Chapter 13: Competition

You are dispatched to a person who is reporting chest pain and shortness of breath. You arrive to find a conscious 58-year-old woman who is sitting up and reporting severe chest pain and shortness of breath. She is very anxious and tells you she feels like she is going to die. Physical examination shows that her skin is pale, cool, and clammy and her pulse is rapid, weak, and irregular. Her breathing is labored, with a respiratory rate of 28 breaths/min. Her SpO2 is 90%. Lung sounds show crackles in all fields. Blood pressure is 92/60 mm Hg. What is your differential diagnosis of this patient?

• Hypovolemic shock

• Anaphylactic shock

• Cardiogenic shock

• Neurogenic shock

Shock You are dispatched to a person who is reporting chest pain and shortness of breath. You arrive to find a conscious 58-year-old woman who is sitting up and reporting severe chest pain and shortness of breath. She is very anxious and tells you she feels like she is going to die. Physical examination shows that her skin is pale, cool, and clammy and her pulse is rapid, weak, and irregular. Her breathing is labored, with a respiratory rate of 28 breaths/min. Her Spo2 is 90%. Lung sounds show crackles in all fields. Blood pressure is 92/60 mm Hg. What stage of shock is this patient in?

• Compensated

• Decompensated

• Irreversible

• Psychogenic

You are dispatched to a person who is reporting chest pain and shortness of breath. You arrive to find a conscious 58-year-old woman who is sitting up and reporting severe chest pain and shortness of breath. She is very anxious and tells you she feels like she is going to die. Physical examination shows that her skin is pale, cool, and clammy and her pulse is rapid, weak, and irregular. Her breathing is labored, with a respiratory rate of 28 breaths/min. Her SpO2 is 90%. Lung sounds show crackles in all fields. Blood pressure is 92/60 mm Hg. What treatment should be initiated first for this patient?

• High-flow oxygen

• Administration of nitroglycerin

• Rapid transport

• Maintain warmth

Shock You are dispatched to a person who is reporting chest pain and shortness of breath. You arrive to find a conscious 58-year-old woman who is sitting up and reporting severe chest pain and shortness of breath. She is very anxious and tells you she feels like she is going to die. Physical examination shows that her skin is pale, cool, and clammy and her pulse is rapid, weak, and irregular. Her breathing is labored, with a respiratory rate of 28 breaths/min. Her Spo2 is 90%. Lung sounds show crackles in all fields. Blood pressure is 92/60 mm Hg. What position should the patient be placed in?

• Supine

• Fowler position

• Prone

• Left lateral recumbent

Shock You are dispatched to a person who is reporting chest pain and shortness of breath. You arrive to find a conscious 58-year-old woman who is sitting up and reporting severe chest pain and shortness of breath. She is very anxious and tells you she feels like she is going to die. Physical examination shows that her skin is pale, cool, and clammy and her pulse is rapid, weak, and irregular. Her breathing is labored, with a respiratory rate of 28 breaths/min. Her Spo2 is 90%. Lung sounds show crackles in all fields. Blood pressure is 92/60 mm Hg. What part of the patient’s cardiovascular system is failing?

• A. The fluid (blood)

• B. The container (vessels)

• C. The pump (heart)

• D. The control (nervous system)

Shock You are dispatched to a person who is reporting chest pain and shortness of breath. You arrive to find a conscious 58-year-old woman who is sitting up and reporting severe chest pain and shortness of breath. She is very anxious and tells you she feels like she is going to die. Physical examination shows that her skin is pale, cool, and clammy and her pulse is rapid, weak, and irregular. Her breathing is labored, with a respiratory rate of 28 breaths/min. Her Spo2 is 90%. Lung sounds show crackles in all fields. Blood pressure is 92/60 mm Hg. Which of the following terms is used to describe a balance of all body systems?

• Hypothermia

• Autonomic nervous system

• Perfusion

• Homeostasis