1. Client with angina pain nor relieved in 20 minutes with reduced activity and/or
administration of nitroglycerine; angina at rest
2. Client with angina has nausea, vomiting, profuse sweating
3. Client presents with bowel/ bladder incontinence and/or saddle anesthesia secondary to
cauda equine lesion or cervical spine pain concomitant with urinary incontinence
4. Client is in anaphylactic shock
5. Client has symptoms of inadequate ventilation or CO
2
retention
6. Client with diabetes appears confused or lethargic or exhibits changes in mental function
7. Client has positive McBurney’s point (appendicitis) or rebound tenderness (inflamed
peritoneum)
8. Sudden worsening of intermittent claudication may be due to thromboembolism and must
be reported to the physician immediately