A patient is transferred to the ICU with a blood pressure of 90/60 mmHg, oxygen saturation of 85%, oliguria, and diffuse crackles. Pulmonary artery catheter readings reveal a cardiac output of 1.9 L/min. and a wedge pressure of 24 mmHg. Which IV medication is appropriate to prescribe?
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A patient being seen for adhesive capsulitis of the right sh…
A patient being seen for adhesive capsulitis of the right shoulder has completed her exercises and is placed on ice to assist with inflammation and pain. After approximately 5 minutes on ice the complains of pain in her hand. The PTA notes a significant color change in the hand described as red/purple with blanching in the fingers. What is the best course of action?
The inflammation of Ankylosing Spondylitis starts with infla…
The inflammation of Ankylosing Spondylitis starts with inflammation in ______________ and will eventually fuse the spine.
Diminished gross ROM, Joint hypomobility and poor arthrokine…
Diminished gross ROM, Joint hypomobility and poor arthrokinematics, Joint asymmetry, soft tissue texture abnormality, and pain are indications for _______________.
When providing treatment for a patient with signs and sympto…
When providing treatment for a patient with signs and symptoms of pulmonary edema, it is important to determine if the cause is noncardiogenic or cardiogenic. Which of the following would be a cause of cardiogenic pulmonary edema?
A 26-year-old woman with no prior medical history presents t…
A 26-year-old woman with no prior medical history presents to the emergency department (ED) with progressively worsening dyspnea for 1 week. Her symptoms are preceded by 3 days of fever, rigors, and nasal congestion. She is afebrile with HR of 116 beats/min and BP of 92/70 mmHg. Physical examination reveals bilateral rales, elevated jugular venous pressure, 2/6 systolic murmur at the left lower sternal border, cool extremities, and 2+ bilateral lower extremity edema. Echocardiogram reveals LVEF of 20%, nondilated LV (LV end-diastolic diameter of 3.4 cm), global hypokinesis, mild mitral regurgitation, and a normal right ventricular function. Labs are significant for creatinine of 1.6 mg/dL, aspartate aminotransferase (AST) of 385 U/L, alanine aminotransferase (ALT) of 413 U/L, troponin I of 4.8 ng/mL, and serum lactic acid of 2.8 mmol/L. Intravenous diuretics and dobutamine are initiated. Within 24 hours of admission, the patient develops hypotension and worsening heart failure refractory to inotropes and vasopressors. Urine output is 125 cc in the last 6 hours. Which of the following is the best next step in her management to stabilize her?
A 60-year-old male with a history of nonischemic dilated car…
A 60-year-old male with a history of nonischemic dilated cardiomyopathy is admitted to the intensive care unit after presenting to the emergency department with several days of progressive dyspnea and lower-extremity swelling. He is found to be hypotensive and tachycardic and on examination is noted to be confused with edematous, cool extremities. A 12-lead ECG shows rapid atrial fibrillation with nonspecific ST-segment changes. His last transthoracic echocardiogram performed 1 year ago showed a severely dilated LV cavity with a left ventricular ejection fraction of 28%, severe mitral regurgitation, moderate aortic insufficiency, and severe tricuspid regurgitation. In this patient, which of the following represents a contraindication to the use of an intra-aortic balloon pump (IABP)?
The PTA is seeing a patient with the diagnosis of tibial pla…
The PTA is seeing a patient with the diagnosis of tibial plateau fracture. The POC calls for TE , TA, and gait training. The patient is NWB and wears a knee immobilizer during gait, MMT is generally 3+/5 flexion and 3-/5 extension. Please choose the most appropriate interventions from the following:
The PTA is seeing a patient for back pain and tenderness and…
The PTA is seeing a patient for back pain and tenderness and muscle spasm in the rhomboids and traps. What would be the most appropriate treatment to use to decrease the muscle spasms?
A 61-year-old male with history of ischemic cardiomyopathy a…
A 61-year-old male with history of ischemic cardiomyopathy and prior myocardial infarction is admitted to the ICU with symptoms of worsening shortness of breath and lower extremity edema. He has had cardiac resynchronization therapy with an implantable cardiac defibrillator (CRT-ICD) implanted 1 year ago. His home medications include carvedilol 12.5 mg twice a day, lisinopril 5 mg daily, aspirin 81 mg daily, spironolactone 25 mg daily, furosemide 40 mg daily, and atorvastatin 40 mg daily. On examination, he is afebrile, his heart rate (HR) is 60 beats/min, his blood pressure (BP) is 110/59 mmHg, his jugular venous pressure is elevated, his lungs are clear, he has a 3/6 holosystolic murmur with S3, and his lower extremities are cool with +2 pitting edema. Laboratory testing reveals sodium of 124 mmol/L, potassium of 4.6 mmol/L, blood urea nitrogen (BUN) of 51 mg/dL, and creatinine of 1.8 mg/dL. An ECG shows 100% atrioventricular paced rhythm. Which of the following statements is FALSE with respect to this patient’s management?