男性，70岁。高血压病20年，平日血压140／90mmHg，糖尿病10年，1周来发生心前区疼痛，闷胀痛多持续1～2min，经休息可缓解，1天来心前区痛持续6h不缓解。精神烦躁，恶心、呕吐一次，急送医院。测BP130／90mmHg，心电图示V1-5ST段弓背向上抬高，出现Q波，心肌酶升高，医师确诊为急性心肌梗死，即刻给予吗啡止痛，胸痛逐渐减轻，心电监护可见室性期前收缩，每分钟4～5个，BP130／90mmHg。
患者入院12h后突然出现呼吸困难，咳嗽，咳粉红色泡沫痰，两肺布满干、湿啰音，心率：120次／min，律齐，护士即刻通知医师进行处理，护士能指出医嘱中哪项不妥（）。
A.静脉注射速尿
B.静滴硝普钠
C.吸氧改为6～8L／min，并乙醇湿化
D.口服地高辛
E.肌内注射哌替啶
参考答案：D
Ricochet, a 19-month-old golden retriever（金毛寻回犬）, was bred(饲养) to be a service dog but never made it. Now, she has found her role in the ocean, surfing with a disabled teen. Patrick Ivison, 15, suffered a severe injury in a car accident when he was 14 months old. He has been disabled since, but the Californian boy never gave up on the goal of walking. He recently took his first steps. When Ivison first met Ricochet, the two immediately hit it off. To raise money for Ivison’s physical therapy(治疗), which is not covered by insurance, it was suggested that the pair take up surfing. Ivison said that when he first heard the idea he thought, “We are completely out of our minds.” But from the start, the two took to surfing naturally. With the help of his mom, Jennifer Kayler, and friends, who carry Patrick to the ocean and guide the extra-large surfboard into the waters, Ivison rides the waves with his pal standing on the back. “It’s kind of like a grand performance out there,” Ivison said of the group of people who help him out. The dog helps to balance out the board The teen remembered one pass when “we were about to flip over and then she stepped on that side of the board and helped us out.” The two participated Sunday in the Surf City Surf Dog contest as a fund-raiser(募集资金者). They wowed the cheering crowd during their exhibition. The event raised $8,200. About $2,000 will go toward a service dog for Ivison, and the rest will go toward his “Help Patrick Walk” therapy fund. 小题1: Ivison got disabled when .
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