78-year-old man with atrial fibrillation has breathing trouble
Heard on:
Fulton OH LCMED 6 FLO (Hospital) Group Calls
02:03
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an official report and may change.
00:00
Mommy, heading 94, Flower Hospital.
00:03
This is Flower ER.
00:06
We're at your facility with a probably 10 or 12 minute ETA with a 78-year-old gentleman with a history of CHF, diabetes, atrial fibrillation.
00:22
He's on a home O2.
00:25
He was at your facility.
00:27
On the 4th of September, and was discharged after the same complaint.
00:32
He complained of difficulty breathing this morning.
00:35
He was discharged with some Xanax and talking to him.
00:38
It sounded like he had a very small supply and has since run out.
00:42
So his complaint today was difficulty breathing.
00:45
His wife was complaining that he pulls his home O two off and that he goes to the hospital frequently and they discharge him with no new diagnosis.
00:56
We found him alert and oriented, a little anxious.
00:59
His heart rate varied from the nineties to the 110s.
01:02
He has atrial fibrillation.
01:05
Pulse ox was 100%.
01:07
They had the home O2 running at seven liters.
01:09
He's running 97 at four liters.
01:12
Blood pressure 130 over 80.
01:14
Non-diagnostic 12-lead.
01:16
Does say he's compliant with his meds, which includes aspirin and eliquis.
01:22
As we got him to the rig, he complained.
01:23
Complained a little bit of chest pain, and he complains that he has some belly bloating and that seems to be affecting his breathing.
01:34
He's resting relatively comfortably.
01:35
We have an IV established, and like I said, we'll see in about 10 min .
01:39
Any further questions or orders at this time?
01:43
Just to confirm, the patient's chief complaint is difficulty breathing.
01:48
Yes, his chief complaint is difficulty breathing.
01:51
His rest. Story rate is about twenty-two,
01:55
non-labored.
01:57
All right, I think for the room on arrival, fire there.
02:01
Room on arrival, thank you.
Medical Emergency
