he practitioner at the urgent care facility makes the decision that A.M. needs to go to the hospital by ambulance. Once at the Emergency Department (ED), the ED physician orders the following items. Which are questionable related to her diabetic keto acidosis condition, and which are appropriate? Why? 1000 ml Lactated Ringer’s (LR) IV stat 36 units NPH (Humulin N) and 20 units regular (Humulin R) insulin SQ now CBC with differential; CMP: blood cultures X2 sites; clean-catch urine for UA and C&S; stool for ova and parasites; Clostridium difficile toxin, and C&S; serum lactate; ketone; osmolality; ABGs on room air 1800 calorie, carbohydrate controlled diet Bed rest Acetaminophen (Tylenol) 650 mg orally Q4 hrs PRN Furosemide (Lasix) 60 mg IV push now Urinary output every houri. VS every shift

A.M. is experiencing sepsis and DKA condition and hyperkalemia. In DKA blood glucose is very High…

Answered: makes the decision that A.M. needs to…

Essentials of Pharmacology for Health Professions

7th Edition

ISBN:9781305441620

Author:WOODROW

Publisher:WOODROW

Chapter23: Endocrine System Drugs

Section: Chapter Questions

Problem 1CRQ

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he practitioner at the urgent care facility makes the decision that A.M. needs to go to the hospital by ambulance. Once at the Emergency Department (ED), the ED physician orders the following items. Which are questionable related to her diabetic keto acidosis condition, and which are appropriate? Why?

1000 ml Lactated Ringer’s (LR) IV stat
36 units NPH (Humulin N) and 20 units regular (Humulin R) insulin SQ now
CBC with differential; CMP: blood cultures X2 sites; clean-catch urine for UA and C&S; stool for ova and parasites; Clostridium difficile toxin, and C&S; serum lactate; ketone; osmolality; ABGs on room air
1800 calorie, carbohydrate controlled diet
Bed rest
Acetaminophen (Tylenol) 650 mg orally Q4 hrs PRN
Furosemide (Lasix) 60 mg IV push now
Urinary output every hour

i. VS every shift

Definition Definition Organic compounds that have a carbonyl group, C = O, as their functional group. The carbonyl group in ketones is placed somewhere in the middle of the molecular structure, which means, the C=O is attached to two alkyl groups or benzene rings. Just like all other homologous series, the naming of ketones is done using a common suffix “-one”. The general molecular formula is C n H 2n O. Functional group of a ketone

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