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A 79-Year-Old Man Is Found Poorly Responsive in His Apartment

question 116

Multiple Choice

A 79-year-old man is found poorly responsive in his apartment by a neighbor in the middle of July. The apartment is not air conditioned and the last few days have been extremely hot. The patient's neighbors state that he lives alone and appeared fully functional in their interactions with him. No additional medical history is available.
On physical examination, he appears obtunded and responds slowly to commands. His temperature is 42.2° C (108° F) , blood pressure is 90/60 mm Hg, pulse is 104/min, and respirations are 16/min. The patient's pulse oximetry shows 96% on room air. Mucous membranes are dry. His neck is supple, and jugular veins are flat in the supine position. Cardiopulmonary examination is within normal limits. There are no skin rashes. Deep tendon reflexes are 2+ and symmetrical. There is no muscular rigidity.
An electrocardiogram demonstrates sinus rhythm with nonspecific ST-segment changes. A chest film shows no significant abnormalities. Laboratory workup is pending.
In addition to volume resuscitation, which of the following is the best initial therapy for this patient?

Grasp the concept of formal planning models and their reliance on managerial experience.

Recognize the implications of choosing a level strategy in service firms and determine the optimal level of output.

Define and explain the concept of disaggregation in planning.

Understand the mathematical approaches to and limitations of aggregate planning.

Definitions:

At the Expense of Buyers

A situation where actions or policies favor sellers or another party, leading to disadvantages or costs for buyers.

Cartel Agreement

An agreement among competing firms to control prices or output in a particular market, often resulting in higher prices.

Many Firms

A market condition where there is a large number of sellers, promoting competition and diversity of products.

Different Costs

Various expenditures a business incurs, such as fixed, variable, direct, and indirect costs.