Discussion: Thorax/Lungs and Cardiovascular

Read and choose one (1) scenario below to respond to. The title of your post should the Scenario number (for example, Scenario #1)
Scenario #1 – Thorax and Lungs:You are working in the Emergency Room on the 7:00 am-7:00 pm shift. Upon arrival, a 27-year-old African-American male walked up to you holding his chest, and states: “I can’t breathe, help me”. His diaphoretic, skin is warm and moist. Respiratory rate is 28 even and slightly labored, heart rate 112 even and regular. Blood pressure is 134/86. Lung sounds have bilateral wheezes. His last meal was breakfast 30 minutes ago at McDonald’s
Based on his presenting signs, what other questions would you elicit?
How would you demonstrate knowledge of cultural sensitivity/humility in approach to this patient?
What would you assess?
What could be the problem?
Scenario #2 – Cardiovascular:Mrs. B, a 62-year-old Asia female, is admitted to the telemetry floor with chest pain unrelieved by rest. She owns her own restaurant and has been working overtime since they are short staffed. Her vital signs are as follow: Temperature 98.8F, Pulse 88 even/irregular, Respiration 22 even/unlabored, Blood Pressure 140/92. She has a history of High blood pressure and states “I ran out of my blood pressure medicine”.
Based on her presenting signs, what other questions would you elicit?
How would you demonstrate knowledge of cultural sensitivity/humility in approach to this patient?
What would you assess?
What could be the problem?