*NURSING > QUESTIONS & ANSWERS > ALS/ACLS - Team Response Scenario - Ross Jenkins [2022] COMPLETE SOLUTION (All)
ALS/ACLS - Team Response Scenario - Ross Jenkins [2022] COMPLETE SOLUTION On rapid assessment, Mr. Jenkins is responsive and his airway is patent. His body language indicates that he is experienc... ing retrosternal pain or discomfort. He is not visibly dyspneic, cyanotic or diaphoretic and appears to be in minimal distress. What actions should the team take as part of the primary assessment? - ✔✔1. Establish cardiac monitoring 2. Establish pulse oximetry. 3. Obtain a full set of vital signs. 4. Assess capillary refill time. Primary assessment findings are as follows:Airway: Patent and self-maintainedBreathing: Respiratory rate, 18 breaths/min; no dyspnea; pulse oximetry, 98% on room airCirculation: Heart rate, 113 bpm; sinus rhythm; blood pressure 130/90 mmHg; normal pulses; capillary refill, 2 seconds; skin warm and acyanoticBased on Mr.Jenkins' clinical presentation and these assessment findings, what diagnostic test should be performed right away? - ✔✔12-Lead ECG Dr. Bheda ordered the ECG to assist in accurately diagnosing the cause of Mr. Jenkins' chest pain. Which potentially life-threatening causes of chest pain other than ACS should be considered as part of the differential diagnosis? - ✔✔1. Aortic dissection [Show More]
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