ESI Levels Competency Set 50 Questions with 100% Correct Answers | Verified | Latest Update And Verified
I think I picked up a bug overseas," reports a 34-year-old male who presented in the emergency department complaining of frequent watery stools and abdominal cramping. "I think I am getting dehydrated." T 98°F, RR 22, HR 112, BP 120/80, SpO2 100%. Pain 6/10. - ️️ESI level 3: Two or more resources. From the patient's history, he will require labs and IV fluid replacement—two resources. When asked why she came to the emergency department, the 18-year-old college student begins to cry. She tells the triage nurse that she was sexually assaulted last night at an off-campus party. - ️️ESI level 3: Two or more resources. It looks as though this patient has a displaced fracture and will need a closed reduction prior to casting or splinting. At a minimum, he needs x-rays and an orthopedic consult. This patient may also require procedural sedation. However, there are already two or more resources, so it is not necessary to be overly concerned about counting resources beyond two. "I don't know what's wrong with my baby girl," cries a young mother. She reports that her 2-week-old baby is not acting right and is not interested in eating. As you begin to undress the baby, you notice that she is listless and her skin is mottled. - ️️ESI level 1: Requires immediate lifesaving intervention; possible aggressive fluid resuscitation. "My pain medications are not working anymore. Last night I couldn't sleep because the pain was so bad," reports a 47-year-old female with metastatic ovarian cancer. "My husband called my oncologist, and he told me to come to the emergency department." The patient rates her pain as 9/10. Vital signs are within normal limits. - ️️ESI level 2: Severe pain or distress. This patient needs aggressive pain management with IV medications. There is nothing the triage nurse can do to decrease the patient's pain level. The answer to "Would you give your last open bed to this patient?" should be yes. A 48-year-old male tells you that he has a history of kidney stones and thinks he has another one. He has right costovertebral angle pain that radiates around to the front and into his groin. He is nauseous but tells you he took a pain pill, and right now he has minimal pain. He denies vomiting. T 98°F, RR 16, HR 80, BP 136/74, SpO2 100%. Pain 3/10. - ️️ESI level 3: Two or more resources. The patient is presenting with signs and symptoms of another kidney stone. At a minimum, he will need a urinalysis and CT scan. If his pain increases, he may need IV pain medication. At a minimum, two resources are required. If the pain level was 7/10 or greater and the triage nurse could not manage the pain at triage, the patient could meet level-2 criteria.
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