brock8024 Posted January 10, 2008 Author Posted January 10, 2008 Lung sounds? BP? JVD? Pedal Edema? Recent injuries and physical strains? Does pain increase on respiration? O2 by NC, try to get a sat over 95%. Does it help? 162 ASA. IV w/ Hep-lock Lungs CTA bilat, Little demished in bases. BP- 180/92. No JVD, No edema noted. No other injuries or strains. Pain does increase with deep breathing. Oxygen works and your up to 97%. IV after 3 attempts. ASA given.
ccmedoc Posted January 10, 2008 Posted January 10, 2008 does the pain change in quality or intensity on moving to different positions?..if so, does leaning forward decrease or increase pain..Laying down increase decrease pain.. How long ago were the stents and how long has the abcess been there?? Need a guess?? I'll wait for more assessment...
AnthonyM83 Posted January 10, 2008 Posted January 10, 2008 Examine the mouth for the abscess. Blurry Vision? Tinnitus? Headache? Equal Grips? To be thorough. Is she ambulatory? Is she otherwise functional? Any recent strenuous physical activity? Coughing fits? Smoker? Immobile/in-bed for longer than usual?
brock8024 Posted January 10, 2008 Author Posted January 10, 2008 does the pain change in quality or intensity on moving to different positions?..if so, does leaning forward decrease or increase pain..Laying down increase decrease pain.. How long ago were the stents and how long has the abcess been there?? Need a guess?? I'll wait for more assessment... She wants to sit semi-fowlers. Stent was placed about 5 months ago and abcess for about 3 days.
ccmedoc Posted January 10, 2008 Posted January 10, 2008 does the pain quality change with position change????
brock8024 Posted January 10, 2008 Author Posted January 10, 2008 Examine the mouth for the abscess. Blurry Vision? Tinnitus? Headache? Equal Grips? To be thorough. Is she ambulatory? Is she otherwise functional? Any recent strenuous physical activity? Coughing fits? Smoker? Immobile/in-bed for longer than usual? You not that there is swelling in the jaw. She was able to walk to cot. No blurred vision,no headache, no tinnitus. Equal grips, no recent surgerys, non smoker, been walking normal. she was asleep with this woke her up.
brock8024 Posted January 10, 2008 Author Posted January 10, 2008 does the pain quality change with position change???? No change in pain with position change.
ccmedoc Posted January 10, 2008 Posted January 10, 2008 MI, costochondritis or pericarditis for a starting differential..I'd like to see an ekg tho... :wink:
brock8024 Posted January 10, 2008 Author Posted January 10, 2008 MI, costochondritis or pericarditis for a starting differential..I'd like to see an ekg tho... :wink: Ok you get her to the ER and the EKG is sinus tach at 118.
ccmedoc Posted January 10, 2008 Posted January 10, 2008 during transport did you get her meds and allergies?
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