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*  3
 #140636  
  angioplasty - 11/22/06 16:31
 
  3. A 54-year-old African American woman has been in the intensive care unit (ICU) for the past 10 hours because she has failed to regain consciousness after passing out at a restaurant 11 hours ago. Upon initial arrival at the emergency department the patient's friend stated that the patient had remarked about the sudden onset of a terrible headache and neck stiffness while they were having lunch. A few minutes after the onset of the headache, she became confused, vomited, and lost consciousness. She regained consciousness briefly en route to the hospital, but she has been unconscious since admission. On arrival she was intubated and mechanically ventilated and transferred to the ICU, where intravenous fluids were started. Vital signs are: pulse 110/min and blood pressure 174/96 mm Hg. She exhibits no spontaneous movement and is unresponsive to verbal or painful stimuli. Lung fields are clear to auscultation. CT angiogram confirms subarachnoid hemorrhage from a ruptured cerebral aneurysm and impaired intracranial circulation. The family should be counseled regarding which of the following?

A

) The futility of continued life support

B

) The need for screening of first-degree relatives for aneurysms

C

) The need for them to sustain hope

D

) The need to have a guardian ad litem appointed to make informed decisions about the patient's care

E

) The probability that the patient will not regain consciousness

 
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* Re: 3
#568297
  knock_knock - 11/22/06 16:45
 
  D) ?  
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* Re: 3
#568301
  pedres - 11/22/06 16:46
 
  d  
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* Re: 3
#568331
  alexis - 11/22/06 16:58
 
  d.  
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* Re: 3
#568426
  pk007 - 11/22/06 18:01
 
  b.  
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* Re: 3
#568575
  benign1998 - 11/22/06 21:04
 
  b?  
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* Re: 3
#568586
  ekammaoffiong - 11/22/06 21:15
 
  Eka

B
 
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* Re: 3
#568976
  chirkut - 11/23/06 10:06
 
  e???
Do u hav correct ans?
 
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* Re: 3
#569081
  natka - 11/23/06 11:06
 
  Answer is D/ when a patient is incompetent ,a court-appointed guardian should be arranged.  
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* Re: 3
#569159
  tea - 11/23/06 12:33
 
  e-
give out medical info to the family as first step, then discussion starts from there.
 
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