0071598626.pdf

is confirmed, a Sager or Hare traction splint should be applied and ortho- pedics consulted. Other areas of life-threatening hem ...

patient’s history and physical should be treated first. This patient has an AV graft indicating that he has a history of renal d ...

to developing sepsis. In addition, patients with indwelling lines, such as Foley catheters, are at an even higher risk for infec ...

200.The answer is d.(American Heart Association Guidelines, 2005. Tinti- nalli, p 62.)Asystoleis absent heart rhythm or more col ...

tidal volumes or severe bronchospasm. (d)You may hear normal breath sounds if only the midline of the thorax is auscultated. (e) ...

Cardiogenic shock (c)is caused by decreased cardiac output producing inadequate tissue perfusion. Anaphylactic shock (d)is a sev ...

Increased HR is best achieved by placing a transvenous pacemaker (d); this technique is sometimes called overdrive pacing. Durin ...

while the diagnostic workup continues. Blood is indicated after 2 to 3 L of crystalloid infusion and only minimal improvement in ...

IV fluids, antibiotics, and dopamine is appropriate. Continued hypoten- sion in a patient on maintenance steroid therapy should ...

diagnosis, but since this patient is unstable and echocardiogram may not be readily available, the treatment is immediate thorac ...

215.The answer is b. (Tintinalli, pp 343-359.) This patient is in cardiogenic shockfrom a right ventricular infarction. The ECG ...

Poisoning and Overdose Questions 217.After being fired from his job, a 35-year-old man attempts suicide by drinking from a bottl ...

218.A 19-year-old man is brought to the ED by EMS after he was found lying on the floor at a dance club. EMS states that the pat ...

Poisoning and Overdose 237 220.An 18-year-old woman is brought to the ED by her mother. The patient is diaphoretic and vomiting. ...

221.A 47-year-old man is brought to the ED by EMS after being found wandering in the street mumbling. His BP is 150/75 mm Hg, HR ...

Poisoning and Overdose 239 224.A 60-year-old woman with a history of diabetes is brought into the ED by EMS workers who state th ...

226.A 35-year-old agitated man presents to the ED in police custody. He denies any past medical history and takes no medication. ...

Poisoning and Overdose 241 229.A 30-year-old man is brought to the ED by police officers. The patient is agitated, vomiting, and ...

231.An undomiciled 49-year-old man presents to the ED with altered mental status. His BP is 149/75 mm Hg, HR is 93 beats per min ...

Poisoning and Overdose 243 232.A 26-year-old woman, who was found lying on the floor of her apart- ment next to an unlabeled emp ...