dr confused
Forum Senior
Topics: 67
Posts: 116
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plz explain ur answer
thanks
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86/90/cs/80/2US LOR/EAD/2006grad
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| radonc
Forum Senior
Topics: 10
Posts: 180
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Not sure, but I think cehck aspirin level. Large overdoses may cause: ringing in the ears, tempoary deafness, hyperactivity, dizziness, drowsiness,hyperactivity, seizures, coma.
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| Kamsi
Forum Guru
Topics: 103
Posts: 347
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I agree,aspirin can cause tinnitus ,tachypnea,somnolence and the history of planning to hurt herself following the separation from her boyfriend .So check serum aspirin level
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| dr confused
Forum Senior
Topics: 67
Posts: 116
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yes may be because she also has tachypnea which may cause the repiratory alkalosis
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| hallachi
Forum Junior
Topics: 11
Posts: 63
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L) check asprin levels...
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| hallachi
Forum Junior
Topics: 11
Posts: 63
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just to revise things....
asprin toxicity> stimulate resp center in brain sem> hyperventilate and cause hypercapnia (inc Pc02)> respiratory acidosis plus get energy from anaerobic cycle (inc lactic acid prod)> metabolic acidosis with inc anion gap ..
Sx...resiratory symp plus tinnitis (most specific)
diag...check asprin levels and blood gases ..shows...resp acodosis and metabolic acidosis both..
Mx...if pt came with in an Hr..> IPICAC
cam after some hr > charcol
pt came after days> alkalanize the urine with NAHCO3 and frusamide...
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| Justice
Forum Fanatic
Topics: 117
Posts: 2,324
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L
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| lakshya_0_7
Forum Elite
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L
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| dr in trouble
Forum Guru
Topics: 62
Posts: 610
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I think the answer should be D--first check ABGs and then proceed towards checking Aspirin levels.
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| dermatology
Forum Elite
Topics: 30
Posts: 297
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ABG is given 96 % ..........
L.. check aspirin level...
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| Dr.D
Forum Senior
Topics: 22
Posts: 191
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That is pulse oxymetry, dermatology
Answer is D
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