A patient comes to the ED exhibiting severe physical and emotional symptomology. When no physical cause can be found for the symptoms, the patient is diagnosed with severe anxiety with panic attack symptoms
Which assessment data supports this diagnosis? Select all that apply.
a. Blood pressure 158/90; 15 minutes later 130/80
b. Claims that she feels like she going to die
c. Random but controlled thoughts
d. Unable to follow instructions
e. Dry, flushed skin
ANS: A, B, D
Blood pressure will begin to drop in a panic attack as the sympathetic nervous system release occurs; the patient may express an emotional sensation of doom and the patient will not be able to concentrate and so will be unable to follow instructions. Thoughts during a panic at-tack are uncontrolled and the skin is diaphoretic.
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