0071598626.pdf

slow heart rhythms associated with AV block and inadequate escape rhythm. The diagnosis is usually made with outpatient Holter m ...

(a)This patient has Lyme disease, which is seen in the late spring and early summer. Up to a week or so after a bite from an inf ...

(e)This is a regimen for disseminated varicella or zoster—a herpes virus. These lesions are vesicular in nature and usually beco ...

Shock and Resuscitation Questions 190.A 79-year-old woman with a history of coronary artery disease who underwent a coronary art ...

191.A 32-year-old man with no past medical problems presents to the ED with palpitations. For the past 2 days he has been feelin ...

193.A 41-year-old man is brought into the ED by paramedics in car- diopulmonary arrest. A friend states that the patient is a lo ...

195.A 19-year-old man was struck by a motor vehicle while crossing the street. In the ED, he is awake, alert, and oriented, but ...

198.An 85-year-old man is rambling incoherently and not eating at his nursing home. Records indicate that he has a past medical ...

200.As you arrive for your ED shift, you are called to help with a “coding” patient. The senior resident has just intubated the ...

203.An 82-year-old man presents to the ED feeling weak and dizzy. He has a past medical history of hypertension and diabetes and ...

205.A 48-year-old man is brought to the ED by paramedics for general- ized weakness. His medical history is significant for a CA ...

206.You are caring for a 54-year-old woman with a history of schizo- phrenia and coronary artery disease who presents to the ED ...

208.A 19-year-old man is brought into the ED by paramedics with a stab wound to the right lower abdomen. The medics applied a pr ...

210.An 18-year-old college student with no past medical history presents to the ED with a diffuse rash. She also describes havin ...

212.A 64-year-old woman with a history of depression and hypertension was found down by her husband and brought in by the parame ...

214.An 84-year-old woman with a history of metastatic breast cancer pre- sents to the ED with new-onset dyspnea and exercise int ...

216.An 87-year-old woman with a history of dementia, arthritis, and hypertension presents to the ED for abdominal pain. Her care ...

Shock and Resuscitation Answers 190.The answer is c. (Tintinalli, pp 242-247.) This patient is in cardiogenic shockfrom decrease ...

If vagal maneuvers fail, the next step is adenosine, a very short-acting AV nodal blocking medication. Initially, adenosine 6 mg ...

dosage of a medication should be at least equivalent to the IV route, and is usually 2 to 2.5 times the IV dose is administered. ...