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S: 2nd and 3rd choices
O: 1st and 1st choices
A: 4th choice
P: 4th and 1st shot
Examination room
-Magnifying glass on left and right cheeks and eyes, left and right forearms and chin/neck
-Stethoscope on chest
-Tongue depressor in mouth
Treatment
-Med syringe on upper arm (1st)
-PO meds in mouth (2nd)
-Discharge
-Hospital orders
-Patient rechecked; normalizing
Patient 090
Case: Breathing trouble
S.O.A.P. Questions
S: 1st and 3rd choices
O: 3rd and 1st choices
A: 4th choice
P: 1st and 3rd choices
Examination room
-Sphygmomanometer on upper arm
-EKG and stethoscope on heart
-Respirometer and tongue depressor in mouth
-Magnifying glass on left and right cheeks, left and right eyes, mouth, chest and chin/neck
-Stethoscope on chest
Laboratory
-Blood gas test oxygen/carbon dioxide on wrist
Treatment
-IV on forearm (1st)
-Oxygen mask on mouth (2nd)
-IV med on forearm (3rd)
-Aero med in mouth (4th)
-Call in allergist to continue care and admit
-Hospital orders
-Patient under constant monitoring
Patient 091
Case: Patient unconcious, rash
S.O.A.P. Questions
S: 4th and 1st choices
O: 3rd and 4th choices
A: 1st choice
P: 1st and 3rd choices
Examination room
-Sphygmomanometer on upper arm
-EKG and stethoscope on heart
-Penlight on left and right eyes
-Magnifying glass on left and right cheeks, left and right eyes and mouth
-Stethoscope on chest
-Tongue depressor and respirometer in mouth
Laboratory
-Blood gas test oxygen/carbon dioxide on wrist
Treatment
-ET tube (1st) and ambu bag (2nd) in mouth
-IV on forearm (3rd)
-Aero med in mouth (4th)
-IV med on forearm (5th)
-Call in allergist to continue care and admit
Patient 092
Case: Burned mouth from hot food
S.O.A.P. Questions
S: 1st and 1st choices
O: 1st and 2nd choices
A: 2nd choice
P: 1st and 4th choices
Examination room
-Magnifying glass and tongue depressor on mouth
Treatment
-IV (1st) and IV med (2nd) on forearm
-Transfer to burn unit
-Hospital orders
-Patient monitored for oral swelling
-Mouth rinsed with cool water
Patient 093
Case: Hurts to breathe
S.O.A.P. Questions
S: 4th and 4th choices
O: 3rd and 3rd choices
A: 1st choice
P: 4th and 1st choices
Examination room
-Stethoscope on chest and heart
-Sphygmomanometer on upper arm
-Thermometer and tongue depressor in mouth
Imaging room
-X-ray chest
Treatment
-Med syringe (1st), gel (2nd) and bandage (3rd) on chest
-Discharge
-Hospital orders
-Patient rechecked
Patient 094
Case: Gunshot wound to head (YEE-OWCH!)
S.O.A.P. Questions
S: 4th and 4th choices
O: 4th and 4th choices
A: 2nd choice
P: 1st and 4th choices
Examination room
-Magnifying glass on forehead and nose
-Glove on forehead
-Othoscope on left ear
-Penlight on right eye
-Sphygmomanometer on upper arm
-Stethoscope on heart
-Respirometer and tongue depressor in mouth
Treatment
-Cervical collar on chin/neck (1st)
-IV (2nd) and IV med (3rd) on forearm
-Tongue guard in mouth (4th)
-Transfer to trauma unit
Patient 095
Case: Toothache, can't eat
S.O.A.P. Questions
S: 2nd and 3rd choices
O: 1st and 2nd choices
A: 2nd choice
P: 1st and 3rd choices
Examination room
-Magnifying glass, glove, thermometer and tongue depressor in mouth
-Glove on chin/neck
-Stethoscope on heart
Laboratory
-Blood test complete blood count and glucose on elbow
Treatment
-IV (1st) and IV med (2nd) on forearm
-PO meds in mouth (3rd)
-Call in internist to continue care and admit
-Hospital orders
-Patient advised of elevated glucose, possible diabetes mellitis
-Patient advised of need for dental repair or extraction
Patient 096
Case: Horse stepped on forearm
S.O.A.P. Questions
S: 3rd and 1st choices
O: 2nd and 3rd choices
A: 1st choice
P: 4th and 3rd choices
Examination room
-Magnifying glass and glove on left forearm
-Glove on left wrist
-Stethoscope on heart
-Respirometer in mouth
-Sphygmomanometer on upper arm
Imaging room
-X-ray left forearm
Laboratory
-Blood test complete blood count and type and cross on elbow
-Urine test microbiology, microchemistry and microcytology on pelvis
Treatment
-Sponge (1st), bandage (2nd) and compress (3rd) on left forearm
-IV (4th) and IV med (5th) on forearm
-Call in orthopedic surgeon to continue care and admit
-Hospital orders
-Area elevated
-Area immobilized
-Neurovascularity intact
-Patient advised to take nothing by mouth
Patient 097
Case: Twisted knee
S.O.A.P. Questions
S: 2nd and 3rd choices
O: 1st and 2nd choices
A: 2nd choice
P: 4th and 1st choices
Examination room
-Magnifying glass and glove on left knee
Imaging room
-X-ray left knee
Treatment
-Compress (1st), med syringe (2nd) and splint (3rd) on left knee
-Discharge
-Hospital orders
-Area elevated
-Area immobilized
-Crutches issued
Patient 098
Case: Drowned while surfing
S.O.A.P. Questions
S: 1st and 3rd choices
O: 4th and 1st choices
A: 2nd choice
P: 2nd and 4th unit
Examination room
-Magnifying glass and tongue depressor in mouth
-Stethoscope and EKG on heart
-Pulsometer on left and right hands
Treatment
-EKG on heart (1st)
-ET tube (2nd) and ambu bag (3rd) to mouth
-IV on forearm (4th)
-Aero med in mouth (5th)
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- Emergency Room 2 FAQ by System on 09/03/2006, 09:50






