Author Question: Your patient is a 29-year-old male who is conscious, alert, and extremely hyperactive after using ... (Read 90 times)

lidoalex

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Your patient is a 29-year-old male who is conscious, alert, and extremely hyperactive after using cocaine. HR = 134, BP = 148/102, RR = 20. Physical examination reveals warm, diaphoretic skin and dilated pupils bilaterally. Which of the following medications should be considered to manage this patient?
 
  A) Metoprolol
  B) Naloxone
  C) Propranolol
  D) Diazepam

Question 2

You have arrived on the scene of a sexual assault. The victim is a 21-year-old female. She is at home and very distraught. She tells you that she does not feel she is hurt and that she wants to take a shower before being examined because she feels dirty. What is the appropriate reaction?
 
  A) Tell the patient sternly to go nowhere and wait for the police.
  B) Advise the patient to save the clothes she was wearing in a plastic bag and to clean up.
  C) Tell the patient that she will lose all chance of convicting her attacker if she does something silly like that.
  D) Advise the patient that it is imperative that she have a certified technician, such as a SANE nurse, examine her and that bathing can remove or destroy evidence.


macagnavarro

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Answer to Question 1

D

Answer to Question 2

D



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Did you know?

It is believed that the Incas used anesthesia. Evidence supports the theory that shamans chewed cocoa leaves and drilled holes into the heads of patients (letting evil spirits escape), spitting into the wounds they made. The mixture of cocaine, saliva, and resin numbed the site enough to allow hours of drilling.

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The word drug comes from the Dutch word droog (meaning "dry"). For centuries, most drugs came from dried plants, hence the name.

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The human body's pharmacokinetics are quite varied. Our hair holds onto drugs longer than our urine, blood, or saliva. For example, alcohol can be detected in the hair for up to 90 days after it was consumed. The same is true for marijuana, cocaine, ecstasy, heroin, methamphetamine, and nicotine.

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All adverse reactions are commonly charted in red ink in the patient's record and usually are noted on the front of the chart. Failure to follow correct documentation procedures may result in malpractice lawsuits.

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Interferon was scarce and expensive until 1980, when the interferon gene was inserted into bacteria using recombinant DNA technology, allowing for mass cultivation and purification from bacterial cultures.

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