How to Answer Scenario Year Female Questions (Complete Guide)
Students often encounter this when studying fundamental concepts.
What This Question Is About
This question relates to scenario year female and requires a structured academic response.
How to Approach This Question
Structure your response with introduction, analysis, and conclusion.
Key Explanation
This topic involves scenario year female. A strong answer should include explanation, application, and examples.
Original Question
Scenario A 34-year old female comes into the ER stating she has been having abdominal pain, nausea, and vomiting for several days. Pain is 10/10. Patient Information PMH: Diabetes Mellitus, Chronic pain, GERD, Hypertension, Bipolar disorder Current Medications: OxyContin, Prozac, Ranitidine, Synthroid, Zyprexa, Regular Insulin, Lantus, Lipitor, Lisinopril, and Multivitamin Allergies: Benadryl, Imitrex, Augmentin, Phenergan, Lyrica, Reglan, Morphine, Compazine, Baclofen, Fentanyl, Gapapentin, Codeine Tramadol, Droperidol, Demerol, Protonix, Amoxicillin, Penicillin, Paramethasone, Clonidine, Tromethone Assessment Data Neurologic Alert, awake, and oriented X3 HEENT Dry mucus membranes Cardiac Regular rate and rhythm Sinus tachycardia Peripheral pulses strong and present Respiratory Tachypneic Lungs clear bilateral Abdominal Soft and non-tender Bowel sounds normal Skin/soft tissue Diaphoretic Psychosocial Tearful Anxious Vitals Time Temp Pulse Resp BP SPO2 Pain 1500 97.3 120 28 173/93 100% RA 10/10 “All over” 1530 116 26 168/92 100% RA 9/10 “Chest” 1700 108 18 156/88 100% RA 9/10 Labs CBC Result Reference Range WBC 15.3 H 4-11 RBC 3.56 L 4.5-5.9 Hgb 11.1 L 13.0-17.0 Hct 37.3 L 39.0-51.0 Platelets 257 150-450 Neutrophils (segs) 81.7 H 33-69% Lymphocytes 10.6 L 20-55% Monocytes 6.0 3-8% Eosinophils 0.5 L 1-3% Basophils 1.2 1% Metabolic Result Reference Range Sodium 120 L 135-145 Potassium 6.9 H 3.5-5.0 Chloride 95 L 98-107 CO2 14.5 L 21-32 Glucose 1174 H 65-99 BUN 40 H 10-20 Creatinine 2.86 H 0.5-1.4 GFR 19 >60 Calcium 8.2 L 8.4-10.2 Lipase 11 L 22-51 Total Protein 5.6 L 6.2-8.0 Albumin 2.1 L 3.2-5.5 Arterial Blood Gases + Beta Hydroxybutyrate (BHB) Result Reference Range pH 7.12 L 7.35-7.45 paCO2 26 L 35-45 paO2 95 75-100 HCO3 15 L 22-26 spO2 97 94-100% BHB 1.2 H 0.0-0.5 mmol/L Questions What four medical diagnoses do you anticipate based upon the data? What type of acid base balance would you classify the patient to have and why? Why was the patient hypertensive, tachypneic, and tachycardiac? Why was her glucose elevated? (give a pathophysiologic explanation) Why were the WBC and neutrophils elevated? Why was her carbon dioxide low? Why were the sodium and chloride levels low? Why was the potassium elevated? Why were the BUN and creatinine elevated? What is the BHB and what does it indicate? What interventions would you expect the ER provider to order?
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