Public Safety Training Facility
Monroe Community College
Rochester, New York
MCC Paramedic Program Case of the Month 06/99
Click strip if you're not at all concerned.
The patient is an 52yo male found in the care of BLS. He is complaining of fatigue and palpatations that began this morning while taking a shower.
His VS are: P-68 and irreg., BP- 134/86, Resp-20 and normal Skin color- pink, Pulse Saturation 98% on room air.
The past history includes an MI 4 years ago with "some damage to my heart" and DM type II.
HEENT: EYES: = and reactive to light, Ears: unremarkable Nose: unremarkable Throat: no JVD
Chest: Clear to auscultation bilaterally
ABD: Soft, nontender
EXTREM: = pulses, mae well, no edema
Based on the available data, Choose the correct items: (there are 3 correct answers)
This patient is stable and can safely be transported by the BLS crew alone
This patient may have excessive cardiac slowing due to several medications
This is malignant ventricular activity
The base rhythm is WAP
This is uniform ventricular ectopic activity
ECG Beats 2 and 5 & 6 could be described as premature junctional contractions
This is likely to be parasystole
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Updated: May 21, 1999