Download Doctor A

ESMERALDA CALDERON
6
Period
1
Group Number
01/15/02
Date
(Mrs. Brewster)
1
2
ACT I
GETTING THE VITALS
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Characters in the Drama
Patient: Jennifer
Mother: Mom (Mrs. Bates)
Doctor: Dr. Susan Flanagan
Emergency Room Nurse: Fred
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The Emergency Situation:
JENNIFER WAS UNCONSCIOUS AND
HER HEART WAS BEATING FAST.
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Does Jennifer have a disease
or
a drug overdose?
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Let’s look at:
•The Facts of the Case
•Our Infosheets, and
•Our Calculations
…To reach the necessary diagnosis
and to decide the treatment.
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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
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Jennifer’s respiration rate is
28
breaths per minute.
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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.
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There is either an unknown disease,
or drug overdose. Will not decide at
this point.
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Glucose level is low.
Requires 50 grams of D50
solution.
Patient has been sick for
ONE WEEK.
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From InfoSheet:
Diseases can take weeks or
longer to develop.
Drug overdoses create problems
within minutes or hours.
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Unknown Disease!
14
.
Jennifer is dehydrated and needs
5 liters of Replacement fluid.
Her Temperature is 100 oF.
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From InfoSheet:
Dehydration is often caused by
disease, infections and fever.
99–100.9oF is considered a Lowgrade fever.
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Unknown Disease!
17
.
Jennifer’s Pulse Rate is 125 beats
per minute.
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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.
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Unknown Disease!
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CONCLUSION
Our group diagnosis was that
Jennifer had AN UNKNOWN
DISEASE,
and not A
DRUG OVERDOSE.
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ACT II
WAKING UP TO THE FACTS
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Will Jennifer be able to play the
Wicked Witch?
Only if the longest treatment time
is completed within 24 hours.
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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.
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Will Jennifer play the Witch?
Yes! If her glucose level
drops to 180 mg/dL within
the 24 hours.
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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
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Doctor A.
Will Jennifer play the Witch?
Decision: Possibly.
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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.
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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
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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.
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Will Jennifer play the Witch?
Yes! If the prescribed time
for administering the
maintenance solution is
completed within 24 hours.
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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
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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
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Will Jennifer play the Witch?
.
Yes! If Jennifer receives
her 4 doses of Maxillin
medicine within 24 hours.
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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
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Doctor D.
Will Jennifer play the Witch?
Decision: Possibly
It will take only 12 hours for
Jennifer to receive her 4 doses.
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As a team, we found the
longest treatment time
needed for Jennifer fell
within the 24 -hour limit.
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Jennifer WILL be able to play the part
of the Wicked Witch.
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Math we used to Answer the
Questions:
Conversions of metric units
Medical measurements and rates
Graphing of change over time
Problem Solving Skills
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Results of final
testing showed
Jennifer has
DIABETES
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