
Cardiovascular System I. Objectives. Present the clinical features and emergency management of cardiovascular disorders, including: Recognize congenital and acquired heart disease. Outline management of ductal dependent lesions. Identify patients with myocarditis.
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PAT:
Vital signs:
A: No evidence of obstruction
B: Elevated RR and labored
C: Pale, diaphoretic, tachycardia, weak pulse, cyanosis
D: GCS grossly normal but in distress and inconsolable
E: No signs of head injury, fractures, or bruising
What is your general impression of this patient?
What are your initial management priorities?
HR RR BP (systolic)
Newborn 90-180 40-60 60-90
1 month 110-180 30-50 70-104
3 months 110-180 30-45 70-104
6 months 110-180 25-35 72-110
1 year 80-160 20-30 72-110
2 years 80-140 20-28 74-110
4 years 80-120 20-26 78-112
6 years 75-115 18-24 82-115
8 years 70-110 18-22 86-118
10 years 70-110 16-20 90-121
12 years 60-110 16-20 90-126
14 years 60-110 16-20 92-130
PAT:
Vital signs:
A: Patent
B: Intermittently shallow and deep; rapid respiratory rate
C: Pale; pulse rapid, thready, and weak
D: No focal deficits, GCS 15
E: No signs of injury
O: Chest hurts for several days.
P: Provoked by cough and exertion; short of breath whenever he gets up and walks
Q: Burning, pressure
R: Substernal, some radiation to shoulders
S: 3 to 8 out of 10
T: Pressure and SOB last almost all day, exacerbations with exertion last 15 to 30 min.
What is your general impression of this patient?
What are your initial management priorities?