1: Jennifer Strange: Jennifer Strange was a 28-year-old mother of three who entered a radio contest to try to win a Nintendo Wii game system for her children. As part of KDND's (FM radio station) “Hold your wee for a Wii" contest, Jennifer drank bottle after bottle of water for hours without urinating. Initially, Jennifer seemed to be having fun, joking lightheartedly with the radio hosts and obligingly downing an 8-ounce bottle of water every 15 minutes. As the hours passed, however, she developed a splitting headache and dizziness. Finally, she couldn't take it anymore and ran to the bathroom and vomited. Jennifer called her boss to say that she was going home for the day because her headache was excruciating and she was too sick for work. Jennifer's mother found her that afternoon, dead in her home. 2: James McBride: James McBride, a 25-year-old police officer, died after a 12-mile bike ride that was part of a training course. Over the course of the ride, James drank roughly three gallons of water that he brought with him in a pack. During a session that focused on how to dismount a bike, an instructor noticed that McBride looked ill and asked him to sit down. McBride complained of dizziness and nausea, and then vomited. Officers initially thought he might have suffered heat stroke. Unaware that James had already consumed so much water, they gave him more water to cool him down while he sat out of the exercise. When another officer hurt himself during the exercise, an ambulance was summoned. The paramedics noticed that James was convulsing and continuing to vomit, so they brought him to the hospital. He died in the hospital the next day. Questions: 1. What sort of environment (hypertonic, isotonic, hypotonic) does consuming excessive amounts of pure water create in the body fluid that surrounds your cells? What effect would this have on your cells? 2. What types of symptoms did Jennifer and James have in common? Which organ or tissue seems to have been most affected? 3. Keeping in mind your answers to questions 1 and 2, what do you think the immediate cause of death was for Jennifer and James? 4. If you suspected that a patient's symptoms were caused by the condition suffered by Jennifer and James, what kinds of test would you run to confirm your suspicions? 5. Once you knew the cause of their symptoms, what kind of emergency treatment might you try for a patient like James if you were the doctor in charge of their care?

Principles Of Pharmacology Med Assist
6th Edition
ISBN:9781337512442
Author:RICE
Publisher:RICE
Chapter20: Substance Abuse
Section: Chapter Questions
Problem 24RQ
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1: Jennifer Strange: Jennifer Strange was a 28-year-old mother of three who entered a radio
contest to try to win a Nintendo Wii game system for her children. As part of KDND's (FM radio
station) “Hold your wee for a Wii" contest, Jennifer drank bottle after bottle of water for hours
without urinating. Initially, Jennifer seemed to be having fun, joking lightheartedly with the radio
hosts and obligingly downing an 8-ounce bottle of water every 15 minutes. As the hours passed,
however, she developed a splitting headache and dizziness. Finally, she couldn't take it anymore
and ran to the bathroom and vomited. Jennifer called her boss to say that she was going home
for the day because her headache was excruciating and she was too sick for work. Jennifer's
mother found her that afternoon, dead in her home.
2: James McBride: James McBride, a 25-year-old police officer, died after a 12-mile bike ride
that was part of a training course. Over the course of the ride, James drank roughly three gallons
of water that he brought with him in a pack. During a session that focused on how to dismount
a bike, an instructor noticed that McBride looked ill and asked him to sit down. McBride
complained of dizziness and nausea, and then vomited. Officers initially thought he might have
suffered heat stroke. Unaware that James had already consumed so much water, they gave him
more water to cool him down while he sat out of the exercise. When another officer hurt himself
during the exercise, an ambulance was summoned. The paramedics noticed that James was
convulsing and continuing to vomit, so they brought him to the hospital. He died in the hospital
the next day.
Questions:
1. What sort of environment (hypertonic, isotonic, hypotonic) does consuming excessive amounts
of pure water create in the body fluid that surrounds your cells? What effect would this have on
your cells?
2. What types of symptoms did Jennifer and James have in common? Which organ or tissue
seems to have been most affected?
3. Keeping in mind your answers to questions 1 and 2, what do you think the immediate cause
of death was for Jennifer and James?
4. If you suspected that a patient's symptoms were caused by the condition suffered by Jennifer
and James, what kinds of test would you run to confirm your suspicions?
5. Once you knew the cause of their symptoms, what kind of emergency treatment might you try
for a patient like James if you were the doctor in charge of their care?
6. Why do you think doctors administer a saline solution instead of pure water to dehydrated
patients?
Transcribed Image Text:1: Jennifer Strange: Jennifer Strange was a 28-year-old mother of three who entered a radio contest to try to win a Nintendo Wii game system for her children. As part of KDND's (FM radio station) “Hold your wee for a Wii" contest, Jennifer drank bottle after bottle of water for hours without urinating. Initially, Jennifer seemed to be having fun, joking lightheartedly with the radio hosts and obligingly downing an 8-ounce bottle of water every 15 minutes. As the hours passed, however, she developed a splitting headache and dizziness. Finally, she couldn't take it anymore and ran to the bathroom and vomited. Jennifer called her boss to say that she was going home for the day because her headache was excruciating and she was too sick for work. Jennifer's mother found her that afternoon, dead in her home. 2: James McBride: James McBride, a 25-year-old police officer, died after a 12-mile bike ride that was part of a training course. Over the course of the ride, James drank roughly three gallons of water that he brought with him in a pack. During a session that focused on how to dismount a bike, an instructor noticed that McBride looked ill and asked him to sit down. McBride complained of dizziness and nausea, and then vomited. Officers initially thought he might have suffered heat stroke. Unaware that James had already consumed so much water, they gave him more water to cool him down while he sat out of the exercise. When another officer hurt himself during the exercise, an ambulance was summoned. The paramedics noticed that James was convulsing and continuing to vomit, so they brought him to the hospital. He died in the hospital the next day. Questions: 1. What sort of environment (hypertonic, isotonic, hypotonic) does consuming excessive amounts of pure water create in the body fluid that surrounds your cells? What effect would this have on your cells? 2. What types of symptoms did Jennifer and James have in common? Which organ or tissue seems to have been most affected? 3. Keeping in mind your answers to questions 1 and 2, what do you think the immediate cause of death was for Jennifer and James? 4. If you suspected that a patient's symptoms were caused by the condition suffered by Jennifer and James, what kinds of test would you run to confirm your suspicions? 5. Once you knew the cause of their symptoms, what kind of emergency treatment might you try for a patient like James if you were the doctor in charge of their care? 6. Why do you think doctors administer a saline solution instead of pure water to dehydrated patients?
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