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A 34 year old male electrician comes to the emergency room after receiving an el

ID: 238400 • Letter: A

Question

A 34 year old male electrician comes to the emergency room after receiving an electrical shock. He is 5'8 and 176 pounds. The man is aware of his surroundings, but he is sweating profusely, is dizzy fatigued, and is experiencing chest pains for over an hour. His heart rate was found to be 175 beats per minute and his blood pressure was 80/50 mm Hg. The doctors at the E.R. ran a number of tests to verify what is wrong with the man. After looking at the results, the man was given fluids first, then phenylephrine, heparin, and finally Diltiazem. After treatment, the man was released from the hospital. Answer the following questions based on this scenario. 1. What is wrong with the patient? 2. What is the likelyoutcome if the man's condition was left untreated? Explain. 3.What is likely the main cause of the physiological problems the man is experiencing? 4. What parts of the heart are most likely affected in this case? 5. Why is the patient experiencing the symptoms he is presenting? Explain in detail. 6. What is one of the tests the doctors performed that that could help elucidate what is wrong with the man? Explain what this test is, how it works, and what it is showing about the man's condition. 7. What are the purposes of the fluids and drugs that were given to the man? 8. How do the drugs given to the man work and how are they affecting the physiological state of the body? 9. What kind of follow up or medication should the man do/take after he left the hospital 10. Are there any alternative treatments that could have been done to help the patient? Explain , 10:18 AM

Explanation / Answer

1. The patient has suddenly received sudden electric shocks that has created sudden sense of electric shocks movement under his skin and his head.

2. Brain damage is the likely outcome if left untreated and other symptoms include seizure, depression ,anxiety etc.

as sudden input of high voltage of electricity brain and it's related neuron system can be damaged and the condition is severe for patient's under gone cardiac arrest and as well as burns in it's body parts.

3. High voltage of electricity shock is making him to feel dizziness, chest pain , sweating etc. As it's affects brain first and then other central nervous systems.

4. heart muscles cells as it can start moving independently leading to heart beat either fast, slow or stop completely.

5. His blood pressure is low, heart beats was high as his central nervous is receiving pulse of electric signals all over his body and muscles that is the reason for his symptoms.

6. ECG (for heart), complete blood count, urine test to check the muscles enzymes that can indicate serious injury to the patient muscles, CT scan (Bor brain and other neuron parts) and x-rays (chest).

7 and 8: In order to prevent him from further infections those medicines were prescribed phenylephrine for breathing illness, heparin as a anti-coagulant,Diltiazem for treatment of hypertension , arrhythmia. It is a calcium -ion cellular influx inhibitor. Fluids are given to him for prventing him from dehydration.

9. he should again check his brain functioning(CT scan), heart rate, ECG,X-ray, urine test etc to verify his body functioning.

10. If any internal injuries have been there that need further surgery in this case because right now initial treatment has been done and further monitoring is required in follow up session as person has seen any kind of burns etc that is a major good point in the case but internal through checkup will give clear reports related to him.

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