Which of the following injuries is associated with the pressure wave produced by a blast?
A) Pneumothorax
B) Lacerated liver
C) Fractures
D) Ruptured spleen
Question 2
Your patient is a 32-year-old female who is alert and sitting at her kitchen table complaining of dizziness and near-syncope with exertion. She describes a four-day history of a 104F fever, nausea, vomiting, and diarrhea unrelieved with over-the-counter medications. Physical examination reveals dry skin and mucous membranes, lung sounds clear and equal bilaterally. HR = 131 and regular, BP = 84/60, RR = 20 and regular, SaO2 = 98, blood glucose = 58 mg/dL. She has a history of colitis, for which she often takes prednisone, but she has been noncompliant with her prednisone therapy for the past five days because she cannot afford to refill her prescription. The treatment for this patient should include:
A) a one-liter NS bolus IV.
B) an IV of NS, 25 g dextrose IV, and 100 mg thiamine IV.
C) a one-liter NS bolus, IV, and 25 g dextrose IV.
D) 15 lpm oxygen by nonrebreather, IV of NS, 25 g dextrose.
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