Homework Answers
From the given symptoms, it can be observed that the patient had low blood pressure (120/70 mmHg), and high rate of respiration (22 breaths/min). This indicates overdose of zolpidem, which is a benzodiazepine (BDZ). This overdose effect can be counteracted by administering flumazenil, which is a BDZ antagonist.
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At 3:00 a.m. Mr. Olham awakes and requests a sleeping pill, stating he needs to make...
Need help with this one! It is 4 hours later, and Karena checks Mr. Ross's respiratory...
Need help with this one!
It is 4 hours later, and Karena checks Mr. Ross's respiratory system at bedside with his vital signs. Her unlicensed assistive person reported an axillary temperature of 100.3' F, respiratory rate of 29 breaths per minute and labored, blood pressure of 150/82 mm Hg, and pulse of 104 beats per minute and a pulse ox reading of 89% on O, per nasal cannula at 3 L. Karena sees that Mr. Ross is using accessory muscles...
Case Study 22-1 ts A 62-year-old man with a history of chronic obstructive pulmonary disease (coPD)...
Case Study 22-1 ts A 62-year-old man with a history of chronic obstructive pulmonary disease (coPD) presen to the emergency department (ED) with a chief complaint of worsening shortness o (SOB) over a 2-day history; the SOB came on following a recent upper respiratory infect In the ED, his oxygen saturation is 86% on room air. He is complaining of severe dyspnea, only speaking in short sentences, and appears very fatigued. His vital signs are as follow s: RR: 28...
CLIENT PROFILE Mr. Cohen is a 75-year-old male admitted with an exacerbation of chronic obstructive pulmonary...
CLIENT PROFILE Mr. Cohen is a 75-year-old male admitted with an exacerbation of chronic obstructive pulmonary disease (emphysema). He has been keeping the head of the bed up for most of the day and night to facilitate his breathing which has resulted in lower back pain. Acetaminophen was not effective in reducing his pain, so the health care provider has prescribed oxycodone/acetaminophen one to two tablets PO every four to six hours as needed for pain. Mr. Cohen is on...
Mr. B is a 63-year-old man who is clinically obese. He has a long history of...
Mr. B is a 63-year-old man who is clinically obese. He has a long history of chronic obstructive pulmonary disease (COPD) associated with smoking two packs of cigarettes a day for 40 days. During the past week, Mr. B has experienced a flu-like illness with fever, chills, malaise, anorexia, diarrhea, nausea, vomiting, and productive cough with thick, brownish, purulent sputum. Clinical Assessment Mr. B is admitted to the intermediate care unit from the emergency department with acute respiratory insufficiency. He...
Mr. B is a 63-year-old man who is clinically obese. He has a long history of...
Mr. B is a 63-year-old man who is clinically obese. He has a long history of chronic obstructive pulmonary disease (COPD) associated with smoking two packs of cigarettes a day for 40 days. During the past week, Mr. B has experienced a flu-like illness with fever, chills, malaise, anorexia, diarrhea, nausea, vomiting, and productive cough with thick, brownish, purulent sputum. Clinical Assessment Mr. B is admitted to the intermediate care unit from the emergency department with acute respiratory insufficiency. He...
Mr. G is a 21-year-old man. He was a pedestrian crossing the street in a marked...
Mr. G is a 21-year-old man. He was a pedestrian crossing the street in a marked crosswalk when he was hit by a pickup truck traveling at approximately 40 miles/h (64 km/h). He was ejected onto the side of the road. There is visible external damage to the front passenger panel of the truck. On arrival, emergency medical services personnel determined the patient was awake, not following commands, restless, and agitated. His respiratory rate was 22 breaths/min, and breathing was...
Case study Derek Bairstow is a 48-year-old removals operative. He has for the past 3 months....
Case study Derek Bairstow is a 48-year-old removals operative. He has for the past 3 months. The intensity of the pain has increased graduallig from lower days and as a result he has not been able to go to work. Although he epast c his back, he has a very physical job working for a removals firm and belnotremeesouple strain is the cause. Derek has been taking non-steroidal anti-inflamotinual but finds they provide little relilet. The pain is such that...
Mr. A is an 18-year-old 80-kg African American man admitted to the intensive care unit after...
Mr. A is an 18-year-old 80-kg African American man admitted to the intensive care unit after emergency surgery for gunshot wounds to the abdomen. The surgical procedure was extensive and involved repair of a perforated bowel, splenectomy, and hemostasis. Mr. A’s mean arterial pressure (MAP) dropped below 65 mm Hg during resuscitation, and he received 9 units of packed red blood cells and 4 L of lactated Ringer solution intravenously (IV) to achieve hemodynamic stability. Clinical Assessment Within 24 hours...
Brief Patient History Mr. A is an 18-year-old 80-kg African American man admitted to the intensive...
Brief Patient History Mr. A is an 18-year-old 80-kg African American man admitted to the intensive care unit after emergency surgery for gunshot wounds to the abdomen. The surgical procedure was extensive and involved repair of a perforated bowel, splenectomy, and hemostasis. Mr. A’s mean arterial pressure (MAP) dropped below 65 mm Hg during resuscitation, and he received 9 units of packed red blood cells and 4 L of lactated Ringer solution intravenously (IV) to achieve hemodynamic stability. Clinical Assessment...
Brief Patient History Mr. A is an 18-year-old 80-kg African American man admitted to the intensive...
Brief Patient History Mr. A is an 18-year-old 80-kg African American man admitted to the intensive care unit after emergency surgery for gunshot wounds to the abdomen. The surgical procedure was extensive and involved repair of a perforated bowel, splenectomy, and hemostasis. Mr. A’s mean arterial pressure (MAP) dropped below 65 mm Hg during resuscitation, and he received 9 units of packed red blood cells and 4 L of lactated Ringer solution intravenously (IV) to achieve hemodynamic stability. Clinical Assessment...
Need help with this one!
It is 4 hours later, and Karena checks Mr. Ross's respiratory system at bedside with his vital signs. Her unlicensed assistive person reported an axillary temperature of 100.3' F, respiratory rate of 29 breaths per minute and labored, blood pressure of 150/82 mm Hg, and pulse of 104 beats per minute and a pulse ox reading of 89% on O, per nasal cannula at 3 L. Karena sees that Mr. Ross is using accessory muscles...
Case Study 22-1 ts A 62-year-old man with a history of chronic obstructive pulmonary disease (coPD) presen to the emergency department (ED) with a chief complaint of worsening shortness o (SOB) over a 2-day history; the SOB came on following a recent upper respiratory infect In the ED, his oxygen saturation is 86% on room air. He is complaining of severe dyspnea, only speaking in short sentences, and appears very fatigued. His vital signs are as follow s: RR: 28...
Case study Derek Bairstow is a 48-year-old removals operative. He has for the past 3 months. The intensity of the pain has increased graduallig from lower days and as a result he has not been able to go to work. Although he epast c his back, he has a very physical job working for a removals firm and belnotremeesouple strain is the cause. Derek has been taking non-steroidal anti-inflamotinual but finds they provide little relilet. The pain is such that...
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