review patient after 3 days. inr from 2.5 now 1.3 patient we | Figure 1

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You can view up to 4 cases without signing up. Review patient after 3 days. INR from 2.5 now 1.3 patient well, ecchymoses resolving.

Case Overview

Patient Review

• 78 yof patient in a skilled nursing facility S/P CVA. Patient is contracted and aphasic. Staff called due to patient having decreased level of consciousness and bradycardia. Patient's initial BP was 92/50 with the rhythm shown above. Metoprolol was on the MAR and IV access was already in place. 1mg glucagon administered IV. The 2nd ECG is after administration of glucagon. Patient's BP and responsiveness improved. NS administered and patient transported to closest ED.

Case Summary

• 56yo/m presented to the ED via EMS for shortness of breath, cough and fever for several days. Per EMS the patient was able to self-ambulate to the cot. Patient's SPO2 is 88% on 6L/m via NC. Patient is in no obvious signs of distress. Per the EM doc, she decided to proceed with intubation. Patient has been in self-quarantine due to being exposed to a positive COVID-19 patient.

Patient Details

• Patient is a 60 yo Caucasian male with chronic, recurrent history of erythemic pharyngeal sores. Patient complains of severe dry throat and dysphagia, worse at night. Patient has had lab work completed by PCP and ENT with no abnormalities. Patient has had 1 round of treatment with PO steroids in the past with positive results.

Admission Summary

• A patient was admitted with a history of SLE and deranged RFTs. Lupus nephritis. He is agitated and aggressive. What sedative can be used safely in this patient and any patient with CKD?

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Observation

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Adolescent Patient

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