Discussion: Thorax/Lungs and Cardiovascular

Read and choose one (1) scenario below to respond to. The title of your post should the Scenario number (for example, Scenario #1)
Scenario #1 – Thorax and Lungs:You
are working in the Emergency Room on the 7:00 am-7:00 pm shift. Upon
arrival, a 27-year-old African-American male walked up to you holding
his chest, and states: “I can’t breathe, help me”. His diaphoretic, skin
is warm and moist. Respiratory rate is 28 even and slightly labored,
heart rate 112 even and regular. Blood pressure is 134/86. Lung sounds
have bilateral wheezes. His last meal was breakfast 30 minutes ago at
McDonald’s
Based on his presenting signs, what other questions would you elicit?
How would you demonstrate knowledge of cultural sensitivity/humility in approach to this patient?
What would you assess?
What could be the problem?
Scenario #2 – Cardiovascular:Mrs.
B, a 62-year-old Asia female, is admitted to the telemetry floor with
chest pain unrelieved by rest. She owns her own restaurant and has been
working overtime since they are short staffed. Her vital signs are as
follow: Temperature 98.8F, Pulse 88 even/irregular, Respiration 22
even/unlabored, Blood Pressure 140/92. She has a history of High blood
pressure and states “I ran out of my blood pressure medicine”.
Based on her presenting signs, what other questions would you elicit?
How would you demonstrate knowledge of cultural sensitivity/humility in approach to this patient?
What would you assess?
What could be the problem?