Diagnosis: Choose which of the following diagnoses for Barbara and provide at least two pieces of evidence from the case to support your claim. You can also include evidence that eliminates a choice as the likely cause of the symptoms. (Attach page)
a) severe allergic reaction to dust or cat
b) pulmonary embolism
c) cardiac infarction
Answers
Answer: Severe Allergic Reaction
Explanation:
First off, you may use any of these descriptions of Barbara's results as evidence for her diagnosis.
Barbara's heart rate is high at 95 b/m, while the normal heart rate is 75 b/m.
Her blood pressure is low at 90/58, while the normal blood pressure is 110/65.
Arterial blood gas levels are low in oxygen partial pressure, with a 78. Meanwhile, her arterial carbon dioxide levels are a bit high at 49.
She has low CPK levels at 2.7 nanograms/mL, while the normal CPK levels should be at 3 nanograms/mL.
Her blood troponin is normal, so no worries about that.
However, her breathing rate is at 20; the normal rate should be 12.
High blood troponin and CPK levels are part of a heart attack, so it's likely she doesn't have this.
That leaves us with either a severe allergic reaction or a pulmonary embolism.
They both include low blood pressure, shortness of breath, and rapid heart rate.
However, a severe allergic reaction probably wouldn't include an elevated heart rate. It usually includes a weak pulse.
She probably has experienced chest pain if they have tested her for if she has been tested for troponin and CPK levels.
CPK levels may rise in patients with pulmonary embolism.
It would be more accurate to eliminate the option of pulmonary embolism in this case.
Therefore, Barbara is diagnosed with a severe allergic reaction.
I hope this helps, sorry if I am incorrect. I have no experience in solving medical problems, but at least I am some sort of help.
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