Your patient is a 42-year-old male who is supine on the floor, responsive only to pain. His wife states that he has been extremely depressed recently and talked about suicide yesterday. The patient's skin is hot and dry, pupils are dilated and reactive to light bilaterally, and there is vomit around his mouth. HR = 138 and regular, BP = 82/52, RR = 16 and shallow. Temperature is 105.5°F. The
patient has a history of hypothyroidism, for which he takes Synthroid. Your partner suctions the airway and initiates BVM ventilations with 100 percent oxygen and an oropharyngeal airway. In addition to monitoring the cardiac rhythm and starting an IV of normal saline, you should:
A) perform synchronized cardioversion and intubate if the rhythm does not convert.
B) intubate the trachea and request orders for propranolol, IV.
C) intubate the trachea and request orders for diltiazem.
D) administer 25 g of 50 percent dextrose and intubate if the level of responsiveness does not improve.
B
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A 19-year-old female states that she is addicted to Vicodin because it makes her feel good, and she cannot stop taking the pills. She states that she craves them all the time, and when she runs out she does not feel sick but becomes preoccupied with how she can get more. Assessment reveals no abnormalities, and vital signs are within acceptable limits. This patient's condition is most consistent
with: A) physical dependence. B) habituation. C) psychological dependence. D) tolerance.
When a strong acid is added to the bicarbonate buffer system, what is the result?
a. Strong base and neutral salt b. Strong acid and neutral salt c. Weak acid and neutral salt d. Weak acid and basic salt