June 2018 critical care case of the month

• Main Author: Fountain S
• Format: Article
• Language: English
• Published: Arizona Thoracic Society 2018-06-01
• Series: Southwest Journal of Pulmonary and Critical Care
• Subjects: bradycardia; atropine; complication; side effect. tacrolimus; drug-induced microangiopathy; thrombocytopenia; plasma exchange; hyponatremia; renal transplant; ADAMTS13
• Online Access: http://www.swjpcc.com/critical-care/2018/6/2/june-2018-critical-care-case-of-the-month.html

No abstract available. Article truncated after 150 after the first page. History of Present Illness: A 60-year-old native American man presented to an outside hospital with several days of nausea, vomiting and diarrhea. The patient felt weak and called emergency medical services and was taken to the emergency department. Past Medical History: He has a history of end stage renal disease secondary to diabetes mellitus and hypertension. He received a cadaveric renal transplant in 2008 which was complicated with acute on chronic rejection and symptomatic hyponatremia. Physical Examination: His pulse was recorded as 28 beats/min and his blood pressure was 90/60. Which of the following should be done? 1. Administer atropine. 2. Begin transcutaneous pacing. 3. Obtain a drug history. 4. 1 and 3. 5. All of the above. …