. List the problems with Julies friends advice?

Julie a 50 yo female was traveling on a transatlantic overnight flight returning home from a ski v Show more Julie a 50 yo female was traveling on a transatlantic overnight flight returning home from a ski vacation in the Alps. She was sitting in coach next to a stranger. Not feeling like talking; she decided to take a sleeping pill used her noise canceling headphones and an eye-mask and fell asleep. She slept through the night missing both meals and did not awaken until early the next morning when she felt the need to go to the bathroom. She felt very stiff from having sat in one position for so long and her legs felt heavy and asleep and hot. As she rose and made her way down the aisle to the bathroom she began to feel a sharp pain in her chest as if someone were stabbing her with a knife and the feeling of a rope wrapped around her middle. She also felt a dull burning aching sensation especially when she tried to take a deep breath. Both arms were hurting and she felt discomfort in her neck jaw and back. She began to feel short of breath and could feel her heart racing. She feel anxious and clammy and began to sweat. In just a few seconds she began to feel dizzy and light-headed and faint. After crying out for help she passed out and collapsed to the floor. The flight crew began CPR as the plane began to land. An ambulance met the plane and Julie was rushed to the hospital. Upon examination the following was charted: Body temp: 100.1 F BP was 140/90 HR was 120 Respiration rate was 22 and extremely labored Hemoptysis No swelling of neck or lymph nodes No apparent nausea or vomiting Warmthtenderness swelling and redness of the lower left leg Swollen wrists and ankles Varicose veins on both legs Recent bruises on both legs one arm and abdomen Anxiety A field ECG was taken. The results are below. 1. What is your field diagnosis of Julies condition? 2. Why did she have a fever? Why was there swelling of the wrists and ankles? 3. What do Julies varicose veins have to do with his condition if anything? 4. Did her behavior on the flight have anything to do with the incident? Sleeping medication? Missing meals? No water? 5. What life-threatening condition might Julie have been experiencing on the plane? What complications could have arisen if Julie had not received emergency medical attention? 6. Why did Julie feel chest pain and the collapse? At the hospital the doctor ordered the following tests: CBC ECG Chest x-ray CT and MRI Blood levels of Creatine Kinase Blood levels of D dimer Sonographyboth cardio and venography Blood IgE levels Blood levels of Factor VIII Factor IX and Factor XI were determined Full body examination Genetic analysis for V Leiden Protein C Protein S and Antithrombin III were performed 7. Why did the doctor order the tests he did? What conditions were ruled out? Julie was rushed into surgery for her condition. The doctor concluded that the surgery probably saved her life. 8. Establish a treatment plan for Julieboth in-hospital and later. 9. List any drugs that will be prescribed? 10. List any particular dangers or interactions she should be aware of? 11. What are the possible future complications that she might encounter? And why should Julie be very careful in the future? Is this condition likely to occur again? 12. Why is this both an acute and a chronic situation for Julie? Once back home and recovered Julies friend saw on television that taking a low-dose aspirin every day was useful in preventing heart attacks. She advised Julie that she should start a low-dose aspirin regimen to prevent something like this from happening again. 13. List the problems with Julies friends advice? Show less