EMT's arrive with H.H., a 74-year old naked male who is suffering a possible myocardial infarction...
Fantastic news! We've Found the answer you've been seeking!
Question:
Transcribed Image Text:
EMT's arrive with H.H., a 74-year old naked male who is suffering a possible myocardial infarction (MI). Patent experienced internse chest pains, shortness of breath (dyspnea), profuse sweating, and nausea while at home with his new (and very young) wife. You are a new resident working under Dr. Home and Dr. Home insists you tend to him. Physical Exam: • Average body trame. Height = 510: Weight = 225 pounds • Heart Rate = 102 bpm (normal = 70 bpmk Blood pressure = 150/110 mm Hg • Respiration rate = 24 breathsimin (normal = 12-18 breathalmin) History • H.H. has hypertension, which he treats sporadicaly with beta-blockers. EKG for H.H. ST-depression Blood Tests for H.H. Cardiac Troponin i |Cardiac Troponin I (CTni) 1. What is your initiai diagnosis for the cause of H.H.'s condinion? Pravide evidence from the pationt's physical exam, EKG, and blood tests to support your diagnosis. 2. How could untreated hypertension contribute to H.H.'s condition? Patient H.H. values 52 ngim Normal values C0.1 ngml As a first-line treatment for H.H's condtion, you administer nitroglycerine. 3. Why is nitroglycerin given as a treatment for myocardial intarction? What does it do to blood vessels and blood pressure? How doas it heip the heart tissue? Shortly after administering the nitroglycerine, the HH. becomes unresponsive. Dr. Home quickly evaluates the situation and demands to know whether you discussed the patient's histary with the EMTS prior to administering nitroglycerin. You are forced to admit that you had not received a ful report. He asks the EMTS about possible Viagra use and one of the EMT's confirms that a botte of Viagra was on the bedside when they arived at the patient's house. 4. What aftect does Vagra have on blood vessels and blood pressure? 5. What effect could the combination of nitroglycerin and Viagra have on blood vessels and blood pressure? Why could this be life threatoning? 6. Why did Dr. Home start fluid resuscitation and give phenylephrine to treat the pationt's condition? EMT's arrive with H.H., a 74-year old naked male who is suffering a possible myocardial infarction (MI). Patent experienced internse chest pains, shortness of breath (dyspnea), profuse sweating, and nausea while at home with his new (and very young) wife. You are a new resident working under Dr. Home and Dr. Home insists you tend to him. Physical Exam: • Average body trame. Height = 510: Weight = 225 pounds • Heart Rate = 102 bpm (normal = 70 bpmk Blood pressure = 150/110 mm Hg • Respiration rate = 24 breathsimin (normal = 12-18 breathalmin) History • H.H. has hypertension, which he treats sporadicaly with beta-blockers. EKG for H.H. ST-depression Blood Tests for H.H. Cardiac Troponin i |Cardiac Troponin I (CTni) 1. What is your initiai diagnosis for the cause of H.H.'s condinion? Pravide evidence from the pationt's physical exam, EKG, and blood tests to support your diagnosis. 2. How could untreated hypertension contribute to H.H.'s condition? Patient H.H. values 52 ngim Normal values C0.1 ngml As a first-line treatment for H.H's condtion, you administer nitroglycerine. 3. Why is nitroglycerin given as a treatment for myocardial intarction? What does it do to blood vessels and blood pressure? How doas it heip the heart tissue? Shortly after administering the nitroglycerine, the HH. becomes unresponsive. Dr. Home quickly evaluates the situation and demands to know whether you discussed the patient's histary with the EMTS prior to administering nitroglycerin. You are forced to admit that you had not received a ful report. He asks the EMTS about possible Viagra use and one of the EMT's confirms that a botte of Viagra was on the bedside when they arived at the patient's house. 4. What aftect does Vagra have on blood vessels and blood pressure? 5. What effect could the combination of nitroglycerin and Viagra have on blood vessels and blood pressure? Why could this be life threatoning? 6. Why did Dr. Home start fluid resuscitation and give phenylephrine to treat the pationt's condition?
Expert Answer:
Answer rating: 100% (QA)
1 Myocardial infarction or myocardial ischemia because of ST depression and high blood pres... View the full answer
Related Book For
Statistics The Art and Science of Learning from Data
ISBN: 978-0321755940
3rd edition
Authors: Alan Agresti, Christine A. Franklin
Posted Date:
Students also viewed these biology questions
-
Hypertension is diagnosed if a patients systolic blood pressure exceeds 140 mmHg and diastolic blood pressure exceeds 90 mmHg. A study of the lipid profiles of hypertensive patients was carried out...
-
Home values tend to increase over time under normal conditions, but the recession of 2008 and 2009 has reportedly caused the sales price of existing homes to fall nationwide (BusinessWeek, March 9,...
-
A pressure cylinder has a diameter of 150 mm and has a 6-mm wall thickness. What pressure can this vessel carry if the maximum shear stress is not to exceed 25 Mpa?
-
Misty Cumbie worked as a waitress at the Vita Caf in Portland, Oregon. The caf was owned and operated by Woody Woo, Inc. Woody Woo paid its servers an hourly wage that was higher than the states...
-
a. For each part that follows, simplify and compare both expressions. i. 4(3)2 and 122 ii. 42 32 and 122 b. For each part that follows, build an inputoutput table that shows the same input values...
-
Barbara is a sales representative for Global Fashions Inc. One of her best customers, George, places a large order for linen jackets for the coming spring season. Barbara knows that Global has had...
-
If your instructor assigns a marketing plan for your class, we hope you will be excitedfor two reasons. First, you will get insights into trying to actually do marketing that often go beyond what you...
-
Roaming Bicycle Manufacturing Company currently produces the handlebars used in manufacturing its bicycles, which are high-quality racing bikes with limited sales. Roaming produces and sells only...
-
3. If a proton is launched at a 2.0mm glass sphere with a velocity of 2.0 107 m/s, how might the sphere be charged such that the proton just makes it to its surface.
-
For this assignment, you will be submitting an essay on the effect the adoption of IFRS has had and will continue to have on tax planning strategy. While reporting under IFRS will not be required...
-
Two 2.5-cm-diameter-disks spaced 1.9 mm apart form a parallel-plate capacitor. The electric field between the disks is 4.3105 V/m.
-
Serena (age 36) is a Junior Accountant at MGKP. She lives in Sandton and she is also taking care of her mother, Mary (age 59). Serena wants to ensure her mother's life. Her mother's life is an...
-
Answer the question given below by using the following information. Problem # 4 Net Income per books Federal Income Taxes Life Insurance proceeds on key employee Tax Exempt interest Net Capital Loss...
-
A wooden block whose mass is 50.0 kg is pressed against a spring that stores 370.0 J of energy. The system is released from rest and the block slides across a horizontal floor a distance of 4.60 m...
-
Who owns the company?revenue asset equity a. Assets c. Revenue e. Liabilities b. Equity d. Expense ________ Who owns the company? ________ What the company earns. ________ What cost the company...
-
Using the handout Art and Environment: Creative Strategies as a guideline analyze Rousseau's approach as an artist and conservationist. Select up to three key terms (propose new categories as needed)...
-
If the points shown as squares in the plot of volume versus temperature shown above had been included in the calculation of the trendline, would the calculated value of C be too high, too low, or...
-
What is the back work ratio? What are typical back work ratio values for gas-turbine engines?
-
For the Male Athlete Strength data file on the text CD, the output shows correlations for height, weight, and percentage body fat (BF%). a. Compare the correlations for females (Exercise 12.16) to...
-
A football coach decides to estimate the kicking accuracy of a player who wants to join the team. Of 10 extra point attempts, the player makes all 10. a. Find an appropriate 95% confidence interval...
-
Refer to the previous exercise. a. Explain how the result of the 95% confidence interval shown in the table agrees with the test decision using the 0.05 significance level. b. Suppose you instead...
-
Mega Tech, Inc. designs and manufactures automotive components. For years, the company enjoyed a stable marketplace, a small but loyal group of customers, and a relatively predictable environment....
-
Describe the features of a project. How do they differ from day-to-day processes within an organization?
-
In 2003, the Department of Health and Human Services in Victoria, Australia, initiated a AU$323 million project to develop HealthSMART, an integrated IT system that would deliver resource management,...
Study smarter with the SolutionInn App