• Scene – EKG, vitals, O2
• En route – Vitals, TT
• Hospital – unk
• Response to treatment – O2 sats improved
• Disposition – unknown
• Elliot Williams, Paramedic Woodburn Ambulance
Editors:
• David M. Spiro, MD, MPH Professor of Pediatrics University of Arkansas Medical Center
• Shortness of breath
• CHF – chronic vs. exacerbation
• COPD exacerbation (may explain dyspnea)
• Pericarditis
• Medication non-compliance
• Myocardial infarction
• Pneumonia
• Aortic aneurysm
• Musculoskeletal pain
• Arthritis
• Pulmonary embolus
• Pneumothorax
• Patient states – That she feels SOB she has to take a deep breath and then has to take another deep breath. Her feet have been swollen for about two weeks; she did not want to go to hospital, but was willing to let us do what we needed to.
• Caregiver states – Pt has a POLST/DNR form for comfort measures only and pt only wanted some oxygen today
• Physical findings – Pedal edema, slightly diminished lung sounds
• EKG – SR
• CGS – 15
Noted the pitting edema on exam. Understanding baseline exam findings such as pitting edema of the legs from the patient or facility may be helpful in determining etiology.
-David M. Spiro, MD, MPH Professor of Pediatrics, University of Arkansas Medical Center
Heart failure
Shortness of breath
Dyspnea
• Gender: Female
• Age: 84 years
• Height: Not Available
• Weight: Not Available
• Temperature: 98.6 F/ 37 C
• Blood Pressure: 172/54
• Heart Rate: 60
• Respiratory Rate: 16
• Pulse Oximetry: 92% RA
Shortness of breath
• HTN, CVA, CHF, kidney disease
• Allergies: PCN, Oxycodone
• Dispatch info: Difficulty breathing
• Lives in a care facility Medications
• Lasix, levothyroxine, lisinopril, magnesium, metoprolol, Tylenol, Zetia
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