Ambulance after collapsing near local supermarket

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Reference no: EM133873089

Scenario

You are working in a busy emergency department when Edith, a 73-year-old woman, is brought in by ambulance after collapsing near a local supermarket. It is unclear how long she had been on the floor before being discovered. Edith presents with the following:

• Small superficial abrasion to forehead

• Widespread bruising to her left arm, torso, and leg

• She is very anxious, apologetic and panicked but remains alert and orientated Edith reports that she had the flu three weeks ago and has struggled with a reduced appetite since, leading to insufficient eating and drinking. She also shares that she has a husband with early onset Alzheimer's disease and that her daughter lives 15 miles away but visits twice a week. Edith admits to often feeling overwhelmed by her medications and is unsure if she is taking them correctly. She recalls her medication list, which she states is:

• 'Baby Aspirin'

• Lisinopril (20mg daily) for essential hypertension

• Warfarin (2mg daily) for previously recurring VTE

• Over-the-counter multi-vitamins

• Over-the-counter St John's Wort for low mood (started 7 days ago) Current Observations Blood Pressure 80/45 mmHg Heart Rate 130 bpm Respiratory Rate 21 breaths per minute Oxygen.

Reference no: EM133873089

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