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Author7 Posts
  #1

33) A 61-year-old woman is brought to the hospital by ambulance after being found unconscious. Her Medic-Alert bracelet states that she has hypothyroidism. All that is known of her history is that she was found by her family on her kitchen floor and was nonresponsive and cold to the touch. It is not clear whether she has been taking her thyroxine therapy. On examination, her skin is thin, cool, and moist, with nonpitting diffuse edema of her upper and lower extremities. Her blood pressure is 70/nondetectable mm Hg, pulse is 40/min, and respirations are 8/min with an oxygen saturation of 82% on room air. Which of the following is the most appropriate next step in her management?

A. IV hypertonic saline
B. IV pressor support
C. IV thyroxine
D. Endotracheal intubation and mechanical ventilation
E. Cardiac defibrillation


  #2

A


  #3

C

  #4

D.

  #5

D

  #6

D. Endotracheal intubation and mechanical ventilation
according to ABC


___________________
"Live as if you were to die tomorrow. Learn as if you were to live forever." --Mahatma Gandhi

  #7

Right RR < 10 so intubation









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