ou are dispatched to the residence of a 76-yr-old who is having a possible cerebrovascular accident. You arrive to find the patient alert, sitting in a chair with obvious left-sided paralysis and the inability to speak or swallow. Breathing at 20 times per minute, very shallow, and the pulse ox is 92% which of the following would be an appropriate treatment for this p
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You are dispatched to the residence of a 76-yr-old who is having a possible cerebrovascular accident. You arrive to find the patient alert, sitting in a chair with obvious left-sided paralysis and the inability to speak or swallow. Breathing at 20 times per minute, very shallow, and the pulse ox is 92% which of the following would be an appropriate treatment for this pa
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- A 20-year-old women is brought into the emergency department by ambulance after her friends noted that she was acting paranoid at a party. The patient was confused and could not give any history. She is repetitively grinding her teeth and biting her lower lip (movement known as bruxisms).Her examination reveals a heart rate of 123 bpm and a blood pressure of 150/95 mm Hg. Her skin is moist, and her pupils are dilated. She is awake but delirious and highly agitated. Her friends that called 911 reported to the police that she had told them that she had taken one "hit" of ecstasy (designer amphetamine). The patients friends report that she has a history of depression and is taking Selegiline for treatment.Answer the following questions 1) How can the symptoms listed above be caused by the patient taking ecstasy (make sure to some about how each one of the symptoms/physiology is caused by a specific molecular/target interaction with use of ecstasy)?2) Does Selegiline use by the…A 50 year old patient suddenly exhibits hemiplegia without evidence of head or neck trauma and without increased intracranial pressure. What could be a possible cause? O subarachnoid hemorrhage O brain contusion cerebral palsy spina bifida O Huntington's disease O cerebrovascular accidentA 35 year old male presents to the ER with left side facial droop. His symptoms started 5 hours ago and were noticed by his coworkers. He reports no significant personal or family history. He was sick with flu like symptoms two week previous but has since recovered without any lasting deficit. As a clinician you need to quickly assess your patient for a stroke or possibly a Bell’s palsy. To determine a differential diagnosis, what would be the best question to ask this patient to get a preliminary idea of what we are looking at? raise and lower your eyebrows stick out your tongue smile wide (show your teeth) puff out your cheeks Select your answer and give your reasoning.
- You are being dispatched for a report of a possible stroke. You arrive at a modest private residencewhere you and your partner are met by a woman identifying herself as the patient’s wife.She informs you the patient is in the basement and begins to lead the way. As she escorts youdownstairs, she says, “We had both been taking a nap. I woke up about 15 minutes ago and he wasalready awake sitting on the couch, but he wouldn’t answer my questions.”Once in the basement, you find an approximate 49-year-old male patient who is conscious and seatedon the couch. You estimate him to be over 6 feet tall, weighing roughly 240 pounds and you observe heseems to be favoring his left hand and has a slight offset to one side of his mouth.The patient is not drooling and seems to be swallowing easily. You do not see any evidence ofrespiratory distress or an inability to protect his airway. He is calm but makes no attempt to speak andcan follow commands.You attempt to obtain a SAMPLE history by using…The EMT transports a 56 year old male to the ER, he is unconscious when he arrives. The EMT reports that the patient was in the grocery store when he abruptly fell to the ground. The EMT noted he was displayed generalized tonic- clonic seizure symptoms. The ER nurse was unable to get a history. He was unresponsive to commands and seemed very confused. His BP was 175/92, pulse 107, temp. 37.5 C , and his respiratory rate was 19 breaths per min. His pupils were 3mm and reactive, diminished movement on his left side and he had bilateral Babinski reflexes. What is a Generalized tonic-clonic seizures? Seizure disorders are produced by what underlying causes, and which one might you expect in this patient? This patient seizures pathophysiology is probably what?An elderly man presents himself to the ER. He has contractures and paralysis of his left hand and is aphasic. Upon questioning, he removes his left shoe and points to his big toe. The nurse is unable to gather additional information from him because of his difficulty in communicating. She asks if someone is accompanying him, He shakes his head. The nurse asks him how he came to the hospital, He shows her a driver's license. Subsequently the nurse leaves the room and returns a few minutes later to find that the patient has left the hospital having received no care. 1. What are the ethical implications in this situation? 2. What ethical principles are involved? 3. Should the nurse locate the patient and ensure that be is not endangering himself or others by driving? Would this be a breach of confidentiality? Autonomy? 4. How does the nurse express fidelity in this situation?
- An elderly man presents himself to the ER. He has contractures and paralysis of his left hand and is aphasic. Upon questioning, he removes his left shoe and points to his big toe. The nurse is unable to gather additional information from him because of his difficulty in communicating She asks if someone is accompanying him. He shakes his head. The nurse asks him how he came to the hospital. He shows her a driver's license. Subsequently the nurse leaves the room and returns a few minutes later to find that the patient has left the hospital having received no care. QUESTION: What is the beneficent action?An elderly man presents himself to the ER. He has contractures and paralysis of his let hand and is aphasic. Upon questioning, he removes his left shoe and points to his big toe. The nurse is unable to gather additional information from him because of his difficulty in communicating She asks if someone is accompanying him, He shakes his head. The nurse asks him how he came to the hospital. He shows her a driver's license. Subsequently the nurse leaves the room and returns a few minutes later to find that the patient has left the hospital having received no care. 1. What are the ethical implications in this situation? 2 What ethical principles are involved? 3. Should the nurse locate the patient and ensure that he is not endangering himself or others by driving? Would this be a breach of contidentiality? Autonomy? 4. How does the nurse express fidelity in this situation?CASE: A 19 year old Caucasian female from Canton, Ohio, is taken to her doctor’s office one afternoon by a co-worker after she had experienced stroke-like symptoms. Per the co-worker: the patient was working at her day job at Amazon, lifting boxes and placing them on conveyor belts. She was lifting a small box of “Keeping Up With the Kardashians” memorabilia, when she experienced the sudden onset of weakness in her bilateral upper extremities. Her co-worker noticed her friend standing in place with her arms extended and, confused, rushed her to the infirmary at the factory, after which she was told to go to her doctor. After questioning, the patient did state that she has experienced intermittent, occasional weakness which usually worsened as the day progressed. Throughout the day, she notices that her eyelids become progressively more droopy over time but that as she rests, her strength improves. After gathering this history, her physician decides to test her for a disorder known…
- CASE: A 19 year old Caucasian female from Canton, Ohio, is taken to her doctor’s office one afternoon by a co-worker after she had experienced stroke-like symptoms. Per the co-worker: the patient was working at her day job at Amazon, lifting boxes and placing them on conveyor belts. She was lifting a small box of “Keeping Up With the Kardashians” memorabilia, when she experienced the sudden onset of weakness in her bilateral upper extremities. Her co-worker noticed her friend standing in place with her arms extended and, confused, rushed her to the infirmary at the factory, after which she was told to go to her doctor. After questioning, the patient did state that she has experienced intermittent, occasional weakness which usually worsened as the day progressed. Throughout the day, she notices that her eyelids become progressively more droopy over time but that as she rests, her strength improves. After gathering this history, her physician decides to test her for a disorder known…CASE: A 19 year old Caucasian female from Canton, Ohio, is taken to her doctor’s office one afternoon by a co-worker after she had experienced stroke-like symptoms. Per the co-worker: the patient was working at her day job at Amazon, lifting boxes and placing them on conveyor belts. She was lifting a small box of “Keeping Up With the Kardashians” memorabilia, when she experienced the sudden onset of weakness in her bilateral upper extremities. Her co-worker noticed her friend standing in place with her arms extended and, confused, rushed her to the infirmary at the factory, after which she was told to go to her doctor. After questioning, the patient did state that she has experienced intermittent, occasional weakness which usually worsened as the day progressed. Throughout the day, she notices that her eyelids become progressively more droopy over time but that as she rests, her strength improves. After gathering this history, her physician decides to test her for a disorder known…The following clinical presentation is designed to assess your ability to anticipate a serious complication of a relatively common medical condition obstructive sleep apnea. Most people think this condition leads to daytime somnolence and fatigue so basically an inconvenience for the sufferer and for those with whom he/she interacts. in reality sleep apnea whether central or obstructive can be life-threatening. How might changes described in the heart function lead to clinical findings seen in the body? discuss the changes in fluid loss/ accumulation in the body changes in the body mass/weight