A patient being seen for adhesive capsulitis of the right sh…

A patient being seen for adhesive capsulitis of the right shoulder has completed her exercises and is placed on ice to assist with inflammation and pain. After approximately 5 minutes on ice the complains of pain in her hand. The PTA notes a significant color change in the hand described as red/purple with blanching in the fingers. What is the best course of action?

A 64-year-old female presents with a 5-day history of exerti…

A 64-year-old female presents with a 5-day history of exertional dyspnea and orthopnea. Her medical history is significant for SLE and diastolic heart failure. Chest X-ray reveals significant bilateral pleural effusions. The decision is made to perform a thoracentesis.  Which laboratory value would indicate that the effusions are a result of her known diagnosis of SLE?

A 36-year-old man is admitted for alcohol withdrawal. The pa…

A 36-year-old man is admitted for alcohol withdrawal. The patient is initially treated with lorazepam injection as needed based on the Clinical Institute Withdrawal Assessment (CIWA) scale but develops respiratory depression, requiring transfer to the ICU and mechanical ventilation. To treat the symptoms of withdrawal, the patient was started on fentanyl infusion, midazolam infusion, and propofol infusion. Attempts to lower the sedation were met with extreme agitation and dyssynchrony with the ventilator. After 5 days, dexmedetomidine was introduced. A few hours later, the patient became bradycardic and hypotensive. A crystalloid bolus was started. The electrocardiogram (ECG) shows a second degree heart block. Laboratory analysis shows the following: Labs1.jpgAdditionally, his serum osmolality gap is elevated. Which is the responsible medication for the abnormal laboratory values?

The AG-ACNP is caring for a 58-year-old male patient who was…

The AG-ACNP is caring for a 58-year-old male patient who was recently diagnosed with CAD after having an ST-segment myocardial infarction. Based on the 2018 ACC/AHA Guideline on the Treatment of Blood Cholesterol, which option for statin therapy would be most appropriate for this client when planning for hospital discharge?