Scenarios 1
Pt is a 69 y/o F, PMHx HTN, CABG, CHF, COPD, GERD, A&Ox4. Pt presents to ED with 10/10 abd pain to RUQ and 2 days of N/V. Pt NPO at the time. IV abx started at 10 ml/hr.
Patient is a 69 year old female, patient medical history of Hypertension, Coronary Artery Bypass Graft, Congestive Heart Failure, Chronic Obstructive Pulmonary Disorder, Gastroesophageal Reflux Disease, Alert & Oriented (person, place, time, and event). Patient presents to the emergency department with 10 out of 10 abdominal pain to right upper quadrant and two days of nausea and vomiting. Patient is nothing by mouth at this time. Intravenous antibiotics started at 10 millliters per hours
Pt. is a 27 y/o G4P3L2. Hx of GDM, Pre-E & HSV. 37 + 2. 2/70/-3. NS @125mL/hr. NPNC. Allergy to AMOX. AFI 13.4 DVP 4.3
Patient is a 27 year old female, pregnancy history of 4 pregnancies, 3 births, and two live children. History of gestational diabetes mellitus, pre-eclampsia, and herpes simplex virus. Effacement and station of the baby's position in the birth canal. Norma saline at 125 millliters per hour. No prenatal care. Allergic to amoxicillin. Amniotic fluid index is at 13.4 and deepest vertical amniotic fluid pocket at 4.3
Pt. is a 55 y/o M, PMHx SZ, HTN, VHD. A&Ox2. Pt presents to the ED with 6/10 abd pain LLQ with N/V. Pt p 116/min, BP 122/86 mmHG. Pt started on IV fl.
Patient is a 55 year old male, patient medical history of schizophrenia, hypertension, heart valve disease. Alert & Oriented times 2 (person & place). Patient presents to the emergency department with 6 out of 10 abdominal pain in the lower left quadrant with nausea and vomiting. Patients pulse is 116 beats per minute, blood pressure is 122 over 86 mmHG. Patient started on intravenous fluids.
Patient is a 78 year old male in the emergency department with 10 out of 10 abdominal pain to right lower quadrant and nausea and vomiting. Patient medical history of hypertension, chronic obstructive pulmonary disease, and congestive heart failure. Alert and oriented times four. No known allergies. Intravenous 20 gauge in right metacarpal veins. Intravenous antibiotics of Vancomycin. On 2 Liters nasal cannula
Pt is a 72 y/o M. PMHx of CABG, CHF, HTN, DM & SBO. A&Ox4, on RA. c/o RLQ pain with N/V/D x2 days. PT NPO/ Allergic to PCN. IV 20g RAC TKO. Admit to SD.
Patient is a 72 year old male. Patient medical history of Coronary Artery Bypass Graft, Congestive Heart Failure, Hypertension, Diabetes Mellitus, and Small Bowel Obstruction. Alert and oriented times 4 (person, place, time, event) on room air. Complains of right lower quadrant pain with nausea, vomiting, and diarrhea for two days. Patient is nothing by mouth. Allergic to penicillin. Intravenous 20 gauge in the right antecubital to keep open. Admit to step down
Patient is a 55 year old female. Patient medical history of hypertension, chronic kidney disease, and diabetes. Patient arrived with 10 out of 10 pain to lower left quadrant. Denies nausea, vomiting, and diarrhea. Patient is nothing by mouth. Oxygen saturation level at 86% on room air. Placed on 4 Liters of oxygen via nasal cannula. No known drug allergies.
Pt. is a 45 y/o M. PMHx of HTN, CHF, COPD, Afib. Presenting with 1d hx of SOB, palpitations, unilateral LE edema associated with erythema. Currently on 3L O2 SPO2 at 91% on RA.
Patient is a 45 year old male. Patient medical history of hypertension, congestive heart failure, chronic obstructive pulmonary disease, and atrial fibrillation. Presenting with 1 day history of shortness of breath, palpitations, unilateral lower extremity (leg) edema associated with erythema. Currently on 3 Liters of oxygen, oxygen saturation level at 91% on room air.