1

(Mrs. Brewster)

6 1 01/15/02

Period Group Number Date

ESMERALDA CALDERON

2

3

ACT I

GETTING THE VITALS

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Characters in the Drama

Patient:

Mother:

Doctor:

Emergency Room Nurse:

Jennifer

Mom (Mrs. Bates)

Dr. Susan Flanagan

Fred

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The Emergency Situation:

JENNIFER WAS UNCONSCIOUS AND

HER HEART WAS BEATING FAST.

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Does Jennifer have a disease or

a drug overdose?

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•The Facts of the Case

•Our Infosheets, and

•Our Calculations

…To reach the necessary diagnosis and to decide the treatment.

Let’s look at:

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We calculated:Jennifer’s weight in kilograms.Jennifer’s temperature in Fahrenheit

Amount of glucose solution patient should receive.

Liters of replacement fluid patient needs

The naloxone dosage (antibiotic) for the patient

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Jennifer’s respiration rate is 28

breaths per minute.

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Normal Respiration rate for this age is 20 breaths per

minute.

Fast breathing can be caused by a disease.

OR, it can be caused by a drug overdose.

From InfoSheet:

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There is either an unknown disease, or drug overdose. Will not decide at this point.

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Glucose level is low.Requires 50 grams of D50

solution. Patient has been sick for

ONE WEEK.

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Diseases can take weeks or longer to develop.

Drug overdoses create problems within minutes or hours.

From InfoSheet:

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Unknown Disease!

15

.

Jennifer is dehydrated and needs 5 liters of Replacement fluid. Her Temperature is 100 oF.

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Dehydration is often caused by disease, infections and fever.

99–100.9oF is considered a Low-grade fever.

From InfoSheet:

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Unknown Disease!

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.

Jennifer’s Pulse Rate is 125 beats per minute.

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Some types of drug overdoses can cause

might be caused by dehydration, fever, or a disease such as diabetes.

an abnormally slow pulse.

An abnormally fast pulse

From InfoSheet:

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Unknown Disease!

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CONCLUSION

Our group diagnosis was that Jennifer had AN UNKNOWN DISEASE,

and not A DRUG OVERDOSE.

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ACT II

WAKING UP TO THE FACTS

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Will Jennifer be able to play the Wicked Witch?

Only if the longest treatment time is completed within 24 hours.

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We considered these factors:

•Dr. A: Patient’s Glucose level.

•Dr. B: Toxic levels of Acetaminophen (Tylenol)

•Dr. C: Maintenance Solution. When to start and stop Maintenance Solution.

•Dr. D: Maxillin (Medicine). How long to complete.

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Will Jennifer play the Witch?

Yes! If her glucose level drops to 180 mg/dL within the 24 hours.

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Doctor A:

180180180180

255

330

405

480

555

630

705

780

855

0

250

500

750

1000

now 1 2 3 4 5 6 7 8 9 10 11 12

Area 1

Gl u

c ose

Le v

el(m

g/d

l)

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Decision: Possibly.

Doctor A. Will Jennifer play the Witch?

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Will Jennifer play the Witch?

Yes! She’ll be okay when her blood test reading shows her Acetaminophen (Tylenol) level is below the toxic level.

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(Construct acetaminophen level graph. See instructions.)

Doctor B:

0

75

150

225

300

0 1 2 3 4 5 6 7 8 9 10 11 12

Area 1

Ace

tam

inop

hen

Lev

el (

mcg

/ml) TOXIC

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Doctor B. Will Jennifer play the Witch?

Decision: Possibly.

Blood test reading shows acetaminophen is currently BELOW the toxic level. No hours are needed for treatment.

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Will Jennifer play the Witch?

Yes! If the prescribed time for administering the maintenance solution is completed within 24 hours.

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Doctor C:

0

50

100

150

200

2 4 6 8 9 10 12 14 16 18 19 20 22 24

Area

Mai

nten

ance

Sol

utio

n (c

c’s)

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Doctor C. Will Jennifer play the Witch?

Decision: Possibly.

The maintenance solution will start at 9 hours and be continued for 10 hours. Total hours: 19

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Will Jennifer play the Witch?

Yes! If Jennifer receives her 4 doses of Maxillin medicine within 24 hours.

.

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Max

illin

blo

od le

vel(

mcg

/ml)

0

100

200

300

400

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24

Dr. D

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Decision: Possibly

Doctor D. Will Jennifer play the Witch?

It will take only 12 hours for Jennifer to receive her 4 doses.

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As a team, we found the longest treatment time needed for Jennifer fell within the 24 -hour limit.

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Jennifer WILL be able to play the part of the Wicked Witch.

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Math we used to Answer the Questions:

Conversions of metric units

Medical measurements and rates

Graphing of change over time

Problem Solving Skills

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Results of final testing showed

Jennifer has DIABETES

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