Scenario
R.B., age 57, was taking a short break from surveying on the side of the interstate during a hot summer day, when he became unconscious and collapsed on the side of the road. A coworker called 911 and he was brought to the emergency room.
R.B. states that he has been surveying all week in the heat, even though he has not felt very well for the last two days.
Assessment Data
Vital Signs
Temperature: 105 F
Heart Rate: 130 weak and thready
Respiratory Rate: 34 shallow
Blood Pressure 86/42
Skin: hot, dry, and pale
Directions
After reading the case study, answer the following questions using the case study form .
What further assessment results should the nurse expect for RB? What would the assessment findings be if RB had hypothermia?
What risk factors did RB have for heat stroke? How do heat stroke and malignant hyperthermia differ?
What lab tests should be ordered for RB?
What interventions should be carried out to cool RB down? What interventions would be carried out if RB had malignant hyperthermia? Or hypothermia?
