1. What is syncope?
2. Identify potential causes of syncope?
3. Why are the elderly at an increased risk for having syncopal episodes?
– Level of consciousness -Responsive
– Chief complaint – Passing out
– Airway Open
– Breathing – 16 breaths/min
– Symmetrical rise and fall of the chest
– Circulation Radial pulses equal and weak at 60 beats/min
– Cool, pale, and diaphoretic
– No major bleeding
– Treatment:
– Oxygen via nonrebreathing mask at 15 L/min
– VS: Blood pressure?90/56 mm Hg, Pulse?60 beats/min, Respirations?16 breaths/min, SaO2?94% on room air, Blood glucose?71 mg/dL
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SAMPLE
S? Passed out while trying to have a bowel movement
A?Cephalexin
M?Aspirin; Toprol XL; hydrochlorothiazide (HCTZ)
P??Kidney troubles?; hypertension
L?7 hours ago
E? Having a bowel movement. The patient had recently been impacted and is trying to resolve problems with constipation.
OPQRST
O?Trying to have a bowel movement
P?Not applicable
Q?Not applicable
R?Not applicable
S?Not applicable
T?Approximately 12 minutes total
4. What are your treatment priorities at this point?
5. What potential causes of syncope should you focus on?
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