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yolo1017 yolo1017
wrote...
Posts: 364
Rep: 1 0
6 years ago
D.M.'s blood alcohol concentration (BAC) result is 0.06 mg. Interpret this result. Does this
  level reflect legal intoxication?
 
  What will be an ideal response?

Question 2

Four days later, d.M. hobbles into the ed and boldly informs you that he did it again, only this time it was
  touch football. He states that the pain pills worked so well, he thought it would be okay. you detect the
  odor of beer on his breath
 
  What are you going to do?
  What will be an ideal response?

Question 3

What instructions concerning the Lortab are needed?
 
  What will be an ideal response?

Question 4

D.M. is given a prescription for Lortab 2.5/500 . Explain the meaning of the numbers.
 
  What will be an ideal response?

Question 5

You are to instruct D.M. on application of cold, activity, and care of the ankle. What would be
  appropriate instructions in these areas?
 
  What will be an ideal response?

Question 6

You instruct D.M. on using the three-point gait with the crutches. Which would be the
  correct first step for the three-point gait?
 
  a. Step first with the affected leg.
  b. Step first with the unaffected leg.
  c. Step first with both crutches and the affected leg.
  d. Step first with the affected leg and the crutch opposite of the affected leg.
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Replies
wrote...
6 years ago
The answer to question 1  A BAC of 0.06 causes mildly impaired judgment in most people, causing them to be less able
to make rational decisions. They are not able to judge their capabilities normally (e.g., driving, or
deciding to play touch football with an injured ankle). A BAC of 0.1 is considered legal intoxication
in most states (some states consider a BAC of 0.8 to indicate legal intoxication).

The answer to question 2   Elevate, ice, immobilize, and assess the ankle and foot.
 Raise the side rails, instruct him not to climb out of bed, and provide a call light.
 Obtain VS and assess neurologic status (assess his level of alcohol-related impairment).
 Ask D.M. how much beer he has ingested, how long ago, how many pain pills he took, and when he
took them.
 Inform the physician of D.M.'s recent visit to the ED, prescribed medication, and current problem.
 An alcohol intake history should be obtained and a blood alcohol level drawn.

The answer to question 3   Take this medication with food (at mealtimes or with crackers and a glass of milk).
 Do not combine this drug with other medications or over-the-counter (OTC) drugs without first
checking with a pharmacist. Lortab should never be taken with alcohol. He should not drive or
operate heavy machinery after taking the medication.
 Patients with a history of heavy alcohol consumption should be warned against using medications
containing acetaminophen.
 Lortab contains hydrocodone, which is constipating. The patient needs to increase fiber and liquid
intake. If this is not effective, he might need to take a stool softener, such as docusate (Colace), or
laxatives, such as milk of magnesia or senna laxatives (Senokot). In addition, he should increase his
fluid intake to six to eight glasses a day.
 Lortab contains acetaminophen 500 mg. Patients should be cautioned not to take more than 3 g in
24 hours of acetaminophen (maximum of six Lortab 2.5/500 per day).

The answer to question 4  Lortab is a combination of hydrocodone (an opioid analgesic) and acetaminophen (a nonopioid
analgesic). The numbers refer to the amount of each drug per tablet. Each tablet contains 2.5 mg of
hydrocodone and 500 mg of acetaminophen.

The answer to question 5   Do not bear weight on the affected ankle for 48 hours. Use crutches for walking.
 Keep the affected ankle elevated on pillows (above the heart) as much as possible for 48 hours.
 Apply an ice bag to the ankle for 20 minutes out of every hour while awake for the first 24 to 48
hours.

The answer to question 6  b
Three-point gait requires the patient to bear all weight on one foot and is useful for patients with
a broken leg or sprained ankle. The weight is born on the unaffected leg and then on both crutches.
No weight is placed on the affected leg.
yolo1017 Author
wrote...
6 years ago
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