A 68-year-old male with a history of COPD presents complaining of increasing shortness of breath for the past two days. He denies fever or chest pain but reports using his rescue inhaler more frequently without relief.
Shortness of Breath (COPD)
A 68-year-old male with a history of COPD presents complaining of increasing shortness of breath for the past two days. He denies fever or chest pain but reports using his rescue inhaler more frequently without relief.
1) Initial Phase
ECG: Sinus Tachycardia HR: 110 SBP: 140 DBP: 90 RR: 24 SpO₂: Normal Waveform @ 88% ETCO₂: Bronchoconstriction @ 50mmHg 12 Lead: https://12s.medsim.app/sinus-tach.webp ECG After Shock: Asystole
2) Improving Phase
Correct Interventions: Administer oxygen, CPAP, nebulized bronchodilators Description: Patient's breathing eases, wheezing decreases.
ECG: Normal Sinus Rhythm HR: 95 SBP: 130 DBP: 85 RR: 20 SpO₂: Normal Waveform @ 94% ETCO₂: Normal Waveform @ 42mmHg 12 Lead: https://12s.medsim.app/nsr.webp ECG After Shock: Asystole
3) Worsening Phase
Incorrect/Delayed Interventions. Description: Patient becomes more distressed, respiratory rate and effort increase.
ECG: Sinus Tachycardia HR: 120 SBP: 150 DBP: 94 RR: 30 SpO₂: Low Perfusion @ 80% ETCO₂: Bronchoconstriction @ 50mmHg 12 Lead: https://12s.medsim.app/sinus-tach.webp ECG After Shock: Asystole
