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Your patient is a 72-year-old male who is conscious but lethargic and sitting in a chair. His son ...

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Your patient is a 72-year-old male who is conscious but lethargic and sitting in a chair. His son ...

Your patient is a 72-year-old male who is conscious but lethargic and sitting in a chair. His son states that the patient has been a bit slow lately and has been gaining weight. The medical history includes hypothyroidism and myocardial infarction. The patient has been compliant with his Synthroid and has nitroglycerin for use as needed. The patient responds to verbal stimuli, is confused, has a large tongue, and pale, cold, doughy skin. His only complaint is constipation. HR = 60 and regular, BP = 112/80, RR = 10 and shallow, SaO2 = 92%, temperature = 88°F,blood glucose = 180 mg/dL. Your treatment of this patient should include:
A) infusion of 1 to 2 liters of warm normal saline.
B) atropine 0.5 mg IV.
C) rewarm with heat packs.
D) oxygen, 4 lpm by nasal cannula.

Textbook

Paramedic Care: Principles & Practice, Volume 3

Edition: 5^th

Authors: Bledsoe, Porter, Cherry

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