Cse study:
A 34-year-old african american female with a diagnosis of urinary infection is seen in the emergency department with a complaint of pain while urinating. Her family also states that she has been confused in the last 24 hours. Sleeping in bed had become a problem that for the previous two nights she slept sitting due to the pain.She stated that she had smoked marijuana for 10 years and had tried unsuccessfully to quit.physical examination revealed that the patient is a midly obese famale, weight 162kg, height 5ft. Vital signs: heart rate(104/min),BP(120/90),RR(26/min),Temp(101.5f),pulse Oximetry(96%),.
Labs:K+(4.0),Na+(138),WBC(14500), Ca+(9.6),glucose(101), Other assessments are within normal limits.
Medications taken at home: Albuterol Sulfate 2.5mg 2puff BID and PRN,propanolol 80mg Daily,Acetaminophen 500mg BID,vitamin C 500mg Daily.
Questions:
1 .What is the primary problem/diagnosis for this patient?
2. Are there any aditional labs, tests, or imaging that are needed to confirm the patient’s problem?
3. What will the ER staff do in the first 20 inutes to improve the patient health?
4. If this patient were to get worst,what would likely happen?
5. Explain all the factors that lead to the patient’s ER visit.
6. What will help the patient in the long term for optimal health?
7. what is the likelihood of this problem becoming chronic?
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