A 33-year-old female presents with a headache, extreme weakness, chills, and a high fever for the past 10 days. She denies vaginal discharge, urinary difficulty, or painful intercourse. Assessment of her abdomen reveals palpable tenderness to the left upper quadrant. Which of the following is the MOST likely cause of her symptoms?
A: Trichomoniasis
B: Gonorrhea
C: Chlamydia
D: Cytomegalovirus
Answer: D: Cytomegalovirus
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Which of the following best describes the pathophysiology of anaphylactic shock?
A) The serious allergic reaction causes the blood vessels to dilate uncontrollably, resulting in a loss of blood pressure. B) The allergic reaction causes fluid and blood to leak out of the vessels, causing hypovolemia. C) The heart is not able to effectively pump blood through the body. D) A blood clot prevents blood from returning to the heart and causes a drop in blood pressure.
At 1030 the respiratory therapist is called to the bedside of a patient being mechanically venti-lated with VC-IMV
The patient is a 55-kg female who has been intubated with a size 8 endotracheal tube. Currently, the ET tube is located 20 cm at the gum line. During spontaneous breathing, the patient shows lack of coordinated chest wall movement, and the respiratory therapist notes some retraction of the intercostal spaces. The respiratory therapist performs a system check. The current and past few patient-ventilator system checks reveal the following information: Time 0430 0640 0835 1030 PIP (cm H2O) 28 31 34 41 Pplateau (cm H2O) 18 21 19 20 The most appropriate action to take in this situation is which of the following? a. Deflate the cuff and reposition the endo-tracheal tube. b. Request that the patient receive haloperi-dol and midazolam. c. Administer albuterol via an in-line me-tered-dose inhaler. d. Switch the mode to PC-IMV and increase the rate.
_____ shock is caused by sudden blood or body fluid loss
Respiratory Hypovolemic Septic Anaphylactic
Explain the concept of backward design