What feature of delirium differentiates it from dementia?
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An elderly patient is brought to the emergency department af…
An elderly patient is brought to the emergency department after being found on the floor after a fall. The patient has unilateral sagging of the face, marked slurring of the speech, and paralysis on one side of the body. The patient’s blood pressure is 220/109 mm Hg. What is the likely treatment for this patient?
A person has been diagnosed with multiple sclerosis and asks…
A person has been diagnosed with multiple sclerosis and asks the AGACNP to explain the disease. What description by the professional is most accurate?
A patient presents with bradycardia, hypotension, and signs…
A patient presents with bradycardia, hypotension, and signs of cardiogenic shock following an intentional overdose of a beta-blocker. Which of the following is considered the most appropriate first-line antidote?
A 68 year old patient presents with progressive tremor at re…
A 68 year old patient presents with progressive tremor at rest, bradykinesia, and rigidity. The patient’s spouse reports the patient has been able to walk or stand with stability. Based on the following symptoms, what is the patient’s most likely diagnosis?
A 48-year-old male with a history of asthma treated with int…
A 48-year-old male with a history of asthma treated with intermittent steroids, and a history of kidney stones, is admitted to the ICU with urosepsis. He is intubated, started on antibiotics, and fluid resuscitated with 30 mL/kg of normal saline. Despite this therapy he becomes increasingly hypotensive requiring escalating vasopressor doses. An ACTH stimulation test is performed revealing a baseline cortisol of 10 µg/dL and a 30-minute peak of 16 µg/dL. Which of the following interventions is most appropriate given the ACTH test results?
A 65-year-old female is admitted to the ICU after being foun…
A 65-year-old female is admitted to the ICU after being found down at home. Her only medical history is a remote history of Grave’s disease and thyroid ablation. Vital signs are T 89°F, HR 50 bpm, BP 105/61 mm Hg. On physical examination she obtunded, and brittle hair, macroglossia, and periorbital edema are noted. An ABG shows pH 7.30, PaCO2 55, PaO2 65. She is intubated for airway protection ventilatory support. Urine, sputum, and blood cultures are sent, and she is treated with broad spectrum antibiotics. Thyroid function tests are sent and she is started on IV levothyroxine. Which of the following additional therapies is most appropriate at this time?
A patient presents with respiratory depression and altered m…
A patient presents with respiratory depression and altered mental status following a suspected benzodiazepine overdose. Which of the following agents is used to reverse the effects of benzodiazepines?
A 25-year-old patient presents to the emergency department w…
A 25-year-old patient presents to the emergency department with symptoms of tinnitus, nausea, and hyperventilation after ingesting a large quantity of aspirin. What is the most appropriate initial treatment for this patient?
What is the electron configuration of Cr?
What is the electron configuration of Cr?