A 30-Year-Old Man Is Admitted for Observation Following a Motorcycle

question 3

Multiple Choice

A 30-year-old man is admitted for observation following a motorcycle collision.  He was hemodynamically stable at presentation, and the initial workup revealed an isolated liver laceration.  The patient has no chronic medical conditions and takes no medications.  He consumes 3-4 alcoholic drinks daily and has been smoking 1 pack of cigarettes daily for the past 10 years.  Overnight, his hemoglobin levels acutely decreased, and a packed red blood cell transfusion was ordered.  An hour after the transfusion starts, the patient develops difficulty breathing.  The transfusion is stopped.  Temperature is 36.9 C (98.4 F) , blood pressure is 86/42 mm Hg, pulse is 110/min, and respirations are 26/min.  Pulse oximetry shows 88% on room air.  Lung examination reveals bilateral crackles.  Skin examination is normal.  Chest x-ray reveals bilateral pulmonary infiltrates.  Which of the following is the best next step in management of this patient's respiratory distress?

• A)Anticoagulation therapy
• B)Broad-spectrum antibiotics
• C)Diuretic therapy
• D)Intravenous antihistamines
• E)Respiratory supportive care only

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Definitions:

Discriminate

The act of making unjust or prejudicial distinctions in the treatment of different categories of people, especially on the grounds of race, sex, or age.

Social Identity

An individual's sense of who they are based on their group membership(s) and the value and emotional significance attached to that membership.

Group Memberships

The affiliations individuals have with various social groups, which can significantly influence identities and social behaviors.

Personal Identity

An individual's recognition of their own characteristics, values, and attributes that differentiate them from others.