You are called for a 32-year-old patient who is feeling dizz…
You are called for a 32-year-old patient who is feeling dizzy and nauseated. Upon your arrival, the patient is sitting upright in a chair and appears ill and in pain. She is AOx4, GCS 15. Airway is patent and respirations of slightly rapid. Peripheral pulses are absent, carotid pulses are fast and weak; skin is pale and clammy. The patient states that she started feeling ill and experiencing abdominal pain approximately 30 minutes ago and these symptoms have steadily worsened. She reports a history of Addison’s disease for which she takes Solu-Cortef. The patient’s vital signs are: HR – 118, BP – 94/46, RR – 20, SPO2 – 94% on room air. The patient’s ETCO2 is 36 with normal waveform. EKG is shown below. Blood glucose level is 72 mg/dL. What is the most appropriate treatment plan for this patient?