Practice Scenarios“Always consider the company it keeps” - Dr. Thomas Garcia
Practice Scenario 1• You respond to an 87 year-old female who states that she awoke with “a fast heart rate”.• She states that she has had this condition for over 50 years, and denies any pain or dyspnea.• She has had heart surgery in the past.
Practice Scenario 1• No abnormal physical exam findings• BP: 156/74• HR: 124 irregularly irregular• O2 Sat:96% on room air
Practice Scenario 1
Practice Scenario 2• You respond to a 51 year-old female who reportedly became unconscious and slumped over in a chair.• Family states that she has been unconscious for 5 minutes.• She has a history of hypertension and takes Xanax and hydrochlorothiazide.
Practice Scenario 2• She is flushed and diaphoretic• She is awake but disoriented• BP: 180/120• HR: 110 Regular• Respirations: 16• O2 Sat: 95%
Practice Scenario 2
Practice Scenario 3• You respond to a 94 year-old female in a nursing home.• She had a syncopal episode per the LPN, and is currently complaining of unlocalized pain.
Practice Scenario 3• She is pale but dry• BP: 142/57• HR: 88• Respirations: 24• O2 Sat: 88% on High-flow O2