You are assessing a 73-year-old male patient who complains of altered mental status and shortness of breath. The patient is conscious, but confused. His pulse is rapid and weak, and his skin cool and diaphoretic. An Emergency Medical Responder provides you with the following vital signs: pulse, 136; respirations, 20 breaths/min; blood pressure, 168/88 mmHg; and SpO2, 89%. A family member states that the patient has diabetes and takes insulin. He also has a history of hypertension, colon cancer, irregular heartbeat, and transient ischemic attacks (TIA). Which action should the EMT take next?

Here are some cardiovascular emergencies that EMTs may encounter: Cardiac arrest: When the heart stops pumping blood, leading to loss of consciousness and normal breathing. This can be marked by sudden collapse, absence of pulse, and cessation of breathing. Defibrillation: An electrical shock that restores a normal heart rhythm in someone experiencing cardiac arrest. Bradycardia: A heart rate below 60 beats per minute. Symptomatic bradycardia can include dizziness, feeling faint upon standing, shortness of breath, and a low heart rate. Tachycardia: A heart rate above 100 beats per... Show more

Here are some cardiovascular emergencies that EMTs may encounter:
Cardiac arrest: When the heart stops pumping blood, leading to loss of consciousness and normal breathing. This can be marked by sudden collapse, absence of pulse, and cessation of breathing.
Defibrillation: An electrical shock that restores a normal heart rhythm in someone experiencing cardiac arrest.
Bradycardia: A heart rate below 60 beats per minute. Symptomatic bradycardia can include dizziness, feeling faint upon standing, shortness of breath, and a low heart rate.
Tachycardia: A heart rate above 100 beats per minute.
Chest pain: A symptom that can be an indicator of many underlying problems, whether mild or sharp, or simply an aching discomfort.
Dyspnea: Shortness of breath. It can be the primary manifestation of cardiovascular, respiratory, metabolic, neuromuscular disorders or obesity.
Hypertensive emergencies: An acute, severe elevation in blood pressure accompanied by end-organ compromise.

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