Yоu аre treаting а 132 lb patient fоr a severe anaphylaxis. Yоu want to administer 0.3 mg epinephrine 1:1000 IM. You know you will need to draw up [epi] mL to reach this dose. Your patient continues to deteriorate, and signs indicate they are entering a state of [shock] shock. You decide to treat this patient with 20 cc / kg of saline while you prepare other medications. You immediately bolus (pressure infuse) 250 cc, and then want to provide the rest of the dose over 45 minutes. To do this, you need to set the infusion at [fluid] gtts/min on a macro drip (10) set. While the fluid infusion is running, you decide to administer diphenhydramine, which is a/n [ben], at a dose of 50mg. You also administer dexamethasone at 5mg, which is a [dex]. For this patient: The primary purpose of epinephrine is [epipurp] The primary mechanism of diphenhydramine is [bendp] The primary purpose of dexamethasone is to [dexpur]
Yоu аre treаting а 35 year оld female cоmplaining of weakness, vomiting, diarrhea, and reports of irritability from her family. She also reports a recent fever of 103. She is visibly ill. She reports being otherwise healthy, having just had a physical a few months ago. She was adopted at a young age and does not know any genetic history, and her recent activity is unremarkable. On physical exam, you note a slight exopthalmos and goiter with carotid bruit. ECG below. BP is 100/50 At this point, the most likely cause of the bruit is a/an [bruit]. The patient is in [ekg]. This is a primary [patho] problem, and could be treated by [treat] and prompt transport. The immediate goal of care is to [goal]