usmle-cd-aortic dissection - csa118

[ArchivalUser]

Hi,
Is this right about aortic dissection of cd.
oxygen
intravenous access
normal saline
cardio monitor
blood pressure monitory
nitroglecrine
asprine
chest x-ray
ecg
cardio enzyme
morphine

with the chest x-ray result
chest ct with contrast
tee
metoplolo iv
cbc
bmp

advance clock
thoracic consult(suggest surgery)

pt/ptt,inr
type and cross
thoroctomy

it looks like the case end at this.
any suggestion and correct?

[ArchivalUser]

your case is very good

Pulse oximetry
oxygen
intravenous access
normal saline
cardio monitor
blood pressure monitory
nytroglicerine
asprin
chest x-ray, stat, portatil
ecg
cardio enzyme
morphine

Physical exame

Move the clock forward

chest x-ray result
chest ct with contrast
tee
metoplolo iv
Nitroprusside + 5% dextrose, continuous
Thiocynate levels
Nitroprusside levels
cbc
bmp

advance clock
thoracic consult(suggest surgery)


Consent
pt/ptt,inr
type and cross
Surgery

Counselin
Reasurrance
Patient education
medication compliance
No smok
No alcohol
No illegal drugs
Low salt diet
low fat diet
Lipid profile
seat belt use

follow in 1 week after dischard