Concept explainers
We have a new patient to consider today. Mr. Gutteman, a 70-year-old male, was brought into the ER in a comatose state and has yet to come out of it. It is obvious that he suffered severe head trauma-his scalp was badly lacerated, and he has an impacted skull fracture. His initial lab tests (blood and urine) were within normal limits. His fracture was repaired and the following orders (and others) were given:
Check qh (every hour) and record: spontaneous behavior, level of responsiveness to stimulation, movements, pupil size and reaction to light, speech, and vital signs.
Turn patient q4h and maintain meticulous skin care and dryness.
Mr. Gutteman is found to be losing huge amounts of water in urine and the volume lost is being routinely replaced (via IV line). Mr. Gutteman’s blood and urine tests are negative for glucose and
Relative to these findings:
Is it life threatening? (Explain your answer.)
Want to see the full answer?
Check out a sample textbook solutionChapter 15 Solutions
Anatomy and Physiology - Package
- When calcium levels are too high or too low, which body system is primarily affected? skeletal system endocrine system digestive system nervous systemarrow_forwardCompare five major characteristics of benign bone tumors with those of malignant bone tumors.arrow_forwardA woman was hit by a car and complained of injuries to her leg, knee, hip, and thigh. She was taken to the nearest hospital, where, on the orders of a physician, she received X-rays of her arm and pelvis. No X-ray was taken of her leg, and she was released from the hospital on crutches. The pain in her leg increased, and she went to another hospital some hours later, where an X-ray was taken and revealed that her leg was fractured. She was admitted to the second hospital and remained an inpatient for a month. Ten days after admission to the second hospital, she received a letter from the first hospital telling her to return for a leg X-ray. She sued the first hospital and the radiologist. Does the radiologist, who never saw her, have a contractual relationship with the patient?arrow_forward
- A woman was hit by a car and complained of injuries to her leg, knee, hip, and thigh. She was taken to the nearest hospital, where, on the orders of a physician, she received X-rays of her arm and pelvis. No X-ray was taken of her leg, and she was released from the hospital on crutches. The pain in her leg increased, and she went to another hospital some hours later, where an X-ray was taken and revealed that her leg was fractured. She was admitted to the second hospital and remained an inpatient for a month. Ten days after admission to the second hospital, she received a letter from the first hospital telling her to return for a leg X-ray. She sued the first hospital and the radiologist. Does the radiologist, who never saw her, have a contractual relationship with the patient? I believe the radiologist does have a contractual relationship with the patients because they are the one reading the X-rays and making the diagnosis to the doctor. The patient was right in suing the hospital…arrow_forwardQuinolones and fluroquinolones affect cell membrane integrity? True or false.arrow_forwardDuring a mountain biking accident, your 45 year old sister and her excitable 14 year old daughter each suffered a broken arm. Your sister sustained a compound (open) mid-shaft humeral fracture and was treated with open reduction & internal fixation using a plate & screws. Your niece sustained a simple ulnar fracture and was treated with closed reduction and a cast. After their 6 week follow-up visit, your niece says “Compared to mom, my arm doesn't even looked healed, it has a big bump on it in the x-ray picture!" and exclaims its unfair her arm remains in a "clumsy cast!" Based on concepts you have learned about bone fracture and healing and fracture repair, explain to your niece 1) the process of healing that has occurred in her fracture since her accident Use terminology AND your ability to explain their meanings in words a 14 year old can understand. (Use only one page to answer).arrow_forward
- What are non pharmacological SMART goals for bone fracturesarrow_forwardJL, a 50-year-old woman, fell and broke the left tibia at the ankle. She is in the emergency department, waiting for the fracture to be immobilized. The leg hurts and she notes that the ankle is swelling. A diagnosis of a simple fracture and sprain (damage to ligaments) is made. What is the cause of pain and swelling? --- don't need this --- I need question #2 answered What can JL expect in the days to come as inflammation resolves and healing begins?arrow_forwardWhat are the requirements of bone grafts that are being used for tissue engineering applications? Describe briefly bone grafts that are already applied in the clinic. Imagine that you are not seeding cells on the bone graft prior to implantation, you are demanding cell migration from neighborhood tissues via blood. In this regard, what are the required characteristics of bone grafts to support bone regeneration and vascularization?arrow_forward
- If you were a dietician who had a young female patient with a family history of osteoporosis, what foods would you suggest she include in her diet? Why?arrow_forwardWhat is the most lethal bone tumor in children?arrow_forwardWhat is the difference between an open and a close fracture and how does that difference affect treatment? What does Rice, Mice and Price stand for? What is a meaningful action to take when the signs and symptoms of the patient suggest poisoning?arrow_forward
- Anatomy & PhysiologyBiologyISBN:9781938168130Author:Kelly A. Young, James A. Wise, Peter DeSaix, Dean H. Kruse, Brandon Poe, Eddie Johnson, Jody E. Johnson, Oksana Korol, J. Gordon Betts, Mark WomblePublisher:OpenStax College