Blood Analysis Glu = 5.0; Na = 145; K = 2.8. Thomas (male) Age: 28 Triage Data complained of abrupt polydipsia (excessive thirst) and polyuria (excessive urine volume, 15 L per day) Other Ca = 2.50 Fe = 27 T3 = 0.33 T4 = 99 glucose urinalysis = 0.0 mmol/L Click here for Report Form X
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- Diabetes insipidus or diabetes mellitus would most likely be indicated by ________. anuria polyuria oliguria none of the aboveNURSING DIAGNOSIS list) - Risk of fluid volume depreciation as evidenced by nausea, vomiting, anorexia & reduced fluid ingestion. - Imbalanced nutrition less than body requirements as evidenced by difficulty to eat/digest food secondary to dysphagia & evidenced by weight loss & physical examination - Deficient knowledge related to nutrition as evidenced by consumption of IBS(Irritable Bowel syndrome) triggering foods. - Acute pain related to abdominal cramps as evidenced by the patient’s facial grimace. 1. What type of goal should be established? Short term Long term 2. In writing the goal for the top priority problem, what components should be included? Subject Verb Conditions or Modifiers/ Effects of interventions Criterion of desired performance/ Expected outcomes 3. What goal now can you formulate following the above components to resolve the top priority problem mentioned? 4. What specific objectives can you set to achieve the goal you have formulated?…NURSING DIAGNOSIS list) - Risk of fluid volume depreciation as evidenced by nausea, vomiting, anorexia & reduced fluid ingestion. - Imbalanced nutrition less than body requirements as evidenced by difficulty to eat/digest food secondary to dysphagia & evidenced by weight loss & physical examination - Deficient knowledge related to nutrition as evidenced by consumption of IBS(Irritable Bowel syndrome) triggering foods. - Acute pain related to abdominal cramps as evidenced by the patient’s facial grimace. 4. What specific objectives can you set to achieve the goal you have formulated? 5. What type of objectives you have identified: Cognitive Affective Psychomotor 6. What do you think is the first concern/issue that should be addressed to achieve the goal. Do you think this should be your first objective? 7. Arrange the remaining objectives according to proper sequencing and time order, guided by the intent to eliminate the factors that are causing the problem…
- A male university student presented with left sided abdom- inal pain radiating to the groin. The pain had lasted ten days and was increasing. He felt nauseous and had been off food for two days. He reported that he had a UTI one year previ- ously and his brother and aunt had both had renal stones in the past. On examination his abdomen was tender, with pain local- ized to the left pelvic region. A urinary dipstick test was positive for blood (trace), protein, leukocytes, and ketones. Baseline laboratory investigations (serum sodium, potas- sium, creatinine, calcium, phosphate, full blood count) were all normal, but an X-ray demonstrated a 1.5 cm diam- eter stone at the junction of the left kidney and its ureter. This was initially treated with stenting of the left ureter and the patient was discharged pending further investigation. A full metabolic 'stone screen' demonstrated no abnormal- ities other than a positive cystine screening test. Urinary cystine excretion was 2008 umol/24h…Primary Aldosteronism (Conn's Syndrome) 1. Surgical 2. Prognosis 3. Pictures of Primary Aldosteronism (Conn's Syndrome) 4. Signs and symptomsThe only presenting sign most often accompanying a delayed hemolytic Renal failure O Unexplained decrease in hemoglobin Active bleeding O Hives All of them immune transfusion * complication EXCEPT TA-GVHD DSHTR Iron overload
- 24) Male,22 years old, found swelling of both lower extremities and eyelids for more than 4 months. PE: BP145/90 mmHg, urine protein++,urine red blood cells++/HP. The diagnosis is most likely() A Acute nephritis B Chronic Nephritis C Nephrotic syndrome D Rapidly progressive nephritis E Hypertensive nephropathy-4 points pe etween each), describe he What happens during filtration? ut this process, the substances transferred (e.g. ions, water, or the location of this process) (Paragraph 2) secretion: What happens during secretion? (include details about this process, the substances transferred (e.g. ions, water, organic molecules), & the locations of this process) (Paragraph 3) reabsorption: What happens during reabsorption? (include details about this process, the substances transferred (e.s. jons, water. organic molecules), & the locations of this process) Note: Check that you have included in each of your 3 separate paragraph pout these processes, the substances transferred, & the location nephron! View Format Table Paragraph5) Female,54 years old, with a history of gallstone for 8 years. Severe upper abdominal pain for 2 days radiating to the waist, accompanied by nausea and vomiting,and the blood amylase increased twice The following most valuable check is() A Abdominal X-ray B Upper gastrointestinal barium meal C ECG D Abdominal CT E Endoscopy
- ANALYSIS OF URINE B. INORGANIC CONSTITUENTS1. Calcium - to 2 ml urine, add 3 drops of 2% potassium oxalate solution. Noteprecipitate formation. Filter and test the filtrate for further precipitation byadding K oxalate dropwise until no more precipitate is formed. Filter and usethe filtrate for the next test.2. Magnesium –place red litmus paper in the filtrate and add drop by drop 10%NH 4 OH to the filtrate in no.1 until the solution is alkaline to the litmus paper(litmus paper should change its color to blue). Set aside and observe if aprecipitate is formed.3. Chlorides –place blue litmus paper to 2 ml urine add HNO 3 solution dropwiseuntil solution is acidic when litmus paper changes color to red. Add a fewdrops of AgNO 3 and observe. 4. Sulfates–place blue litmus paper to 2 ml urine, add several drops of HCl untilsolution is acidic when litmus paper changes to red. Then add 10% BaCl 2 dropby drop until a precipitate is formed.5. Phosphatesa. Phosphates of Ca and Mg –place red litmus…Sex : maleAge : 76 yearsHeight : 5 feet 4 inchesWeight : 87 kgActivity : sedentarySymptoms : viral fever and is severely dehydrated.Clinical picture Urine output : NilBlood pressure : 200/100BUN : 27 mg/dlCreatinine levels: 8.7 mg/dlDiagnosis : acute renal failureOther symptoms: unable to eat since he feels nauseated Treatment : intravenous oral fluids and undergoing dialysis 1. What will be your strategy to improve his fluid and diet intake.2. Which foods will you recommend for more consumption? 3. Which foods will you ask him to avoid?Urinary system lab assignment and related case study Leo, 37-years old was absolutely shocked when he found out that he has a hypertension. He was once an athlete and a quarterback in his high school and college teams; very well-known and loved one until he broke his femur bone in a car accident and then everything just changed. He became careless about himself and his health. He left himself go, eating too much junk food, drinking too much alcohol and smoking cigarettes. Leos physician had to prescribe two different antihypertensive medications in order to get his blood pressure under control. He told him to exercise regularly, go on a low-salt diet and try to stop or at least moderate alcohol and stop smoking. Leo was scared because he had a history of hypertension in the family where his dad ended up being on a dialysis before dying from complications of kidney failure. Leo took his doctors advice seriously and began a dramatic lifestyle change to get back to what he used to be. His…