A 58-year-old with cirrhosis and hematemesis arrives pale an…

A 58-year-old with cirrhosis and hematemesis arrives pale and clammy. Two large-bore IVs are placed; octreotide is started; 1 L LR given and 1 unit PRBCs is infusing. Current data: BP 85/50 mm Hg, HR 118/min, RR 24/min, SpO₂ 96% on 2 L NC, urine output 10 mL in the last hour. Which bedside measurement signals the need for the most immediate intervention?

Use the chart below in answering questions 2 and 3. Be sure…

Use the chart below in answering questions 2 and 3. Be sure to work questions 2 and 3 on the chart you printed out, and fill in your chart with all the information just like we did in the lectures. Be sure to fill in your chart with all the information just like we did in the lectures.

A 62-year-old with hepatitis C cirrhosis develops progressiv…

A 62-year-old with hepatitis C cirrhosis develops progressive sleep–wake reversal and difficulty concentrating after missing several doses of lactulose. Exam: disoriented to date, mild jaundice, flapping tremor. Vitals: BP 114/70, HR 90, RR 18, SpO₂ 98% RA. Morning labs: serum ammonia 98 µmol/L (elevated), total bilirubin 3.9 mg/dL, albumin 2.8 g/dL, sodium 131 mEq/L, glucose 118 mg/dL. Which abnormality most directly accounts for the current neurologic findings?

A patient is brought into the emergency department via EMS a…

A patient is brought into the emergency department via EMS after an episode of near-syncope at home. On arrival the patient is pale and diaphoretic, complaining of lightheadedness and chest pressure. Vitals: BP 78/46 mm Hg, HR 32/min, RR 22/min, SpO2 95% on room air.  Answer in complete sentences: Using the strip and your assessment findings, classify the rhythm category and explain the underlying pathophysiology. Identify the top reversible etiologies you would prioritize ruling in or out and why. Detail your immediate nursing and medical management for the first 4 minutes, then the next phase of care. State whether defibrillation is indicated and justify your reasoning. Predict patient outcomes when a reversible cause is identified and treated promptly versus when no cause is found or treatment is delayed; support with physiologic reasoning.

In what ways did doing fieldwork affect your understanding o…

In what ways did doing fieldwork affect your understanding of 2 anthropological concepts/premises? Suggested concepts to discuss (but you are welcome to discuss others): Reflexivity Rapport the anthropologist as the instrument of inquiry anthropological ethics online or hybrid ethnography moral economy commodity fetishism social facts