A 72-year-old female with a history of congestive heart failure presents complaining of worsening shortness of breath and lower extremity swelling for the past three days. She denies chest pain but reports orthopnea.
Shortness of Breath (CHF)
A 72-year-old female with a history of congestive heart failure presents complaining of worsening shortness of breath and lower extremity swelling for the past three days. She denies chest pain but reports orthopnea.
1) Initial Phase
ECG: Sinus Tachycardia HR: 114 SBP: 160 DBP: 96 RR: 24 SpO₂: Normal Waveform @ 93% ETCO₂: Normal Waveform @ 38mmHg 12 Lead: https://12s.medsim.app/sinus-tach.webp ECG After Shock: Asystole
2) Improving Phase
Correct Interventions: Administer oxygen, CPAP, diuretics Description: Patient's breathing eases, crackles decrease. Swelling in extremities reduces slightly.
ECG: Normal Sinus Rhythm HR: 100 SBP: 140 DBP: 85 RR: 20 SpO₂: Normal Waveform @ 95% ETCO₂: Normal Waveform @ 35mmHg 12 Lead: https://12s.medsim.app/nsr.webp ECG After Shock: Asystole
3) Worsening Phase
Incorrect/Delayed Interventions Description: Patient becomes more short of breath, respiratory rate and effort increase. Swelling worsens.
ECG: Sinus Tachycardia HR: 130 SBP: 170 DBP: 100 RR: 28 SpO₂: Normal Waveform @ 88% ETCO₂: Normal Waveform @ 32mmHg 12 Lead: https://12s.medsim.app/sinus-tach.webp ECG After Shock: Asystole
