You get dispatched to a 95 y/o Male, c/o can't stop shaking. On arrival you see a male laying in his bed AOx4 GCS15 states that he feels fine and he doesn't want to go to the hospital .The pt's CNA states that he started shaking two hours ago and couldn't stop shaking since then . As you try to put a BP cuff on him,he vomits right in front of you.
BP-160/90,Pulse-64 regular and strong,Resp-14 regular and normal,BGL-80,Sat-96,end tidal 40,Temp-99.6,eyes PERL
After a physical exam was performed CVA was ruled out. Pt has a history of A-fib ,ESRD,Hypertension, he takes Lasix ,Digoxin , and Betta blockers. 12 Lead revealed a normal sinus and no ST elevation.
Your thoughts????
BP-160/90,Pulse-64 regular and strong,Resp-14 regular and normal,BGL-80,Sat-96,end tidal 40,Temp-99.6,eyes PERL
After a physical exam was performed CVA was ruled out. Pt has a history of A-fib ,ESRD,Hypertension, he takes Lasix ,Digoxin , and Betta blockers. 12 Lead revealed a normal sinus and no ST elevation.
Your thoughts????