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- Patient K., 58 y/o, complains of weakness, muscle ache, loss of appetite, nausea, vomiting, aching bones, deterioration of memory and cramps. In anamnesis there is a record of the ulcerous disease of stomach, frequent pathological bone fractures. Objectively: the consciousness is clouded, the skin is dry of ashy gray colour, present deformity of the vertebrae bodies, "goose-stepping" gait, X-ray shows systemic osteoporosis. Heart sounds are dull, rhythmical, arterial pressure – 160/100, pulse – 56beats/minute. The level of calcium in the blood – 3.9mmol/l; hypophosphatemia, hyperphophaturia; glycemia – 4.8mmol/l. What are you going to do with this patient?A. Introducing 2-3 l of 0.9 % solution of sodium chloride and the potassium phosphate and sodiumB. Introducing 150ml of 4.5 % solution of sodium chloride, 100mg prednisolone C. Introducing 100mg prednisolone, 40g furosemide D. Introducing 1-2ml 0.5% solution of strophanthin, 100mg prednisoloneE. Introducing 40-60ml of 40% glucose…Pathophysiology of a UTI (easy)Mr S. is a 45-year-old man who has just been admitted to the ICU postoperative cardiac surgery. He has had an uneventful coronary artery bypass graft with no complications in the operating room. He is intubated and placed on complete mechanical ventilation. His vital signs are: blood pressure (BP) 150/90 mm Hg, heart rate 86 beats per minute, respiratory rate 12 breaths per minute, and temperature 35.3°C The target systolic BP for Mr S. is less than 130 mm Hg and the surgeon’s postoperative orders include BP medications and intravenous morphine sulfate for pain. In addition, the surgeon prescribes an nonsteroidal anti-inflammatory drug, ketorolac, to be administered to the patient once it has been determined that they are not bleeding excessively and have acceptable renal function. The ICU where Mr S. is admitted has a respiratory therapist (RT) on staff. This RT is aware that mechanical ventilation is very uncomfortable for patients. There is a standing order in the ICU that heart…
- The patient denies hematemesis. What question did the doctor ask the patient regarding this term?The patient denied hematemesis. What question did the doctor ask the patient regarding this term?Mrs. J. is a 25-y/o gravida 2, para 1, who was admitted at full term at 5:00 p.m. She stated that she had been having contractions at 8 to 10 minute intervals since 4 p.m. They lasted 25 seconds. She also stated that she had been having "a lot of false labor" and this makes her still able to feed and able to maintain a conversation and is getting excited. But now she hoped that this was "the real thing". Her membranes were intact. Mrs. J.'s temperature, pulse and respirations were normal and her blood pressure was 115/70. The fetal heart tones were 140 and regular. The nurse examined Mrs. J. and found that the baby's head was at +1 station, and the cervix was 4 cm. dilated and 70 percent effaced. As the labor progresses, there will be some discomforts Mrs. J will experience. By accomplishing the table below, you will be able to anticipate these discomforts then may be able to apply measures to alleviate or assist Mrs. J to have a safe delivery.
- Mrs. J. is a 25-y/o gravida 2, para 1, who was admitted at full term at 5:00 p.m. She stated that she had been having contractions at 8 to 10-minute intervals since 4 p.m. They lasted 25 seconds. She also stated that she had been having "a lot of false labor" and this makes her still able to feed and able to maintain a conversation and is getting excited. But now she hoped that this was "the real thing". Her membranes were intact. Mrs. J.'s temperature, pulse, and respirations were normal and her blood pressure was 115/70. The fetal heart tones were 140 and regular. The nurse examined Mrs. J. and found that the baby's head was at +1 station, and the cervix was 4 cm. dilated and 70 percent effaced. As the labor progresses, there will be some discomforts Mrs. J will experience. By accomplishing the table below, you will be able to anticipate these discomforts then may be able to apply measures to alleviate or assist Mrs. J to have a safe delivery. Stages of Labor Other Name Nursing…Assessment of Patient 2Donald has a history of DM I. There's an order to administer 10 units.The nurse is using a U-100 syringe. How many units should the nursedraw up in the syringe and administer?