Mannitol may be utilized intraoperatively in patients with l…

Mannitol may be utilized intraoperatively in patients with large tumors or known significant intracranial hypertension to decrease brain volume for optimal surgical exposure. When given as a bolus, which patient could the administration of mannitol be detrimental?   

USE THE FOLLOWING CASE STUDY TO ANSWER QUESTIONS 2 AND 3Elsi…

USE THE FOLLOWING CASE STUDY TO ANSWER QUESTIONS 2 AND 3Elsie P., age 78 years has presented to the clinic for hospital follow up. She fell at her residence and was disoriented briefly following the incident and was hospitalized overnight for observation. She was placed on Percocet 5/325 (opioid analgesic and acetaminophen) for pain resulting from the fall, (there were no fractures, but she reports feeling stiff) and has been taking 1-2 pills twice per day since the accident 3 days ago. She has stayed at her daughter’s house following the accident. Her daughter washed her clothes in a new detergent and Elsie developed hives, so has been taking Benadryl (Antihistamine) 25-50mg every 6 hours since yesterday. She feels very lethargic today and her daughter is worried that she will fall again. Other medications include: Lisinopril (ACE-Inhibitor), Aspirin (platelet inhibitor), and Spironolactone (Potassium-sparing diuretic/aldosterone receptor antagonist). Medications from Elsie’s medication list that might be contributing to lethargy include: