History of hypertension and anticoagulant therapy

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Reference no: EM133816886

Mrs. Anderson, a 45-year-old female, was admitted to the emergency department following a motor vehicle accident. She sustained multiple injuries, including a femur fracture and abdominal trauma. Over the next few hours, Mrs. Anderson's condition deteriorates rapidly, leading to hypovolemia and the development of hypovolemic shock. Patient Background: Mrs. Anderson has a history of hypertension and is currently on anticoagulant therapy for a previous deep vein thrombosis. She has no known allergies and is generally in good health. Presenting Complaint: Upon admission, Mrs. Anderson is in severe pain and distress. Vital signs reveal a heart rate of 140 beats per minute, blood pressure of 55/40 mmHg, and a respiratory rate of 30 breaths per minute. Physical examination indicates cool and clammy skin, weak peripheral pulses, and a distended abdomen with guarding.

Questions:

1. How does Mrs. Anderson's history of hypertension and anticoagulant therapy contribute to the risk of hypovolemia and hypovolemic shock in this case?

2. Explain the significance of a prolonged clotting time in the context of hypovolemic shock secondary to blood loss.

3. Why do you think the BUN and creatinine are elevated?

4. How do you explain the elevated WBC count? Treatment Plan: Fluid Resuscitation: Utilized.

Reference no: EM133816886

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