CASESTUDY#2
Scena
rio
:
Youareco mple
tin
ga nini
ti
alassessment
onMr.Ed wards
,a62y earol
dma lewit
ha
hi
stor
yofh eadacheswhovisi
tstheloc
al
medic
alc l
ini
c.Youfindtha
tMr .Edwar
d's
vi
tals
ignsa r
es t
able,
h i
seyeso p
e n
spon
taneo us
lyandhisbil
ater
alhandand
l
egstrengtharenormalandequal.Hei
s
,ori
entedtime s3a ndhe
st
atestha thiscurr
ent
pai
nis6/ 10.Wh ena s
ked
abouthowl ongh ehas
beenh avi
n gthe
headache, hestat
es"it
hasbeeno f
fa ndonfor
sever
a lmo nths"
.He
st
atestha t
sometimesh e
experi
ence ssome
nausea,withn ovomiti
ng.
OnPE RRL Aa sses
sme nt
th
eRPN
,noti
ce sthathi
sr ighteyeis3+ ,whereashis
l
e f
tis5a ndn onr eact
ive.Asy ouc a
rryon
withthea s
s e
ss me nt
,Mr.E dwardsa ppear
s
tobes tar
inga tthewa l
landa llofasu d
den
hislegsanda rmsb egintojerk.Hei s
nonresponsived uri
ngthisep i
sode;you
recognizethi
st ob eaclonictonicseizur
e.
Thes eiz
u r
elas ts45seco n
d s.Vita
lsigns
atthisti
mea re :T-36.59Sb pmR
, -
26/
min02sat
ura
tio
n95%o
n
r
oomai
r.BI
P130/80
SI
TUATI
ON
-Himyn ameis
__
___
____
____
___,I
’mc
all
in
gfr
om
__
___
____
____
____
-I’
mc al
li
ngabout
__
___
____
____
____
_
BACKGROUND
Scena
rio
:
Youareco mple
tin
ga nini
ti
alassessment
onMr.Ed wards
,a62y earol
dma lewit
ha
hi
stor
yofh eadacheswhovisi
tstheloc
al
medic
alc l
ini
c.Youfindtha
tMr .Edwar
d's
vi
tals
ignsa r
es t
able,
h i
seyeso p
e n
spon
taneo us
lyandhisbil
ater
alhandand
l
egstrengtharenormalandequal.Hei
s
,ori
entedtime s3a ndhe
st
atestha thiscurr
ent
pai
nis6/ 10.Wh ena s
ked
abouthowl ongh ehas
beenh avi
n gthe
headache, hestat
es"it
hasbeeno f
fa ndonfor
sever
a lmo nths"
.He
st
atestha t
sometimesh e
experi
ence ssome
nausea,withn ovomiti
ng.
OnPE RRL Aa sses
sme nt
th
eRPN
,noti
ce sthathi
sr ighteyeis3+ ,whereashis
l
e f
tis5a ndn onr eact
ive.Asy ouc a
rryon
withthea s
s e
ss me nt
,Mr.E dwardsa ppear
s
tobes tar
inga tthewa l
landa llofasu d
den
hislegsanda rmsb egintojerk.Hei s
nonresponsived uri
ngthisep i
sode;you
recognizethi
st ob eaclonictonicseizur
e.
Thes eiz
u r
elas ts45seco n
d s.Vita
lsigns
atthisti
mea re :T-36.59Sb pmR
, -
26/
min02sat
ura
tio
n95%o
n
r
oomai
r.BI
P130/80
SI
TUATI
ON
-Himyn ameis
__
___
____
____
___,I
’mc
all
in
gfr
om
__
___
____
____
____
-I’
mc al
li
ngabout
__
___
____
____
____
_
BACKGROUND
