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Nix4Pres Nix4Pres
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8 years ago
You have responded to a home on a "chest pain" call. A woman answers the door and states that her husband, a terminal cancer patient, is experiencing chest pain and dyspnea. She says quietly that he only has a "little while left" and she wants him to be comfortable. Your assessment reveals a 66-year-old man in unstable V-tach. He is somewhat coherent and is adamant about not going to the hospital to die. What is your best course of action?
A) Explain to the woman that if she wants him to die at home not to call 911 and just let nature take its course.
B) This is a lethal rhythm and requires immediate ACLS. No directives have been produced. Be tactful but treat this patient like any other.
C) Call medical control and ask for advice.
D) Try and convert this rhythm and see what happens. If you can get him back into a perfusing normal sinus rhythm, he can sign a release.
Textbook 
Essentials of Paramedic Care Update

Essentials of Paramedic Care Update


Edition: 2nd
Authors:
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feijoafeijoa
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8 years ago
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Nix4Pres Author
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#2
8 years ago
Thanks so much!
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#3
8 years ago
I'll do my best to answer the others now, see you around
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