Page 37 - MODUL FCN full
P. 37

Mr. Umar received shoulder surgery yesterday and he reported to have
               chest pain one hour ago. His oximeter cannot detect a consistent pulse
               and is giving erratic readings. His breathing also appears labored, and his
               blood pressure is 111 over 54. We believe the patient is experiencing a
               cardiac  event  or  pulmonary  embolism.  I  request  you  come  to  the
               patient's room immediately for a more thorough
               assessment. In the meantime, I
               plan to put him on oxygen. Do
               you agree?










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               An ambulance brought Mr. Pierce in this morning around 7 a.m. because he was feeling unwell and was
               experiencing a rapid onset of shortness of breath although he's presently stable now. The patient has no
               significant past medical history. He's a nonsmoker, a casual drinker and currently only takes antihypertensive
               medications. His status from the lab indicated a slightly elevated white cell count, which gives us little cause
               for concern. The assessment also resulted in the onset of a cough, chest pain,
               and shortness of breath. And so, I think he has pneumonia. Reviewing
               all of the symptoms, I’m considering
               repeating    the    blood    tests,
               administering  a  formal  chest  X-ray,
               and  starting  him  on  a  round  of
               antibiotics.  Does  that  sound  like  a
               suitable course of action to you?










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