Which of the following BEST supports "established Pertinent past, family, social history"?
A. Georgia is a 35-year-old woman, whom I have treated for peptic ulcers since the age of 21. Today, she presents to the clinic with complaints of severe abdominal pain. Due to her history of peptic ulcers, she avoids tobacco and alcohol. Since her last visit, her younger brother has been diagnosed with Crohn's disease.
B. Patient is a 22-year-old male man who is well known to me. He presents with severe abdominal pain and bloody diarrhea. He has been trying to quit smoking unsuccessfully because his father was recently diagnosed with lung cancer.
C. Patient returns to me because her stomach pain and heartburn have significantly worsened and her teenage daughter recently moved to college.
D. George is a 45-year-old man who has recently moved to the area, complaining of severe abdominal pain. Her mother has been diagnosed with colon cancer.
B
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According to the American College of Surgeons, an injured patient should be transported to a Level I trauma center if his or her:
A) heart rate is greater than 100 beats/min. B) systolic blood pressure is less than 90 mm Hg. C) respiratory rate is less than 14 breaths/min. D) Glasgow Coma Scale score is less than 15.
A "ventilator bundle" may include which of the following?
1. Keeping the head of the bed at 30 degrees from the horizontal. 2. Changing the ventilator circuits every 48 hours. 3. Using heated humidifiers whenever possible. 4. Using noninvasive positive pressure ventilation (NPPV) whenever possible. a. 1 and 3 only b. 1 and 4 only c. 2 and 3 only d. 1, 2, and 4 only