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A 76-year-old woman with a history of congestive heart failure and
hypertension is admitted with altered mental status and mild upper
respiratory symptoms. According to family, her mental status has been
gradually declining over the past 3 days. Because of generalized weakness
and upper respiratory symptoms, she has had a limited amount of food and
drink for the past 72 hours. Her home medications include metoprolol,
lisinopril, and furosemide. Her family states that she has been compliant
with these medications. On physical examination, vital signs are: heart rate,
118 beats/min; blood pressure, 96/53 mm Hg; respiratory rate, 14
breaths/min; and oxygen saturation, 98% on room air. Other findings
, included dry mucous membranes, poor skin turgor, and the absence of
jugular venous distention. Pulmonary examination is clear on auscultation.
She opens her eyes to voice, but mumbles incomprehensible sounds and
has generali - 🧠 ANSWER ✔✔B. Hypertonic (3%) saline, 100 mL for rapid
early correction, with goal serum sodium of 118 mEq/L in 24 hours
A 72-year-old woman with a history of hypertension, type 2 diabetes
mellitus, and smoking develops sudden-onset severe chest pain associated
with difficulty breathing and diaphoresis. Her vital signs on arrival in the
emergency department are: blood pressure, 165/92 mm Hg; heart rate, 101
beats/min; respiratory rate, 29 breaths/min; and oxygen saturation as
measured by pulse oximetry, 96% on room air. Which of the following ECG
findings is the most significant indicator for immediate reperfusion in pt
management
A. ST segment depression
B. ST segment elevation
C. T wave inversions
D. Peaked T waves - 🧠 ANSWER ✔✔B. ST segment elevation