She can rarely sit still for more than 10 minutes.
They describe their daughter as stubborn and always on the go. The most appropriate next step inmanagement is administration of which of the following?Ī 3-year-old girl is brought to the physician by her parents because they are concerned about her behavior. The patient is switched to administration of 100% oxygen by a nonrebreathing face mask. His hematocrit is 24%,serum sodium concentration is 140 mEq/L, and serum creatinine concentration is 2.1 mg/dL. The abdomen is nondistended with mild tenderness over the incision. Cardiopulmonary examination shows no abnormalities. Pulse oximetry on 2 L/min of oxygen via nasal cannula shows an oxygen saturation of 89%. His temperature is 37☌ (98.6☏), pulse is 85/min, respirations are 14/min, and blood pressure is 90/60 mm Hg. He currently appears pale and diaphoretic. Current medications include morphine and labetalol. He has a 10-year history of hypertension well controlled with atenolol. Two years ago, he had a myocardial infarction and underwent coronary artery bypass grafting. His initial postoperative course was uncomplicated. During the 4-hour operation, he lost 500 mL of blood and underwent transfusion of 1 unit of packed red blood cells. His urine output has been 10 mL/h during the past 3 hours. Six hours after undergoing surgical excision of the distalcolon for cancer, a 77-year-old man has decreased urine output. Laboratory studies show:Hemoglobin 10.3 g/dL Hematocrit 30%Leukocyte count 12,000/mm3 Platelet count 45,000/mm3 Which of the following is the most likely cause of this patient's current findings? Examination shows mild hematomas at all surgical sites. Her temperature is 37.3☌(99.2☏), pulse is 94/min, respirations are 16/min, and blood pressure is 112/74 mm Hg. She is 163 cm (5 ft 4 in) tall and weighs 87 kg (192 lb) BMI is 33 kg/m2. Her initial postoperative course was uncomplicated. Prior to the operation, she received heparin and underwent application of compression stockings.
Results of preoperative laboratory studies were within the reference range. She was treated for deep venous thrombosis 3 years ago but was not taking any medications at the time of this admission.
Three days after undergoing elective laparoscopic cholecystectomy for cholelithiasis, a 42-year-old woman has the onset of hematomas at all surgical sites.
0 kommentar(er)
