A 35 year old presents to the urgent care clinic with compla…
A 35 year old presents to the urgent care clinic with complaints of spasms to his right leg. He states he believes he was bitten by a black widow spider yesterday while walking around his grandfather’s house barefoot. You notice an area of local irritation a few inches above his right ankle. The patient reports he has been taking acetaminophen (Tylenol) for pain, but now “this spasm won’t go away”. What is the most appropriate pharmaceutical treatment for this patient?
Read DetailsThe AGACNP is caring for a 42 year old male with a history o…
The AGACNP is caring for a 42 year old male with a history of bipolar 1 disorder. The patient is admitted for acute right lower extremity cellulitis secondary to a dog bite, which is requiring broad spectrum IV antibiotics. What is the most appropriate way the AGACNP can manage this patient’s bipolar 1 disorder?
Read Details*Final Exam Bonus Question* 2 points will be added to the fi…
*Final Exam Bonus Question* 2 points will be added to the final exam grade if answered correctly. No penalty for wrong answers. A 31 year old male is brought into the emergency department, via emergency medical services (EMS), who was found by firefighters in a house fire. Firefighters report the patient was found in a room with significant smoke, but the fire had not moved to that room. The patient was intubated at the scene due to lethargy and significant hypoxia. All the patient’s clothes were removed at the scene. A blanket covers him. The AGACNP is now evaluating this patient and notes a cherry-red skin color, but no actual burns to the skin. The patient is coughing frequently over the mechanical ventilator, which is set on 100% oxygen. Lung sounds are clear bilaterally. He is now somnolent, no response to pain. Pupils are 3mm, equal and reactive. The AGACNP orders a STAT chest x-ray, ABG, CBC, and CMP. The respiratory therapist brings the results of the ABG to the AGACNP: pH 7.23 CO2 32 O2 90 HCO3 19 Base Excess 1.5 Lactic Acid 8.9 Based on the information given, the AGACNP is suspicious for toxicity. What is the most appropriate treatment?
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