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Hello I need: Chief Complaint Erickson’s Development Recognize Cues (Assessment) Analyze Cuse (interpreting) Prioritize for patient diagnosis (Analysis) Generate solutions (Planning) Take action (Implement) Clinical judgment plan for this scenario 71 yo male suddenly collapsed at home, unresponsive. Family started CPR. When paramedics arrived, he was found to be in V tach. He was defibrillated x1 and rhythm when to Sinus bradycardia 40. So 0.5mg atropine given. Rhythm then went to normal sinus 82.Upon arrival to ED, patient currently has a NRB mask. GCS 6. Patient only withdraws to pain. Patient is then intubated. O2 sat 85% 20mg Etomidate and 60mg Rocuronium bromide administered prior to intubation. After intubation his et CO2 is 35-45 Hx CAD, defibrillator for VT, PCI, stent x3, CABG, hyperlipidemia, EF 25% Dx acute respiratory failure, V tach, ROSC Chem panel Sodium 144 potassium 4.1 chloride 104 creatinine 2 BUN 33 glucose 221 magnesium 2.4 Lactic acid 15 trop 0.08 BNP 1049 PT 12 INR 1 aPTT 22 WBC 10 RBC 5 hgb 22 hct 47 Plt count 389 pH 7.33 pCO2 37 pO2 121 HCO3 19.2 HR 123 RR 20 BP 60/40 O2 Sat% 100 temp 98.5 Meds infusing: Amiodarone protocol: 150mg bolus then 33ml/hr Propofol 35mcg/kg/min running at 40mcg/min Levophed initiated at 20mcg/min Fentanyl 50mcg/hr Hypothermia protocol initiated, keep temp 33-36C Plan cath after 48 hours New orders for foley catheter, OG tube implemented, HOB 30 degrees at this time 500ml Clear yellow urine in foley bag, 300ml green output from OG tube, clear lung sounds, soft abdomen, withdraws to pain stimuli

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