You have a call.... try this one

[Airwaygoddess]

Could be possible sepsis based on the pt's general impression and past medical hx. Care would be NRB mask @ 15lpm, with continuous pulse ox. Place pt into shock position if pt. can tolerate this. Frequent V.S. B.P. checks in both arms for and call for a ALS intercept STAT!

 

[Nycxice13]

If the patients breathing rate is 18 above normal, wouldnt you use a BVM?

 

[MeaganIV]

No BVM unless Pts ventilations are under 10 or above 30 or Pt is unconscious and will accept an OPA.

18 is with in the 12-20. You can always see if he will accept vents but more then likely he will reject it. Apply NRB @ 15lpm.

 

[Nycxice13]

in the scenario, the rate was 38 and labored.

 

[MeaganIV]

Oh yeah, your last post said 18. My bad.

Then see if he'll accept it...


In my experience they haven't but you never know. If not then coach his breathing, try to get him to calm down...

 

[MeaganIV]

IV, NS, TKVO due to lung sounds, if no crackles on ausculation then i would administer a bolus 20ml/kg but c'est la vie. Transport trendelalenburg , 02 via BVM @ 15lpm if Pt accepts it, if not NRB @ 15lpm. Treat my shock.

I'm thinking Pulmonary edema due to left sided CHF... Renal failure is a possibility

 

[MeaganIV]

*treat for shock

 

[trauma1534]

It was septic shock

 

[grammarose]

I think i would see if I can't have dispatch tone for ALS and get them in route. This guy sounds septic but also is very ill. I would probably assist him in his breathing, since it is fast and shallow and 32. Get him on the stretcher and move meeting ALS on the way.