Your patient is a 19-year-old female who has been an in-patient in a rehabilitation hospital following surgery for a total right hip replacement two days prior. Staff reports sudden development of hypotension and severe respiratory distress about 30 minutes ago. There is no other significant history. Physical examination findings include: cold, diaphoretic skin; jugular vein distention; clear breath sounds bilaterally; heart rate of 134/strong/regular; blood pressure of 74/50; ventilatory rate of 28/shallow and O2 saturation of 86%. Which of the following is MOST likely:
Blog
Signs and symptoms of this disease include: increased sputu…
Signs and symptoms of this disease include: increased sputum production; productive cough throughout the day; cyanosis; heavy set appearance; rhonchi; signs and symptoms of right-heart failure such as jugular vein distention; ankle edema; hepatic congestion:
You are on a stand-by at the Little League World Championshi…
You are on a stand-by at the Little League World Championships when the pitcher is struck in the chest with a ball that a batter hit. He immediately collapses to the ground and is unresponsive, pulseless and apneic. The monitor show ventricular fibrillation. This condition is called:
Your patient presents with: tremor or “pill-rolling”; rigid…
Your patient presents with: tremor or “pill-rolling”; rigidity; bradykinesia; postural instability; a slowing or shuffling gait and a stiff or “stone-like” face. You suspect:
Signs and symptoms of this disease include: an increase in…
Signs and symptoms of this disease include: an increase in the anterior/posterior chest diameter; a thin build; a prolonged expiratory phase; clubbed fingers; wheezes and/or rhonchi; pursed lip breathing and polycythemia:
Which of the following is NOT typically seen in a severe ast…
Which of the following is NOT typically seen in a severe asthma attack:
A type of generalized seizure characterized by a rapid loss…
A type of generalized seizure characterized by a rapid loss of consciousness; tensed, contracted muscles; rhythmic jerking movements of the extremities is called:
The patient is to receive a heparin infusion at 3,000 units/…
The patient is to receive a heparin infusion at 3,000 units/hr. The heparin concentration is 40,000 units per 500 mL of normal saline. For how many mL/hr should the pump be set? Document your answer to one decimal place (tenths). [number1] mL/hr
The patient is to receive a transfusion of 3 units (250 mL/u…
The patient is to receive a transfusion of 3 units (250 mL/unit) packed red blood cells. All units are to be infused over 6 hours. The tubing factor is 12 gtt/mL. What is the infusion rate in gtt/min? Document your answer to a whole number. [number1] gtt/min
Which of the following would you expect immediately after in…
Which of the following would you expect immediately after ingestion of a large meal: