URI
Forum Crew Member
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Hi guys,
Im new to the forums, and fairly new to EMS as well so please bear with me if my questions seem a little elementary, but this is how we learn.
Anyway I'm still a basic but I have only the NREMT- P practical before I'm a medic. I volunteer for a local FD where we only serve 6k people in a rural area so don't we respond to that many calls.
I was on a call the other night where my rescue lieutenant needed man power so I told him I would meet him on scene with my pov.
6-8 min. into pt. care I arrive on scene to find them already loaded up in the ambulance.
It's a 31 y/o black female c/o shortness of breath. My Lt. who is a intermediate already had her on a NBR 15 lpm.
Pt. A&Ox3, speaking 5-7 words sentences but with mild distress, no audible wheezes, lungs sounds clear, maybe some slight rhonchi at the bases. Skin: (nail beds) seemed pink, warm, and dry. tears from distress.
She has a dry cough
VITALS: hr.88, b/p 160/92, RR 24 labored on expiration.
A: NKDA
M: Albuterol - for asthma sense she was 12
Erythromycin- for a recent upper respiratory infection 2 wks. prior.
And some form of contraceptive.
she has been a febrile, however has difficulty breathing for the past 5 weeks but got worse tonight.
Never had to be hospitalized or intubated in the past.
She reports she took her prescribed albuterol but quickly developed chest pain and her breathing became even more labored.
My question: My Lt. wanted to know my thoughts on this pt. and what would be my tx. I was considering doing a duel neb. my initial thought process was her condition was due to the changes in weather, and this was a typical asthma attack. But then second guessed myself due to her hx. of her upper respiratory infection. With the above mentioned, about her prescribed Albutrol making it condition worse, would a duel neb. cause more harm?
We decided she was in fairly stable condition with the NRB, but again this is for educational purposes so please bear with me.
Im new to the forums, and fairly new to EMS as well so please bear with me if my questions seem a little elementary, but this is how we learn.
Anyway I'm still a basic but I have only the NREMT- P practical before I'm a medic. I volunteer for a local FD where we only serve 6k people in a rural area so don't we respond to that many calls.
I was on a call the other night where my rescue lieutenant needed man power so I told him I would meet him on scene with my pov.
6-8 min. into pt. care I arrive on scene to find them already loaded up in the ambulance.
It's a 31 y/o black female c/o shortness of breath. My Lt. who is a intermediate already had her on a NBR 15 lpm.
Pt. A&Ox3, speaking 5-7 words sentences but with mild distress, no audible wheezes, lungs sounds clear, maybe some slight rhonchi at the bases. Skin: (nail beds) seemed pink, warm, and dry. tears from distress.
She has a dry cough
VITALS: hr.88, b/p 160/92, RR 24 labored on expiration.
A: NKDA
M: Albuterol - for asthma sense she was 12
Erythromycin- for a recent upper respiratory infection 2 wks. prior.
And some form of contraceptive.
she has been a febrile, however has difficulty breathing for the past 5 weeks but got worse tonight.
Never had to be hospitalized or intubated in the past.
She reports she took her prescribed albuterol but quickly developed chest pain and her breathing became even more labored.
My question: My Lt. wanted to know my thoughts on this pt. and what would be my tx. I was considering doing a duel neb. my initial thought process was her condition was due to the changes in weather, and this was a typical asthma attack. But then second guessed myself due to her hx. of her upper respiratory infection. With the above mentioned, about her prescribed Albutrol making it condition worse, would a duel neb. cause more harm?
We decided she was in fairly stable condition with the NRB, but again this is for educational purposes so please bear with me.