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Murry Henderson, a 50-year-old black woman who comes to your office for weight-loss counseling. She reports that her brother recently had a heart attack at 58 years of age. She does not smoke and takes no medications other than a daily multivitamin. Her body mass index (BMI) is 32 kg per m2. Her chart shows results from a fasting lipid profile performed three years ago. Here are her present parameters:
Total cholesterol level: 195 mg per dL (5.05 mmol per L);
Low-density lipoprotein (LDL) level 115 mg per dL (2.98 mmol per L);
High-density lipoprotein (HDL) level 53 mg per dL (1.37 mmol per L).
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- What are the risks factors of increased probability of coronary heart disease (CHD)?
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- Murry Henderson, a 50-year-old black woman who comes to your office for weight-loss counseling. She reports that her brother recently had a heart attack at 58 years of age. She does not smoke and takes no medications other than a daily multivitamin. Her body mass index (BMI) is 32 kg per m2. Her chart shows results from a fasting lipid profile performed three years ago. Here are her present parameters: Total cholesterol level: 195 mg per dL (5.05 mmol per L); Low-density lipoprotein (LDL) level 115 mg per dL (2.98 mmol per L); High-density lipoprotein (HDL) level 53 mg per dL (1.37 mmol per L). Question: What screening method for Lipid disorders is recommended for the patient? Justify your answer according to her risk factors and lab results given?A 42 year old man reports to his physician for annual physical examination. He is 5'8" and weighs 240 pounds with a skin fold test revealing 33% body fat composition. The patient complains of recent episodes of waking up in the middle of the night with the urge to urinate. Further questioning reveals he has also been thirstier than normal. Laboratory analysis reveals a random plasma glucose level of 160 mg/dL and hemoglobin A1c of 7.2%. His physician orders further testing and it is found that his C-peptide level is normal. What type of diabetes would this patient have? O Type 1 O Type 2 O Gestational OtherA 12-year-old boy presents to the clinic with complaints of frequent urination, constant thirst, and weight loss despite a voracious appetite. Physical examination and laboratory tests were done and results are shown below. Use this information to answer questions 4-5. Physical Exams and Tests Results Normal Range Height 5 feet, 3 inches Weight 50 kg Percentage Adipose Tissue 30% Blood Pressure 90/55 Plasma Fasting Glucose 340 mg/dL 70-110 mg/dL Plasma Na+ 142 mEq/L 140 mEq/L Plasma BUN 9.5 mg/dL 10 mg/dL Urine Glucose 15 mg/dL 0-15 mg/dL Urine Na+ 280 mEq/L/day 15-250 mEq/L/day 4. The plasma osmolarity in this patient is: A) 290 mOsm/L B) 306 mOsm/L C) 312 mOsm/L D) 320 mOsm/L 5. The total body water in this patient is: A) 15 L B) 20 L C) 26 L D) 35 L
- Charles is a diabetic with Alzheimer's disease and often forgets whether he has injected insulin or not. He is in the emergency room today because of heart abnormalities and is found to have hyperinsulinemia. You would also expect his blood analysis to show: hyperkalemia hypokalemiaPlan a one-day menu for a patient with hypertension, following the 2000 kcal. DASH Eating Plan and limiting sodium to 1500 mg. The DASH diet pattern is found in your textbook (Table 22-5) and on the 'Following the DASH Eating Plan' tab on the DASH website. Your menu should include: • specific foods with portion sizes • milligrams of sodium recorded for each food total grams of sodium for the day Reference the database used to look up sodium content of foods. USDA FoodData Central is recommended.“You are a nurse in an acute care hospital. Your new patient JD is in the hospital for fractures. His chart showed he has type 2 diabetes with HbA1c of 8.0%. JD’s sister came in to visit at lunch and brought him a Big Mac (3 slices of bread) with large fries on the side in addition to a bag of potato chips and a bottle of orange juice. You are concerned about the high carbohydrate content of the meal and discussed this with JD and JD’s sister. JD’s sister said, “I know my brother has diabetes, so I didn’t bring him soda or dessert.” JD said “I really love my carbs, but I know I should avoid all carbs to make my sugar low. Doctor said something about my ‘A1c’. Do you know what that is about?” Both JD and his sister said they would like to learn more about diabetes and diet.” Q1. Please explain to JD why he needs carbohydrates and describe the 2 functions of carbohydrate. Please explain to JD and his sister what the HbA1c test is and how to use A1c level to categorize normal blood…
- Joe is a 12 year old male patient who is brought to the emergency department for lethargy, nausea, and vomiting. It is noted that his breath has a fruity odor to it and that he is sweating profusely. A glucometer in the emergency department finds his blood glucose to be 523 mg/dL. It is determined that Joe is in Diabetic Ketoacidosis.CAHS [Video]. YouTube. Available at https://www.youtube.com/watch?v=ObAe4xJ$4N4 B Instructions For your initial post, please answer the following 2 questions: a. The doctor expects you to ask patients to pay at the time of their office visits. A patient, Mr. Owen, passes your desk without stopping after seeing the doctor or starts an argument with you about the physician's fee. What would you say? b. Think about the elements that a collection letter must have. What kind of information should be included? Note: Please read the instructions provided in the following links before submitting your entry: 방 ( LU ONadia's 8 years old daughter is a picky eater. She does not like to eat vegetables or fruits. Nadia wishes to buy her Vitamin C supplements. She found 3 different brands of vitamin C in the market. The table below shows 3. the nutritional content of the 3 products. Brand A Brand B Brand C 553 mg Ascorbic 50 mg 110 mg acid content (per tablet) Glucose (per tablet) O mg 5g 0g Among all three brands, which is the most suitable for Nadia's daughter? a. b. Give TWO(2) reasons for your answer in 3(a). Suggest TWO (2) ways of Vitamin C storage to extend their shelf life. C.
- Cholesterol is considered essential because it cannot be produced in the body. True FalseDiabetic ketoacidosis is a type of respiratory acidosis. True FalseAY is a 50 year old woman who was prescribed Atorvastatin (Lipitor ®) 40 mg od last week. Today, she came in complaining of muscle pain and weakness, especially in her arms and thighs. Upon going through her medical record, you found that AY is also on diltiazem 240 mg daily and omeprazole 40 mg daily. Ser565 L Sere Phe423 Val683 NH OH OH NH₂ b) Construct a thorough structure-activity relationship (SAR) examination of all three drugs in order to make a proper therapeutic recommendation for AY.