An elderly male patient with a history of COPD, hypertension, and diabetes presents as lethargic and confused. His airway is patent, and breathing adequate. His skin is hot and radial pulse strong, regular, and bounding. Vital signs are: pulse 112, respirations 20, blood pressure 108/64, SpO₂ 94%, and temperature 102.8 F. Also noted is swelling to his right lower leg. Given these assessment findings, the EMT should suspect what condition as responsible for the patient's altered presentation?

Question

Quizplus · Accepted Answer

The patient is presenting with signs of infection, including lethargy, confusion, a high temperature, and swelling to the right lower leg. The elevated heart rate and bounding pulse may also be signs of infection. It is important for the EMT to consider and treat a possible infection promptly as it can lead to severe complications in an elderly patient with multiple comorbidities. While peripheral edema, hypoxia, and tachycardia may all contribute to the presentation, infection is the most likely cause in this case.

An Elderly Male Patient with a History of COPD, Hypertension