Discuss one of the following conditions and what you would expect for urinalysis results and why (cover all variables measured on a standard urine test strip, even if they do not change) diabetics mellitus diabetes insipidus glomerulonephritis
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Discuss one of the following conditions and what you would expect for urinalysis results and why (cover all variables measured on a standard urine test strip, even if they do not change)
- diabetics mellitus
- diabetes insipidus
- glomerulonephritis
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- What are the tests performed in the laboratory for the determination of NPN compounds in blood? Discuss the use of the urea nitrogen/creatinine ratio to distinguish prerenal, renal, and postrenal causes of uremia. Kindly insert you references here. Thank you!In reviewing the patient’s current information, a concern exists that acute kidney injury has developed. Select to highlight the laboratory information that would support this concern.UrinalysisCasts - +++Cola-color to urineProteinuriaBlood ValuesRBC - 3.9 cells/L (4.0-4.9 cells/L)Hgb 10 g/dL (12-16 g/dL)Hct-40% (37%-48%)WBC 11.0 cells/L (4.0-10.0 cells/L)Platelets - 140 cells/L (150-450 cells/L)Sodium - 140 mEq/L (135-145 mEq/L)Potassium - 4.5 mEq/L (3.5-5.2 mEq/L)BUN - 32 mg/dL (5-20 mg/dL)Creatinine 1.8 mg/dL (0.5-1.5 mg/dL)Blood Glucose - 180 mg/dL (nonfasting) (<200 mg/dL)AST-40 Units/mL (5-40 Units/mL)ALT - 30 Units/mL (5-35 Units/mL)Bilirubin (total)- 0.8 mg/dL (<1.0 mg/dL)Albumin - 4.0 (3.5-5.5 g/dL)PT-22 (11.5-14 seconds)The Golden standard for evaluating GFR and renal clearance is urea creatinine creatinine and urea inulin, continuous infusion inulin, single bolus A deficiency of the xanthine oxidase due to severe hepatocellular disease will lead to: increased urea concentration decreased creatinine concentration hyperuricemia hypouricemia xanthinuria None of the above Both C and E Both D and E
- A 21 year-old man with nausea, vomiting, and jaundice has the following laboratory findings: Total serum bilirubin 8.5 mg/dL (normal 0-1.0 mg/dL) Direct serum bilirubin 6.1 mg/dL (normal 0-0.5 mg/dL) Urine urobilinogen Increased Urine bilirubin Positive AST 200 U/L (normal 0-50 m/L) ALP 160 U/L (normal 0-150 m/L) What disease state are these findings consistent with? 1) Hemolytic anemia 2) Early hepatitis 3) Chronic liver disease 4) Obstructive jaundice no references, just homeworkMatch the following. Renal cortex Renal medulla Ascending loop of Henle Afferent Arteriole Glomerulus Efferent Arteriole Descending loop of Henle Distal Convoluted Tubule Collecting Duct Bowman's Capsule Proximal Convoluted Tubule Match the following. Cortical radiate atery Arcuate artery Interlobar artery Vasa recta Renal papilla Efferent arteriole Renal Cortex Afferent Arteriole Renal medulla Glomerulus Renal Capsule Peritubular capillaryUrinalysis Data Analysis Activity Data Table: Factor Person V Person W Person X Person Y Person Z Cloudy yellow Bright yellow Color Clear amber yelow Yellow Specific Gravity Average Anerage Average very high Average pH 3 6. Sugar Protein Follow Up Questions: 1. What individual has the most "normal" overall urine test results? Explain your choice. 2. Which individual may have diabetes and should be tested further for diabetes? Explain your choice. 3. Discuss the urine tests results for individual X. What results indicate the need for further testing? Type here 4. Compare the urine test results for individual V and individual W. Should further testing be done? Explain. Type here 8. 3. 2.
- Indicate whether the following sentences is True or False IgA nephropathy is the most common type of glomerulonephritis, where polymeric IgA deposition causes glomerular membrane damage and can be examined by a kidney biopsy These lab tests can be required for diagnosing anemia: serum ferritin, transferrin saturation, vit B12, folate, and iron levelsGive the clinical significance of detecting the following_parameters in urine Parameter Clinical significance pH Protein Glucose Ketones Blood Bilirubin Urobilinogen Nitrite Leukocyte esterase Specific GravityA 4 year old child was admitted for vomiting and diarrhea. Has oliguria. Metabolic profile revealed an elevated serum urea. All other meaured parameters were within normal limits. A calculated urea to creatinine ratio was elevated. Urine color is dark yellow and specific gravity is 1.035. No biochemical abnormalities were identified in urine. 1. Does this child have renal dysfunction? 2. What condition(s) do these results suggest?
- RECORD THE HOURLY INTAKE AND OUTPUT USING THE TABLE PROVIDED. SHOW COMPLETE COMPUTATION IN THE TABLE- LABEL/ NAME ALL THE INATAKE PER You admitted a patient with hypotensive crisis; with the following data and doctor’s order Patient Juan Dela Cruz, 45 y/o, the patient NGT for gavage feeding every 4 hours. With Indwelling Foley Catheter for urine output monitoring 6:30am Clients VS BP=70/40 RR=15 PR=59 O2 Sat=98% monitor I &O every hour Doctor’s Order: Fluid Regimen: (R hand) Start IVF of D5LRS 1L to run for 8 hours using macroset with Side drip of Levophed: 2 ampules + 96 cc of PNSS x 15 ugtts/min stock dose of levophed (2ndline) L start IVF PNSS 1L x 10 gtts/min; To Start Blood transfusion of 2-unit PRBC once available properly typed and crossmatched You received the patient at exactly 7:00 AM and started the fluid regimen 8:00 AM – started gavage feeding of 1 glass osteorized feeding with 1/2 glass of plain water to dilute the feeding. 8: 30 AM -packed…RECORD THE HOURLY INTAKE AND OUTPUT USING THE TABLE PROVIDED. SHOW YOUR COMPUTATION IN THE TABLE- LABEL/ NAME ALL THE INATAKE PER You admitted a patient with hypotensive crisis; with the following data and doctor’s order Patient Juan Dela Cruz, 45 y/o, the patient NGT for gavage feeding every 4 hours. With Indwelling Foley Catheter for urine output monitoring 6:30am Clients VS BP=70/40 RR=15 PR=59 O2 Sat=98% monitor I &O every hour Doctor’s Order: Fluid Regimen: (R hand) Start IVF of D5LRS 1L to run for 8 hours using macroset with Side drip of Levophed: 2 ampules + 96 cc of PNSS x 15 ugtts/min stock dose of levophed (2ndline) L start IVF PNSS 1L x 10 gtts/min; To Start Blood transfusion of 2-unit PRBC once available properly typed and crossmatched You received the patient at exactly 7:00 AM and started the fluid regimen 8:00 AM – started gavage feeding of 1 glass osteorized feeding with 1/2 glass of plain water to dilute the feeding. 8: 30 AM -packed RBC…RECORD THE HOURLY INTAKE AND OUTPUT USING THE TABLE PROVIDED. SHOW YOUR COMPUTATION IN THE TABLE- LABEL/ NAME ALL THE INATAKE PER You admitted a patient with hypotensive crisis; with the following data and doctor’s order Patient Juan Dela Cruz, 45 y/o, the patient NGT for gavage feeding every 4 hours. With Indwelling Foley Catheter for urine output monitoring 6:30am Clients VS BP=70/40 RR=15 PR=59 O2 Sat=98% monitor I &O every hour Doctor’s Order: Fluid Regimen: (R hand) Start IVF of D5LRS 1L to run for 8 hours using macroset with Side drip of Levophed: 2 ampules + 96 cc of PNSS x 15 ugtts/min stock dose of levophed (2ndline) L start IVF PNSS 1L x 10 gtts/min; To Start Blood transfusion of 2-unit PRBC once available properly typed and crossmatched You received the patient at exactly 7:00 AM and started the fluid regimen 8:00 AM – started gavage feeding of 1 glass osteorized feeding with 1/2 glass of plain water to dilute the feeding. 8: 30 AM -packed RBC…
