Scenario: You receive the following patient while working in the… Scenario:You receive t

Scenario: You receive the following patient while working in the… Scenario:You receive the following patient while working in the emergency department. A 79 year old obese male arrives with the paramedics with a chief complaint of “feeling short of breath” accompanied by his daughter who is his primary care giver.  The patient’s respiratory rate is 36 per minute and oxygen saturation was 87% on room air. High flow oxygen was started by the paramedics. The patient’s blood pressure is 94/56 with a heart rate of 164 beats per minute and irregular with history of atrial fibrillation. The patient smokes every day and has history of diabetes, COPD and hypertension. The daughter tells you her father is more tired in the evenings and seems to struggle with catching his breath. Over the last couple of days, he has been sleeping an easy chair, with several pillows to support him in an upright position. On initial examination, he is sitting completely upright in bed, displaying some shortness of breath with talking, tachypnea, very pale and his ankles are edematous. Part of your objective assessment is to complete auscultation of heart sounds. What is the best position when auscultating the precordium and identify the steps in a systematic auscultation of the heart. (Marks 8 marks) Health Science Science Nursing NURSING CNC110 Share QuestionEmailCopy link Comments (0)

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