Patients with chronic obstructive pulmonary disease (COPD) a…
Patients with chronic obstructive pulmonary disease (COPD) are at higher risk for infection with which of the following organisms?1. Haemophilus influenzae2. Pseudomonas aeruginosa3. Moraxella catarrhalis4. Staphylococcus aureus
Read DetailsA 45-year-old man is admitted to the emergency department fo…
A 45-year-old man is admitted to the emergency department for injuries sustained from a fall that occurred while he was working to repair the chimney on his house. His admission diagnosis includes a fractured right radius and contusion to his right upper thorax. There is no evidence of head trauma. The patient’s respiratory rate is 30 breaths per minute, his blood pressure is 140/85 mm Hg, and his pulse rate is 110 beats/min. The resident on-call physician requests that a neuromuscular blocking agent (NMBA) is administered to accomplish intubation of this patient. Which NMBA would be appropriate for this patient?
Read DetailsA 55-year-old woman with a 35-pack-year history of smoking c…
A 55-year-old woman with a 35-pack-year history of smoking cigarettes is admitted into the intensive care unit after a cholecystectomy. She has a history of diabetes mellitus and has been mechanically ventilated via an endotracheal tube for 5 days. Her chest radiograph demonstrates localized infiltrates in the right middle lobe. Her white cell count is 15,000 cells/mm3, and the results of bronchoalveolar lavage show the presence of methicillin-resistant S. aureus. Briefly describe the appropriate antibiotic course that should be initiated for this patient.
Read DetailsA 30-year-old woman admitted to the intensive care unit afte…
A 30-year-old woman admitted to the intensive care unit after a motor vehicle accident is anxious and in obvious pain. She is listed as being in guarded condition because of fluctuation in her arterial blood pressure. She has become increasingly combative to the attending staff and made several unsuccessful attempts to remove her endotracheal tube. What would be an effective pharmacological agent to treat this patient’s symptoms?
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