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Overview: This case study will help you practice analyzing a patient record, which will assist you in preparing for the final project. This case will focus specifically on musculoskeletal and integumentary drug treatment.
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Prompt: Consider the following scenario: Ms. Craft, age 59, was brought by ambulance to the emergency room because she thought she was dying. She had difficulty breathing, was dizzy if she attempted to sit up, and felt a sense of impending doom. Ms. Craft assumed that she was having a heart attack, and so did the admitting emergency room personnel. ; ; But the case was more complicated. Physical examination showed Ms. Craft to have weakness, malaise, warm skin, and hypotension. Ms. Craft said she felt nauseous. A blood glucose value was really high. Cardiac markers did not show that she was having a heart attack, nor did an EKG. When her history was taken, Ms. Craft said she had not seen a doctor in several years and was unaware that she had diabetes. ; ; Her respirations were deep and rapid—Kussmaul respirations. ; ; In this case, the ER physician diagnosed decompensated diabetes mellitus with metabolic acidosis. These were the medications prescribed:
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 Oxygen by mask  Hypertonic IV fluids  Insulin orally  Hydrochloric acid solution via IV
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In a short paper, the following critical elements must be addressed:
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 Identify the incorrect medication/drug classification/treatment and explain why it is incorrect.  What drug classification would you use instead? Why?  Provide an example of a generic medication from each drug classification. How would each of the medications/treatments in the scenario act on the patient’s body?
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Support your answer with relevant resources.
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