses: (1) Uncontrolled...
You are out for an early spring morning jog in the local park when you come across a man in his mid-forties ly-ing on a park bench who appears to be unresponsive. As you approach him, you notice his skin is extremely pale with cyanosis to his face and neck, and his breathing is extremely shallow and slow. He does not respond when you shout at him. He is dressed lightly in a tee shirt and cotton pants with shoes...
Peter is a 52-year-old patient that presented to the emergency room with chest pain. He was shoveling snow when he became short of breath and dizzy. He experienced chest pain that he described as “heavy” and “crushing”. The pain radiated to his jaw and back. After the symptoms began, he stopped working, went into his house and rested. The pain did not subside after 15 minutes so he decided to seek care. He is very anxious and shares that his...
An elderly Patient has just been admitted into the Emergency Room with symptoms of confusion, muscle tremors, and a red, swollen tongue. When taking his history, it is revealed he had been discharged from the hospital 2 days ago. He has been on IV therapy for a stomach virus but could not keep down fluids after he was discharged. IV) a) What electrolyte imbalance do you suspect for this Patient? b) What other signs and symptoms might you need to...
2. A middle-aged man presents to the emergency room with chest pain and is found to have suffered a heart attack. He has a past history of hypertension, non-insulin-dependent diabetes mellitus (NIDDM), and high cholesterol. Medical evaluation suggested the need for a triple bypass procedure. This is performed on the fifth day of his hospital stay. During recovery, he develops septic shock with fever and pneumonia. Gram-positive cocci in clusters, isolated from both his lungs (via sputum) and the surgical...
a) A man jumps off the roof of an office building onto a trampoline 30 m below. His speed is 5 m/s when he umps from the roof and his mass (with all of her gear) is 60 kg. How high will he go when he bounces back up from the trampoline? You can assume his speed at the top of his bounce is zero. b) Describe the changes in mechanical energy that take place during his jump. c) A...
Is Your Nose Getting Bigger?
Next time you see an elderly man, check out his nose and ears!
While most parts of the human body stop growing as we reach
adulthood, studies show that noses and ears continue to grow larger
throughout our lifetime. In one study1examining noses,
researchers report "Age significantly influenced all analyzed
measurements:" including volume, surface area, height, and width of
noses. The gender of the 859 participants in the study was also
recorded, and the study...
Mr. B has been transferred to your floor to wait and see whether the chest tube allows his lungs to completely re-expand. But when he arrives, he is in severe respiratory distress. He says "I felt better before I came into the ER! Is this tube doing anything?" You tell the Clinical Nurse Specialist (CNS). As the two of you move him into the bed, you notice that his chest tube bottle is lying on its side on the gurney,...