Case Study 14 Rule Out AMI Student version (2) Comments Editing Case Study # 14 Rule…

Case Study 14 Rule Out AMI Student version (2) Comments Editing Case Study # 14 Rule Out AMI Scenario The time is 1900 . You are working in a small, rural hospital. It has been snowing heavily all day, and the medical helicopters at the large regional medical center, 4 hours away by car (in good weather), have been grounded by the weather until moming. The roads are barely passable. W.R. a 48 year-old plumber with a 36-pack-year smoking history, is admitted to your floor with a diagnosis of rule out myocardial infarction (R/O MI). He has significant male pattern obesity (“beer belly,” large waist circumference) and a barrel chest and reports a dietary history of high-fat food. His wife brought him to the emergency department after he complained of unrelieved “Indigestion.” His admission vital signs (VS) were BP 202/124, pulse 106, respirations 18, and oral temperature 98.2″F (36.8 deg C). W.R. was put on oxygen ,