Electrolyte imbalances can be fatal

You respond to a construction site on a very hot summer day for a person "not acting right." You find a 44-year-old male patient seated in a work vehicle with the air conditioner on maximum. Coworkers state the patient was working for the last 2 hours pouring concrete when he started "speaking gibberish" and nearly collapsed. The patient is responsive to verbal stimuli. Your initial vital signs

are blood pressure 90/60, pulse 136, and respiratory rate 24. The patient's skin is cool to the touch and dry, but his shirt is wet with visible salt rings. You suspect: A) heat cramps. B) myocardial infarction. C) heat exhaustion. D) hypernatremia.

The date that key reminders and phone calls should be sent or made to patients to remind them that they are due for their next visit is which of the following?

A) Next recall visit B) Recall due date C) Last recall visit D) None of the above