The excessive and chronic production of cortisol by the adrenal cortex or by the administration of glucocorticoids in large doses for a period of several weeks or longer can cause _____

You receive a call to a residence for a sick patient. Upon your arrival, you find the patient, a 53-year-old diabetic male, lying down on his front porch. His wife tells you that he had been mowing the lawn in the heat for the past 3 hours. The patient is confused and has hot, moist skin. His pulse is weak and thready, and his blood pressure is 90/50 mm Hg. In addition to administering 100% oxygen, you should:

A. perform a rapid assessment and look for signs of trauma. B. place him in a sitting position and have him drink 1 L of water. C. load him into the ambulance and begin rapid cooling interventions. D. administer one tube of oral glucose and reassess his mental status.

Which of the following conditions may require higher initial respiratory rates? 1. Metabolic alkalosis 2. ARDS 3. Increased intracranial pressure 4. Metabolic acidosis

a. 1 and 3 only b. 1, 2, and 3 only c. 3 and 4 only d. 2, 3, and 4 only