9 Since the patient has severe injuries with blood loss. This could result in Hypovolemia. If the patient has lost more than 30% of blood due to injuries thus could result in shock .So this condition is treated with Whole blood.
10 Haematocrit value will be decreased with administration of whole blood, which lowers the percentage of redbloodcells in relation to the liquid plasma portion of blood.
11packed RBC are given in condition where patient has lost a large amount of blood or has anaemia. packed RBC are given when hab is between 7 to 8g/dl, decreased oxygen saturation and ortostatic hypotendion.
12 CT scan will help in assessing clinically stable patient with blunt abdominal trauma. It is often used as a clinical criterion when blunt injury is suspected.
Trauma and Bleeding Chief Complaint: 31 year-old Afrian American male injured whilerok-climbing History of Present Ilness:...
Trauma and Bleeding Chief Complaint: 31 year-old Afrian American male injured whilerok-climbing History of Present Ilness: This 31-year-old male was rock-climbing with two friends at a national park 14 miles away from the nearest hospital when he suddenly lost his footing and slid 18 feet to the ground. Both friends who witnessed the fall said that he slid against sharp rock all of the way down, landing almost in a standing-up position, finally slumping to the ground. They also said...
Trauma and Bleeding Chief Complaint: 31-year-old Afican American male injured whilerok-climbing History of Present Ilness: This 31-year-old male was rock-climbing with two friendsat a national park 14 miles away from the nearest hospital when he suddenly lost his footing and slid 18 feet to the ground. Both friends who witnessed the fall said that he slid against sharp rock all of the way down, landing almost in a standing-up position finally slumping to the ground. They also said that his...
Jay James is a 24-year-old male who was rock climbing with his friends at a national park 25 miles from the nearest hospital when he suddenly lost his footing and slid 20 feet to the ground. Mr. James was alert and oriented when his friends reached him, and he could move all extremities quite easily. He had multiple scrapes over his anterior chest and a large gash over his left thigh (near the groin), which was bleeding profusely. His friends...
Hemorrhagic Shock Case Study A 37-year-old female presents to the emergency department weak, pale, A&O, with severe RUQ pain. She states that the following. “I have been taking a lot of ibuprofen for this abdominal pain. I went to my doctor but he told me it was psychological.” The paramedic has a PIV #18 RAC infusion with 1 L. NS wide open and O2 @ 2 lpmNC. V.S. T. 97.0, 120 bpm, RR 24, BP 80/50, SaO2 95%. 1. What...
Adam is a 68-year-old male admitted to the hospital with a 1-month history of nausea, vomiting, and diarrhea resulting in weight loss and fatigue. He presents tachycardic with abdominal pain, fever, and chills. Adam is a retired engineer and lives at home with his wife. Anthropometric Data: Height: 165 cm (65”) Weight: 75 kg (165 lbs) BMI: 27.5 kg/m2 Weight History Usual body weight: 82 kg (180 lbs) 1 year ago Biochemical Data: Sodium 129 (135-145 mEq/L) Potassium 3.2 (3.6-5.0...
A 43 year old female patient presents to the office with a surgical history of thyroidectomy and cc of “feeling cold” and fatigue. Examination revealed an overweight female with hyporeflexia, psoriasis, and cool skin. The patient has been taking Synthroid 25mg PO Daily as part of her treatment plan. The following blood work results were obtained: Thyroid Function Tests: T4: 4.5 µg/dl T3: 70 ng/dl TSH: 5.4 IU/L Electrolytes: Chloride: 100mEq/L Potassium: 4.9 mEq/L Sodium: 125 mEq/L Calcium: 11.2 mg/dl...
Mr. B., a 35-year-old white male, was diagnosed with insulin-dependent diabetes mellitus (IDDM) at the age of 21. He has had significant renal impairment for about 5 years and has been on a hemodialysis program for about 1 year. Past History: Mr. B. has been on insulin since 21 years of age. He has never been treated for ketosis or diabetic coma. His current insulin regimen is Ultra Lente, 6 units every morning and 6 units every evening, with a...
what could this 52 year old man possibly have?How the clinical history and the biochemical results aided your evaluation of the diagnosis. what is the underlying pathogenesis. What other conditions give rise to hyponatraemia and explain why these can be ruled out based on the clinical presentation. A 52-year-old man was admitted to A&E presenting with a fever nausea and vomiting that has lasted over 2 weeks. However, in the last few days he has become irritable and confused. ON...
Adam is a 68-year-old male admitted to the hospital with a 1-month history of nausea, vomiting, and diarrhea resulting in weight loss and fatigue. He presents tachycardic with abdominal pain, fever, and chills. Adam is a retired engineer and lives at home with his wife On HD 6, Adam undergoes an urgent laparotomy for a severe gastric ulcer with perforation. On postoperative (postop) day 1/HD 7, you visit Adam for reassessment. He is currently in the ICU on mechanical ventilation...
A 20 yr old male with a family history of Type I Diabetes was seen by his physician due to incessant thirst (polydipsia) and nocturnal urination (polyuria). A blood panel results are shown below Na (meq/L) HCO3 BUN - cr (meq/L) (mg/dL) Toggle Spell Checker (mg/dL) 3.5-5. 5 98-108 | 22-297-18 | 0.6-1.2 5 | 102 | 17 58 3.6 135-145 Normal Patient | 141 SGlucose: 520 Arterial pCO2 = 31 mm a) What is the most likely diagnosis for...