Theo is in a car accident and is taken to the emergency room (ER). He tells the ER doctor that he has coronary heart disease and is taking medications to control his condition. The ER doctor notices that Theo has a large contusion on his leg and is bleeding profusely from his right arm. What does the doctor have to consider now that he has a better understanding of Theo's medical history?
The doctor has to consider now that he has a better understanding of Theo's medical history is that he has to consider include the fact that the blood thinner that the patient may be taking may increase bleeding. Pain has to be controlled by medication to reduce anxiety.
Theo is in a car accident and is taken to the emergency room (ER). He tells...
Jimmy, who is 17 years old, is seriously injured in a car accident. Taken to a nearby hospital, he is given emergency treatment by Dr. Smith, who judges that the boy’s right arm will have to be amputated below the elbow because it has been crushed beyond repair. Two other physicians are consulted and agree that the amputation should be done immediately to protect Jimmy’s life.Jimmy is unconscious as a result of a concussion, without the indications of a problem...
Case Study Horatio Salvatore is a 77-year-old bachelor who was brought to the emergency room one evening. He had seen bright red blood in his stool, which he attributed to hemorrhoids; however, the bleeding continued all day, and by supper, he could no longer ignore it. Horatio does not smoke or drink alcoholic beverages. He takes aspirin, as needed, for arthritis, sometimes up to eight tablets daily. In the emergency room, Horatio was light-headed, pale, cold, and very anxious. His...
Case #1 History of Present Illness: The patient is 42 year old Caucasian male with no prior cardiac history. He presented to the emergency room at Green River Hospital complaining of chest pain. This morning he notices some numbness and pain in his left arm. Later in the day he developed pressure in the chest. This gradually worsened throughout the morning until shortly before lunch when he was rating the pain at 8/10 in severity and decided to go to...
Tony, a 91-year-old veteran of World War ll, has lived in a big city all of his life and has used Veteran Administration (VAI) facilities for healthcare that are free under his VA coverage. He also has a small residence in another nearby state where he spends weekends. One weekend, while in this nearby state, Tony fell and cut his arm and hit his head. A neighbor applied a pressure dressing to his bleeding arm and then took him t...
C. Staphylococcus aureus D. Neisseria gonorrhoeae 24 A 60-year-old male enters the emergency room complaining of burning pain under his sterum that radiates to his jaw. He has been experiencing this pain for three weeks, periodically, with episodes that occur as often as three times a week. The nurse proceeds in which of the following ways? A. Prepares the patient for immediate transfer to the cardiac laboratory B Administers a dose of ibuprofen C. Asks the patient if he has...
Mr. Lewis is a 88-year old man brought to the emergency room by his daughter after finding him in his bedroom, lying on the floor beside his bed. Mr. Lewis is in obvious pain. He is wheeled into the ER by his daughter. He is moaning and rubbing his right leg. Pausing after every few words to catch his breath, he tells the nurse, “My leg is killing me. It keeps tightening and releasing. I cannot stand on it. It...
Albert, a seventy-two year old African-American man, is brought into the emergency room by his daughter. Approximately 45 minutes before arriving, Albert dropped his book when his right arm and hand "fell asleep". When he tried to rise, he noticed his right leg was weak and he needed to hold onto the couch to stand up. He had a difficult time talking because the right side of his face and mouth were "numb" and his tongue felt "thick". In obtaining...
Mr. Lewis is a 88-year old man brought to the emergency room by his daughter after finding him in his bedroom, lying on the floor beside his bed. Mr. Lewis is in obvious pain. He is wheeled into the ER by his daughter. He is moaning and rubbing his right leg. Pausing after every few words to catch his breath, he tells the nurse, “My leg is killing me. It keeps tightening and releasing. I cannot stand on it. It...
In early spring, a 45-year-old farmer from New Mexico arrived at the Emergency Room, struggling to breathe. He reported no history of chronic pulmonary disease and the ER ruled out malignant causes of his condition. His blood tests showed neutrophilic leukocytosis and thrombocytopenia. He reported feeling extremely fatigued the last few days, coupled with muscle aches and a fever. In particular his thighs, hips, and back had been aching. In addition, he was experiencing headaches, dizziness, and vomiting. He had...
A 57-year-old man with a history of hypertension and unstable angina is admitted to the emergency room with severe, crushing chest pain. He was working in the yard when he began to have pain in his left arm with diaphoresis and nausea. He took three sublingual nitroglycerin tablets before asking his wife to call EMS. Why is nitroglycerin indicated for the relief of chest pain caused by myocardial ischemia? What instructions should be given to patients prescribed sublingual nitroglycerin? The...