Patient is visiting aunt and was brought into the ER and was mini-altered. Patient was given Geodon and Haldol to calm him and EKG was done. EKG showed A. fib with heart rate as high as 170. He was put on Cardizem drip and admitted for further evaluation. The patient denies symptoms of any chest pain, fever, nausea or vomiting.
MDMA should be reviewed and rescheduled due to the fact that the initial scheduling reports were flawed, there are vast medical uses for MDMA in treating patients who have shown no improvements with other psychological treatments, and there is a very low possibility of death amongst users of unadulterated MDMA. Why must we withhold a drug that can be so very useful for the treatment of extreme mental conditions and possibly cure thousands of Americans of their
Why had his respirations not been monitored? The nurse likely in her very busy state forgot to put him on the ECG monitor, or she may have not chosen to place him on a monitor. She may have chosen to not put him on a monitor because in her personal experience he was a low risk patient with a high narcotic tolerance. With the ER getting busier she thought she was saving herself a little bit of time by not placing him on the ECG monitor. Using the “five whys” to
The new LDL levels were notably measured by their percent change from the old LDL levels. It is said that the 6 mg/kg dose lowered LDL levels by a percent change of 56% while the 3 mg/kg dose lowered LDL levels by a percent change of 46%. After 4 weeks the scientists found that some patients even had a LDL level reduction on 80% on the highest dose (6 mg/kg)! A blocking variable of name, race, or gender is not noted in the article. However, it is said that patients using cholesterol-lowering statins were used for the experiment which means patients who had high levels of cholesterol were mainly used as experimental
The numbness in his lips and face made it almost impossible for him to communicate, but the hospital staff managed to at least understand the address he gave them and they sent an ambulance. As Dr. Westwood was rushed to the hospital, his breathing became increasingly labored. The patient presented in the ED with diaphoresis, motor dysfunction, paresthesias, nausea, and an ascending paralysis that started in his legs and spread to the upper body, arms, face, and head. The patient was cyanotic and hypoventilating. Within 30 minutes of presenting in the ED, Dr. Westwood developed bradycardia with a BP of 90/50 mmHg.
Th e patient was cyanotic and was hypoventilating. Within 30 minutes of presenting in the ED, Dr. Westwood developed bradycardia with a BP of 90/50. Atropine was administered in response to the bradycardia. IV hydration, gastric lavage, and activated charcoal followed a presumptive diagnosis of tetrodotoxin poisoning based on the clinical presentation in the ED. Five hours after intervention, the following vitals were noted: • BP 125/79 • HR 78bpm • Oxygen saturation: 97% on room air Follow-up Within a few hours, Dr. Westwood’s condition improved and he was on his way to a full recovery.
A -- A carotid bruit #2 Due to Nancy's deteriorating condition she is referred to a neurologist. The emergency room nurse realizes that she has probably suffered from a left-sided brain attack. What clinical manifestation further supports this assessment? D -- Global Aphasia #3 What nursing intervention should the nurse implement when preparing Nancy for a noncontrast CT scan? B -- Explain that the client will not be able to move her head thoughout the CT scan #4 The neurologist also prescribes a magnetic resonance imaging (MRI) of the head STAT, why?
The chief complaint of the patient is a group of lesions on the child’s back. The baby’s mother explains that the spot on the baby’s back just popped up two days ago and that the baby hasn’t had a fever and seems well. When the baby was examined, it observed that, there is a group of seven to eight blisters like lesions localized to the left of the baby’s spine and they have clear fluid in them. Herpes Zoster is a viral infection of the nerve roots. The causative agent is Varicella-zoster virus.
In 1996 a pregnant woman, Darlene Brown, was admitted to Ingalls Memorial Hospital by her caring physician, Dr. Walsh. Brown had consented to have a cystoscopy and have a urethral mass removed. Brown had also been informed that she would lose blood during the operation, but had not discussed with her Doctor that she was a Jehovah's Witness and that blood transfusions are not part of her belief system. During the operation she lost more blood than anticipated and as result her blood hemoglobin level dropped below normal levels. Her low hemoglobin level put her and her unborn baby at high risk of death.
His color and heart rate improved but he looks pale, his capillary refill is 4 seconds. Mean blood pressure is 29. List the differential diagnoses: * Prematurity * Birth Depression * Possible Hypovolemia vs Metabolic Acidosis What would you order for this admission? Why? * 0.9 NS bolus 10ml/kg (25ml) IV x1 over at least 20 minutes, for volume expansion to improve perfusion and mean BP * Maintenance IVF at 60ml/kg of D10W