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constant chest pain unstable diaphoresis Bn to Jawline shoulder radiating Yincope vitals ECG continuous Pain monitoring Skin color temp pulses V0 Labs Aspirin...

constant chest pain unstable diaphoresis Bn to Jawline shoulder radiating Yincope vitals ECG continuous Pain monitoring Skin color temp pulses V0 Labs Aspirin 210 S bed rest Initorphine p2Y12 plavix  compensatory progressive irreversible Normal BP SBP 290 severe Increased HR MAP 265 hypotension erratic HR V0 rapid shallow Asystole confused breathing V0 Anuric Anuria Jaundice iegigated cold necrosis clammy lethargic coma Possible coma mechanical resp Alkalosis dysrhythmias ventilation Pac 02720 35 Paco 2 45 Acidosis Acidosis  2mL Pt in kg TBSAT weight 4mL for electrical burns 50 in 8hr5 50 in 16 hrs fluid resuscitation Pain management prevent hypothermia Airway management initiate wound care diagnostics  Hypovolemic cardiogenic pump Hypotension LOC changes facilitated irisicardia tiniest.it omnmyinteaiiiises Pallor or blood Eddhangemsy replacement 6 meds 02 Pain fluid labs Distributive circulatory obstructive mechanical Neurogenic hypotension loss of sympathetic chest pain tone vasodilation tachycardia Hypotension bradycardia feat casemmy Atropine vent Anaphylaxis Apply 02 systemic vasodilation epilm rapid onset resp distress hypotension Antihistamine corticosteroid H2 receptor agonist 02 Dobutamine Amiodarone Nitro Epi Dopamine Early ngyuhae.cl shdh9YimirraiEPigitY Late 585 seizures coma Engages Bleeding from nose and ears Battle's sign Halo Sign Scalp wounds HOB 30 45 Head in neutral position d stimuli maintain BP padded side rails nutrition maintain body temp vitals neuro assessment suction as needed negative fluid balance hypertonic solution to pull fluid off brain reduce edema ventriculostomy craniectomy craniotomy  Atherosclerosis HTN High cholesterol Asymptomatic until rupture or dissection Rupture Chest pain Dissection flank pain neuro checks CT with contrast control HTN Atherosclerosis calm environment stop smoking S ITpertensives Statins Beck's Triad Hypotension UVD muffled heart sounds narrow pulse pressure C ntinuous cardiac monitoring 2 IV's pericardiocentesis  chest pain tracheal deviation to unaffected side Anxiety cyanosis SOB dyspnea to breath sounds 02 L's's IEP CXR APPLY 02 Advanced airway vent chest tube needle decompression ABCDE Patency edema teeth sounds vaw thrust Chest rise fall effort sounds deviation Pulses IV's cap refill skin color temp GCS eyes verbal motor PERRLA Take all clothes off keep warm  tachypnea tachycardia progressive refractory hypoxemia infiltrates bilateral pulmonary on CXR worsening P F ration Suction airway meds Prone position Infection prevention v0 co 5mg kg mechanical ven filation flow NC High mechanical ventilation High PEEP ECMO Prone position early  Barotrauma Renal failure MODS Pneumonia Paradoxial chest wall movement tracheal deviation to affected side Assess for resp depression Assess 02 VQ mismatch Pain cough move deep breathe vent Pain Spinal nerve block  Hypovolemia Shock Resp acidosis dHBH Absent breath sounds on affected side Assess resp Status CXR chest tube thoracotomy  stable occurs with activity predictable resolved with rest meds unstable iitndI9 Yinout activity unpredictable emergency Prinz metal's variation of unstable occurs midnight to 8am coronary artery spasm  Pneumothorax Hemothorax Tidating in water seal occasional bubbling chamber notidating continuous bubbling drainage 500mL gush of bright red blood crepitus monitor B C site pain suction tubing pulmonary toileting 2 6 5 8 12 10 25 10 dry fluid volume overload  Fluid volume overload mitral Stenosis LVF PEEP etc I Pm'pma EYgn't dart function cardioversion controlled peak of R wave Defibrillation uncontrolled any point in cardiac cycle cardio version SVT Afib RVR Aflutter RVR utach with pulse Defibrillation tach with no pulse Vfib  Antiarrhythmic Rate control cardiac ablasion Atropine Iv bolus up to 1mg Trans Q 3mg Pacing Adenosine 6mg Iv push then 12mg vagal maneuver CPR Polymorphic give magnesium  epiing unlimited times CPR osier's nodes Janeway lesions splinter hemorrhage fever fatigue confusion murmur Antibiotics minimum 4 6 weeks antibiotics Picc line for longterm oral hygiene notify of procedures  complications Embolic Events Right PE Left whole body Complete whole medication regimen viral infection SOB dyspnea chest pain Palpitations myalgia syncope fatigue dysrhythmia HF cardiogenic shock Do not return to sports for at least 3 6 months vitals S S of HF cardiac rhythm  HF etc manage Antivirals immunosuppressants pleuritic chest pain relieved by friction rubs sitting up leaning forward abnormal ECG new or worsening pericardial effusion fever vitals pain ECG Heart sounds Elevate HOB meds emotional support Avoid strenuous activity  Teach distinction in chest pain Anti inflammatories Pericardiocentesis narrowed valve reduced blood flow opening to HF ventricular hypertrophy leads  valve leaflets don't close properly backflow into Atrium causing Stop all immediately infuse o.ay.MS in new tubin Hemolytic low back pain blood in urine tight chest impending doom Febrile 1 F 101.4 Antipyretic Anaphylaxis Itching urticaria Antihistamine Bacterial wheezing dyspnea send cultur to lab irc overload dyspnea crackles diuretics sit up with broncho spasm feet below heart 02 laryngeal edema morphine Blockage in coronary arteries Breathing circulation surgical site infection symptoms indications HR BP heart tones temp labs tight control on BP Pulm hygiene pillow no 7 9 10 has pressure in pulmonary arteries indicates left heart function 5002  continuous BP monitoring ABG 02 ARDS Right heart function can take meds V02 complete No function below injury incomplete partial injury some function  central cord Hyperextension more loss in arms than legs bladder dysfunction Anterior compression motor loss some pressure no pain temp crude touch Posterior compression no Proprioception have pain temp crude no fine touch Brown sequard Hemisection ipisilateral same side motor pro contralateral opposite Pain temp Rule of palm Rule of Nines Brund and Lowder  for most amount Greatest good not save everyone  complete in 60 seconds R 30 P 2 M can do Apply pressure simple Jaw thrust prevention mitigation Prepardeness preparing Response first responders emergencies Recovery function restoring  First Superficial epidermis only pink red blanch easily no blisters or scars heals in 3 7 days dry second epidermis some dermis blisters superficial red blanches no scars pink easily heals in 7 14 days edema second waxy cherry All dermis blisters deep red 3 6 weeks edema scars sluggish Third All dermis Pale no pain no blanch dry leathery surgery  Battle's sign Racoon eyes Halo sign bleeding from nose ears no no tubes monitor CSF leak ICP neuro vitals no blowing nose Airway Head elevation