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- Question 1 of 4 Match the following concepts to its respective indications. Match each item to a choice: Green Urine Black Urine Red Urine Dark Yellow Urine Colorless Urine Indication of Antihypertensive Drugs Recent Fluid Consumption Presence of high amounts of Erythrocytes Choices: Nosocomial Infection Excessive intake of anti-diureticsPatient M, 72 y/o, is in the intensive care unit with the symptoms of dehydration, oliguria, hypothermia, hypoxemia (hypoxia). In the anamnesis there is a record of type 2 diabetes mellitus treated with biguanides. Her condition began to deteriorate after she had a myocardial infarction one month ago. Objectively: the skin is dry; turgor is lowered, arterial pressure – 80/40 mm column of mercury, pulse – 136beats/minute. The breathing is shallow, eye ball tone is lowered. What is your diagnosis?A. Hyperlactacidemic comaB. Uremic comaC. Ketoacidotic comaD. Brain comaE. Hyperosmolar coma"Flurazepam, Zaleplon, Zolpidem"- Among these drugs, are dose adjustment require in moderate to severe hepatic impairment or renal impairment? Please answer at your own easy words.
- Drug X is normally given as an intermittent IV bolus of 60 mg three times a dat to achieve desired average plasma concentration of 10 mg/L. The normal clearance of x is 5 liters/ hour, and is entirely by glomerular filtration Your patient's creatinine clearance (indicating kidney function) is one-third of normal. To achieve the same desired average plasma concentration in this patient, your initial dosage regimen should be:Now that Mr. James has completed 25 days of antibiotics to treat S. marcescens in the blood, should single or double antibiotic coverage be recommended for the remainder of his 6-week course of therapy? Provide the rationale for your recommendation. Mr. Jones’ serum creatinine is 1.4 mg/dL at 1 month after discharge. At what point would you consider restarting the ACE inhibitor? Justify the use of ACE inhibitors in patients with chronic kidney disease.Indicate whether the following sentences is True or False Sentence true False 1. Linoleic and linolenic are polyunsaturated 18C essential fatty acids present in human cells 2. Apolipoprotein B-48 is present in chylomicron and LDL 3. Dialysis is the process of separating substances in solution based on size and the difference in their diffusion rates through a semipermeable membrane 4. 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 5. These lab tests can be required for diagnosing anemia: serum ferritin, transferrin saturation, vit B12, folate, and iron levels 6. Diabetes insipidus is a disorder involves an abnormal increase in diluted urine output, ↑ fluid intake, and thirst, all occurs due to the decrease activity of ADH 7. ACE inhibitors are…
- Which of the following adverse effects may occur during Phenytoin (Dilantin) therapy? (only one answer) Gingival hyperplasia Urinary incontinence Dry mouthA physician orders an intravenous piggyback infusion of 100 mL of cefoxitin 1 g to run for 30 minutes. A nurse who selects tubing with a drop factor of 15gtt/min calculates that the solution should infuse at a rate of drops per minute (gtt/min).this patient suffers from Parkinson’s disease and has been admitted with nausea, confusion and a fall. The most recent blood results and observations are shown below:Sodium – 136mmol/LPotassium – 4.0mmol/LCreatinine – 110micromol/LCRP – 25mg/LBp – 110/78mmHgWhich tests would you expect to be conducted in this patient? List below up to 4 patient issues that you have identified, think about who you would speak to about each of these: What are the typical issues associated with the administration of medication for Parkinson’s disease.
- QUESTION 1 Ordered: Cefazolin 250 mg IM. Available: Cefazolin 1 gm vial. Cefazolin 1 gm vial. Add 9.5 ml of normal saline to obtain a concentration of 100mg/ml. a) How many ml of diluent should you add? Please enter number only. 3.8 ml b) What amount of medication will you administer? Please enter number only 5.7 mlQUESTION 21 Which of the following is not a biologic effect produced by angiotensin II? reduces antidiuretic hormone secretion stimulates sodium ion (Na*) reabsorption in the kidney vasoconstriction of systemic arterial blood vessels stimulates aldosterone secretionA 48 year-old woman with diabetic nephropathy was suffering from end-stage renal disease. They received a kidney transplant 3 months ago and renal function is now considered normal. Since the transplant, their anti-rejection medication regime involves 20mg prednisolone once a day.What test results might be expected when considering the impact of prednisolone on the body? Select ALL that apply [3 marks]- hyperlipemia -increased plasma ACTH - increased plasma cortisol - hyperkalaemia -hyponatremia -anaemia -decreased plasma 11-deoxycortisol