An EMS note arrives – an obese 60 year old F with a history of the sugar, the pressure, and a “stomach problem…called digestive heart failure”.
VS: HR 120s, RR 40s, O2sat 88% on NRB, BP SEE BELOW.
PE diaphorectic,
Crackles all the way up the back.
Name the diagnosis and next appropriate therapy for the following blood pressures…
BP 240/140Dx: hypertensive emergency/acute pulmonary edema. Tx: Bipap, nitro
BP 80/40
Dx: Cardiogenic shock. Tx: ECG, Vasopressors, Cards
By Dr. Andrew Grock and Dr. Sally Bogoch
References
Rivers
uptodate.com
The views expressed on this blog are the author's own and do not reflect the views of their employer. Please read our full disclaimer here. Any references to clinical cases refer to patients treated at a virtual hospital, Janus General Hospital.
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andygrock
- Resident Editor In Chief of blog.clinicalmonster.com.
- Co-Founder and Co-Director of the ALiEM AIR Executive Board - Check it out here: http://www.aliem.com/aliem-approved-instructional-resources-air-series/
- Resident at Kings County Hospital
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