Scenario: Flashcards
1
Q
WEEK 6
Mr Jones.
54 yr old man who Lives with his wife and 17 year old son. He was diagnosed with angina 12 months ago and has been prescribed GTN spray for symptom control. He smokes 20 cigarettes per day and drinks approx 20units of alcohol per week. He works as a bank manager and is overweight. He has been trying to lose weight over the last two months without success and is refusing to discuss this with his GP.
Whilst driving to work this morning Mr Jones developed central crushing chest pain radiating to his left arm and jaw. He pulled his car over and took his GTN spray which gave no relief.
A passer by saw that he looked pale, sweaty and was short of breath and called an ambulance.
A
Initial Care A - AIRWAY B - BREATHING C - CIRCULATION D - DISABILITY E - EXPOSURE
Ongoing Care: Reassure patient, ECG, blood sample Observe our patients: cold, clammy, sweaty, breathing (sob, tachypnea) Is he in pain, is it respiratory or cardiac. Trauma, any injuries noted? are they using any accessory muscles? poor cardiac output? poor peripheral circulation. Dehydration causes chest pain, same as eating too much. Maintaining safe environment Communication Breathing Eating and Drinking Elimination Personal cleansing and dressing Controlling body Temperature Mobilising Working and Playing Expressing Sexuality Sleeping Dying
