The AG-ACNP is seeing a patient who is initiating breaths on…

The AG-ACNP is seeing a patient who is initiating breaths on SIMV. The SpO2 is 98% on 40% fraction of inspired oxygen. The AG-ACNP notices that the patient’s spontaneous tidal volumes are 130 mL per breath, and the patient is getting mildly tachycardic and is complaining of fatigue. Respiratory muscle fatigue can best be reduced by:

Case: 45 year old patient with R BKA and L knee disarticulat…

Case: 45 year old patient with R BKA and L knee disarticulation from and on the job accident where he was trapped behind the truck bumper and the wall of a wash out stall. No other internal injuries noted. Patient transferred to in patient rehab once medically stable. PT POC includes patient education, stump care, TE, TA, balance, functional mobility, stump care, and pre-prosthetic training.Of the following, what is going to be the best approach assist the patient with the psychologic impact of the injuries sustained in the accident?

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 35-year-old male with no significant past medical history…

A 35-year-old male with no significant past medical history presents to the Emergency Department with one day of worsening chest pain. The chest pain was abrupt in onset, is described as “sharp” in nature, and worsens with inspiration. It is primarily centered in the center of his chest but occasionally radiates to the left upper back. He feels that the pain worsens when he lays down. Vital signs are unremarkable including equal bilateral upper extremity blood pressures and radial pulses. On physical examination, he is febrile to 38.2°C. A triphasic “scratching” sound in time with the cardiac cycle is auscultated at the left lower sternal border. Initial laboratory studies show a negative troponin T and mild elevations in white blood cell count and the C-reactive protein. His ECG is shown below: ECG6.jpg Which of the following is the most appropriate next step?

The PTA is seeing a patient that sustained an injury to the…

The PTA is seeing a patient that sustained an injury to the right LE. The initial injury is now healed, but the patient is complaining of pain that appears to be out of proportion to the injury. Upon inspection the PTA notices the skin is tight and shiny and had a mottled appearance. What condition is indicated by the symptoms listed?