The AG-ACNP is seeing a 70-year-old female patient with a si…

The AG-ACNP is seeing a 70-year-old female patient with a significant history of COPD and 3 months status post right total knee replacement who woke up this morning with severe dyspnea. The chest x-ray was inconclusive of pertinent findings, therefore a CT of the chest was completed. The CT angiogram of the chest was positive for a pulmonary embolism in the right upper lobe. Two hours later the patient’s vital signs changed and she is now tachycardic to 130s, blood pressure 64/48, respiratory rate 30, SaO2 80%. The AG-ACNP identifies this type of shock as:

A 24-year-old female presents to the ED with a complaint of,…

A 24-year-old female presents to the ED with a complaint of, “My heart is pounding out of my chest and I’ve been short of breath for 4 hours.” She has had similar episodes, but all have spontaneously stopped. She is in good health and takes no medications. Her blood pressure is 120/80 mmHg and pulse too rapid to count. Her rhythm is shown in the following ECG. ECG2.jpg What is the most appropriate immediate management for this patient?

The AG-ACNP is seeing a patient who is initiating breaths on…

The AG-ACNP is seeing a patient who is initiating breaths on SIMV. The SpO2 is 98% on 40% fraction of inspired oxygen. The AG-ACNP notices that the patient’s spontaneous tidal volumes are 130 mL per breath, and the patient is getting mildly tachycardic and is complaining of fatigue. Respiratory muscle fatigue can best be reduced by:

A 59-year-old male presents with complaints of chest tightne…

A 59-year-old male presents with complaints of chest tightness and shortness of breath. He has a medical history of CAD, hypertension, and hyperlipidemia. Family history is positive for CAD, hypertension, hyperlipidemia, and asthma. His vital signs are: heart rate 110, blood pressure 189/106, respiratory rate 28, and SpO2 96%. On exam the AG-ACNP appreciates bilateral expiratory wheezes, but no rubs, gallops, or murmurs. Capillary refill time is less than 3 seconds. Which medication should be avoided until asthma has been ruled out?

A 65-year-old female is admitted with complaints of shortnes…

A 65-year-old female is admitted with complaints of shortness of breath. Shortly after, she requires emergency intubation secondary to hypoxia. Her initial blood pressure was 220/140 mmHg. Chest x-ray shows pulmonary edema. A bedside echocardiogram shows preserved left ventricular (LV) systolic function with hyperdynamic LV. You make a diagnosis of hypertensive emergency with flash pulmonary edema.  How do you treat the condition?