>48 y/o male patient with chest pain
> crushing pain 9/10
>BP 96/56
>HR 64
>RR 18
>allergic to aspirin
>currently taking atorvastatin, insulin, nitroglycerin, metoprolol, viagra, and acetaminophen
> he has hypertension, diabetes, and angina
>he was just cleaning around the
house when the pain started 15 minutes ago
What do?
Take him off the machines. I'm afraid he won't make it..
Why not?
We all die sometime. Sucks to die in pain. Guess he lived a life of excess and now is getting his card called.
Treatment? Why? Just call his family and the funeral home.
Call ambulance. Sounds like a heart attack is comming on.
Take him to the parking lot and curbstomp him. Dude is just gonna be a fucking drain. Besides, those are the symptoms of advanced ebolaids.
Sauce: I'm drunker than you, medfag.
Heparin, Clopidogrel, Nitroglycerin
Are they pokemons? I'm out of the loop.
he's having a heart attack
O2 non-rebreath 10 lpm
asa 160mg
nitro .4mg prn
check 12 lead ECG
start IV ACF rate TKVO
keep defib on standby
rapid transport to hospital
cancel the asa, goddamn allergies
If he has all that shit because he's unlucky, that sucks.
If he has all that shit because he's fat, how the fuck do you get that fat?
Shut up and Behold the new queen of Sup Forums
Lauren Southern
His bp is below 100
Put the old girl out of its misery
>bullet to the back of the head
Also bp below 100 no nitro
Fat Fuck problems, let it die!
What do?
Honestly this is why eugenics should be a thing. Society has no room for a drug burden like this...
Well good point but until we have that. What do?
12-lead then treat... all a bunch of country bumpkin medics out here...
why is he taking viagra when he has hypertension
This. Got to know what kind of rhythm we're dealing with before we can treat beyond what he's already on
She got that Forrest Whitaker eye goin
Chew up some baby aspirin and let's go to the hospital.
I don't know rhythms yet. This was one of my practicals to get into medic school
Allergic to aspirin
So he can fuck
Then just take his ass to the hospital. The problem we always have with ems is those fuckin retards trying to diagnose and treat all kinds of shit sitting on scene for 30 mins. Just fucking load him and go
You shouldn't take ED meds with nitro. Also, a BP below 60 constitutes no administration of Nitro. Just go to the hospital before your cardiac cells die and never come back RIP
>queen
>anyone other than boxy
you are a special kind of retard aren't you.
you can get cardiac cells back with stem cells.
but we can't use those because they're controversial
why is he hypotensive?
Heart attack
Pretty good, but what about morphine?
take the patient off metoprolol and viagra, that should allow his blood pressure to return to normal.
after the hospital stint, instruct the patient to reduce his cholesterol levels.
>viagra
Very low blood pressure.
If you have anything that elevates BP I would suggest administering but not without doc and patient consent.
You have to act now!
Um I'm trying for paramedic so i cant tell him shit
This.
Also we can't take him off the metropolol. You take these twice a day 3-7 hour half life.
We need to give him a high dose of atropine or something that similarly acts on M2 cholinergic receptors.
But he's old and we need a pharmacist or something.
Call 911 or whatever emergency service
They should technically rush if you say "I think he is having a heart attack"
Explain in detail his medical history and his stupid fucking idiotic idea of mixing sildenafil with nitroglycerin
Also he doesn't have hypertension if his bp and hr are like that
At the hospital they must perform a full blood test with another EKG (the first will be done by paramedics) also insist that they take him to hospital as some paramedics decide it's not dangerous
You have to insist
Anyway back to hospital they will check his urine and blood and EKG and a physical
If he is worse they will treat him accordingly if not they will say "oh false alarm go home"
He should not be mixing two of the drugs you mentioned
And he should stay in the hospital for observation and might have hemolytic anaemia later at home from the meds
Insist he stays there for at least 2 days.
It's not a heart attack but play it as such and call 911
Now
As in now faggot
He's a fat fuck dying from gluttony, go the sex store and get some Poppers(Amyl Nitrate) put a face towel in the microwave for 2 minutes, pour the poppers on the towel and put over his face.