Transcript Doctor A

ESMERALDA CALDERON
6
Period
1
Group Number
01/15/02
Date
(Mrs. Brewster)
1
2
ACT I
GETTING THE VITALS
3
Characters in the Drama
Patient: Jennifer
Mother: Mom (Mrs. Bates)
Doctor: Dr. Susan Flanagan
Emergency Room Nurse: Fred
4
The Emergency Situation:
JENNIFER WAS UNCONSCIOUS AND
HER HEART WAS BEATING FAST.
5
Does Jennifer have a disease
or
a drug overdose?
6
Let’s look at:
•The Facts of the Case
•Our Infosheets, and
•Our Calculations
…To reach the necessary diagnosis
and to decide the treatment.
7
We calculated:
Jennifer’s weight in kilograms.
Jennifer’s temperature in Fahrenheit
Amount of glucose solution patient should
receive.
Liters of replacement fluid patient needs
The naloxone dosage (antibiotic) for the patient
8
Jennifer’s respiration rate is
28
breaths per minute.
9
From InfoSheet:
Normal Respiration rate
for this age is 20 breaths per
minute.
Fast breathing can be caused by a
disease.
OR, it can be caused by a drug
overdose.
10
There is either an unknown disease,
or drug overdose. Will not decide at
this point.
11
Glucose level is low.
Requires 50 grams of D50
solution.
Patient has been sick for
ONE WEEK.
12
From InfoSheet:
Diseases can take weeks or
longer to develop.
Drug overdoses create problems
within minutes or hours.
13
Unknown Disease!
14
.
Jennifer is dehydrated and needs
5 liters of Replacement fluid.
Her Temperature is 100 oF.
15
From InfoSheet:
Dehydration is often caused by
disease, infections and fever.
99–100.9oF is considered a Lowgrade fever.
16
Unknown Disease!
17
.
Jennifer’s Pulse Rate is 125 beats
per minute.
18
From InfoSheet:
Some types of drug overdoses can
cause an abnormally slow pulse.
An abnormally fast pulse
might be caused by dehydration,
fever, or a disease such as diabetes.
19
Unknown Disease!
20
CONCLUSION
Our group diagnosis was that
Jennifer had AN UNKNOWN
DISEASE,
and not A
DRUG OVERDOSE.
21
ACT II
WAKING UP TO THE FACTS
22
Will Jennifer be able to play the
Wicked Witch?
Only if the longest treatment time
is completed within 24 hours.
23
We considered these factors:
•Dr. A: Patient’s Glucose level.
•Dr. B: Toxic levels of Acetaminophen
(Tylenol)
•Dr. C: Maintenance Solution. When to
start and stop Maintenance Solution.
•Dr. D: Maxillin (Medicine). How long to
complete.
24
Will Jennifer play the Witch?
Yes! If her glucose level
drops to 180 mg/dL within
the 24 hours.
25
Doctor A:
1000
855
780
750
705
630
555
500
Area 1
480
405
330
180
180
180
180
9
10
11
12
255
250
8
7
6
5
4
3
2
1
now
0
26
Doctor A.
Will Jennifer play the Witch?
Decision: Possibly.
27
Will Jennifer play the Witch?
Yes! She’ll be okay when her
blood test reading shows her
Acetaminophen (Tylenol) level
is below the toxic level.
28
Doctor B:
Acetaminophen Level (mcg/ml)
300
TOXIC
225
150
Area 1
(Construct acetaminophen level graph.
See instructions.)
75
0
0
1
2
3
4
5
6
7
8
9
10
11
12
29
Doctor B.
Will Jennifer play the Witch?
Decision: Possibly.
Blood test reading shows acetaminophen
is currently BELOW the toxic level. No
hours are needed for treatment.
30
Will Jennifer play the Witch?
Yes! If the prescribed time
for administering the
maintenance solution is
completed within 24 hours.
31
Maintenance Solution (cc’s)
Doctor C:
200
150
100
Area
50
0
2 4 6 8 9 10 12 14 16 18 19 20 22 24
32
Doctor C.
Will Jennifer play the Witch?
Decision:
Possibly.
The maintenance solution will
start at 9 hours and be
continued for 10 hours. Total
hours: 19
33
Will Jennifer play the Witch?
.
Yes! If Jennifer receives
her 4 doses of Maxillin
medicine within 24 hours.
34
Maxillin blood level(mcg/ml)
Dr. D
400
300
200
100
0
1
2
3
4
5
6
7
8
9
10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
35
Doctor D.
Will Jennifer play the Witch?
Decision: Possibly
It will take only 12 hours for
Jennifer to receive her 4 doses.
36
As a team, we found the
longest treatment time
needed for Jennifer fell
within the 24 -hour limit.
37
Jennifer WILL be able to play the part
of the Wicked Witch.
38
Math we used to Answer the
Questions:
Conversions of metric units
Medical measurements and rates
Graphing of change over time
Problem Solving Skills
39
Results of final
testing showed
Jennifer has
DIABETES
40
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