I need help on What should be checked for on physical examination?

I need help on What should be checked for on physical examination?
Case #1 – Monoamine oxidase inhibitors [14 points]
A 19-year-old woman is brought to the emergency department by her family for fever, confusion, and twitching movements in her legs. The patient is on prescription phenelzine for depression. On arrival, a nurse obtains vital signs: temperature 103.1 F, heart rate 120 beats/minute, blood pressure 135/90 mmHg, respiratory rate 28 breaths/minute. The emergency doctor thinks she has pneumonia and gives her antibiotics and admits her to the hospital.
1. Look up phenelzine. What kind of medication is it? [1 point]
2. Based on her vital signs and home medications, what other condition should be most strongly considered? [1 point]
3. What should be checked for on physical examination? [2 points]
After being admitted to the hospital, the patient continues to be agitated and confused. She is placed in physical restraints to prevent her from injuring herself or falling out of bed. The physician caring for her gives her intravenous Demerol® to treat her agitation.
4. What is Demerol®? [1 point]
5. Would a clinical toxicologist recommend Demerol® for agitation/confusion? (Hint: Module 5) [1 point]
6. What medication or class of medications would a clinical toxicologist most likely recommend for agitation/confusion in this patient and why? [1 point]
7. If this patient’s condition is related to her phenelzine, what effect could Demerol® have? (Hint: look up “Demerol” and the condition you think this patient might have on Google search engine.) [1 point]
8. What adverse events can occur with physical restraints? Are these adverse events related to this patient’s condition? (Hint: Module 5) [2 points]
Five hours later, the nurse rechecks the patient’s temperature and finds that it is 107.6 F. Shortly afterwards, the patient goes into cardiac arrest and dies.
9. Later there is some question that the patient may also have used cocaine. If true, could that have also contributed to this patient’s condition? [1 point]
10. List three interventions that a clinical toxicologist would have recommended in this patient. [2 points]
11. Should the patient not have been given antibiotics? [1 point]
Case #2 – Serotonin reuptake inhibitors [8 points]
A 30-year-old man takes an overdose of the Lexapro® he is prescribed for depression while arguing with his girlfriend. His girlfriend calls 911 and he is brought to the emergency department for evaluation about three hours after his ingestion.
1. What is Lexapro®? [1 point]
2. What adverse effect do we need to worry about with this ingestion? [1 point]
3. List three tests that should be performed in this patient on arrival? [2 points]
4. Is gastrointestinal decontamination indicated? If so, what should be done? [1 point]
5. Is any serial testing needed? [1 point]
6. For how long should the patient be observed? [2 points]
Case #3 – Atypical antidepressants [8 points]
A 26-year-old woman is found seizing in the bathroom after her husband heard a loud noise. Her home medications include bupropion, mirtazepine, trazodone, and oral contraceptives. He immediately calls 911 and she is transported to an emergency department for evaluation. She is initially confused, but improves over a period of fifteen minutes. She tells the physician that she is taking all of her medications as prescribed and denies taking an overdose.
1. What is the most likely cause of her seizure? [2 points]
2. List three more things you would like to know about her medication regimen. [2 points]
3. What test should be performed on this patient at this time? [1 point]
4. If she has another seizure while in the hospital which of the following medications should or should not be used to treat her seizure: Benzodiazepines? Barbiturates? Phenytoin? Propofol? (Hint: If you are not sure, review Module 5) [3 points]
GraduateAssistants.net is among the highest quality and affordable writing services around.
Our writers have excelled in diverse backgrounds and have been well vetted to work on your assignments.
Homework is a very important segment of your coursework, and We, therefore, understand that you need to excel in your homework.
We take your homework seriously and we only guarantee high grades!
We prepare original work and attach a free plagiarism report!
We will not let you down!
Place your Order Now

Calculate your paper price
Pages (550 words)
Approximate price: -

Why Choose Us

Quality Papers

We value our clients. For this reason, we ensure that each paper is written carefully as per the instructions provided by the client. Our editing team also checks all the papers to ensure that they have been completed as per the expectations.

Professional Academic Writers

Over the years, our Acme Homework has managed to secure the most qualified, reliable and experienced team of writers. The company has also ensured continued training and development of the team members to ensure that it keep up with the rising Academic Trends.

Affordable Prices

Our prices are fairly priced in such a way that ensures affordability. Additionally, you can get a free price quotation by clicking on the "Place Order" button.

On-Time delivery

We pay strict attention on deadlines. For this reason, we ensure that all papers are submitted earlier, even before the deadline indicated by the customer. For this reason, the client can go through the work and review everything.

100% Originality

At Graduate Assistants, all papers are plagiarism-free as they are written from scratch. We have taken strict measures to ensure that there is no similarity on all papers and that citations are included as per the standards set.

Customer Support 24/7

Our support team is readily available to provide any guidance/help on our platform at any time of the day/night. Feel free to contact us via the Chat window or support email: support@acmehomework.com.

Try it now!

Calculate the price of your order

We'll send you the first draft for approval by at
Total price:

How it works?

Follow these simple steps to get your paper done

Place your order

Fill in the order form and provide all details of your assignment.

Proceed with the payment

Choose the payment system that suits you most.

Receive the final file

Once your paper is ready, we will email it to you.

Our Services

Graduate Assistants has stood as the world’s leading custom essay writing services providers. Once you enter all the details in the order form under the place order button, the rest is up to us.


Essay Writing Services

At Graduate Assistants, we prioritize on all aspects that bring about a good grade such as impeccable grammar, proper structure, zero-plagiarism and conformance to guidelines. Our experienced team of writers will help you completed your essays and other assignments.


Admission and Business Papers

Be assured that you’ll definitely get accepted to the Master’s level program at any university once you enter all the details in the order form. We won’t leave you here; we will also help you secure a good position in your aspired workplace by creating an outstanding resume or portfolio once you place an order.


Editing and Proofreading

Our skilled editing and writing team will help you restructure you paper, paraphrase, correct grammar and replace plagiarized sections on your paper just on time. The service is geared toward eliminating any mistakes and rather enhancing better quality.


Technical papers

We have writers in almost all fields including the most technical fields. You don’t have to worry about the complexity of your paper. Simply enter as much details as possible in the place order section.