1 (Mrs. Brewster) 6 1 01/15/02 Period Group Number Date ESMERALDA CALDERON
Dec 31, 2015
1
(Mrs. Brewster)
6 1 01/15/02
Period Group Number Date
ESMERALDA CALDERON
2
3
ACT I
GETTING THE VITALS
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Characters in the Drama
Patient:
Mother:
Doctor:
Emergency Room Nurse:
Jennifer
Mom (Mrs. Bates)
Dr. Susan Flanagan
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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•The Facts of the Case
•Our Infosheets, and
•Our Calculations
…To reach the necessary diagnosis and to decide the treatment.
Let’s look at:
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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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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.
From InfoSheet:
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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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Diseases can take weeks or longer to develop.
Drug overdoses create problems within minutes or hours.
From InfoSheet:
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Unknown Disease!
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.
Jennifer is dehydrated and needs 5 liters of Replacement fluid. Her Temperature is 100 oF.
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Dehydration is often caused by disease, infections and fever.
99–100.9oF is considered a Low-grade fever.
From InfoSheet:
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Unknown Disease!
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.
Jennifer’s Pulse Rate is 125 beats per minute.
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Some types of drug overdoses can cause
might be caused by dehydration, fever, or a disease such as diabetes.
an abnormally slow pulse.
An abnormally fast pulse
From InfoSheet:
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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:
180180180180
255
330
405
480
555
630
705
780
855
0
250
500
750
1000
now 1 2 3 4 5 6 7 8 9 10 11 12
Area 1
Gl u
c ose
Le v
el(m
g/d
l)
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Decision: Possibly.
Doctor A. Will Jennifer play the Witch?
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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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(Construct acetaminophen level graph. See instructions.)
Doctor B:
0
75
150
225
300
0 1 2 3 4 5 6 7 8 9 10 11 12
Area 1
Ace
tam
inop
hen
Lev
el (
mcg
/ml) TOXIC
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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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Doctor C:
0
50
100
150
200
2 4 6 8 9 10 12 14 16 18 19 20 22 24
Area
Mai
nten
ance
Sol
utio
n (c
c’s)
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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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Max
illin
blo
od le
vel(
mcg
/ml)
0
100
200
300
400
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
Dr. D
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Decision: Possibly
Doctor D. Will Jennifer play the Witch?
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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