Feed: Anantomy Help PLZ!? - AggScore: 11.0

Anantomy Help PLZ!?

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pKip is 65. He is brought to the ER bc he almost fainted when he stood up. He says he has felt tired and weak 4 the last few days. He is short of breath but attributes this symptom to his chronic bronchitis. he has smoked for 25 yrs When Kip gets to the ER, his bp is 10070 and his pulse is 110 bpm while lying down. His bp is 9070 while sitting and his pulse is 115 bpm. On palpation, he has mild epigastric tenderness and his stool guaiac test is positive for blood. A stat HctHb is performed amp the results are Hct33, Hb10 gdl. He is given IV fluids and oxygen and his bloog is sent for typing and crossmatch testing. A tube is inserted into Kips stomachsuction reveals the stomach contains blackbrown material looking like coffee grounds. A guaiac test on the material is positive for blood. Its flushed wwater and the suctionfluid clears. Acis inhibitors are given intravenously and Kip is given antacids orally. A gastroenterology consult is requested w diagnostic andpotentially therapeutic endoscopy planned. During the administration of IV fluids, Kips bp stabilizes at 12070, and his pulse slows to 90 bpm. A 2nd blood test reveals a hematocrit of 29 and a hemoglobin concentration of 9 gdl. Kip feels more comfortable and breathing is easier he is transfered from the ER to ICU for further observation. 1 hour later, his Hct30 and his Hb9.1. While talking w his family, he suddenly experiences anterior chest pain that radiates into his neck and left shoulder, wit hcold sweats and shortness of breath. Nitroglycerin and antiacidshave no effect. His bp falls, and IV fluids, blood transfusion, and further medication cannot stop trend. 4 hours after the 1st chest pain, Kip dies, and resuscitation attempts prove futile. Plz tell me anything you can about this...Why did he die Did something go wrong Why would u use water What about the inhibitors Plz try to be specific. I need an answer ASAP. I have an idea as to what is wrong. this is a fake sit.p