CASE STUDY 9.5, PART 2 Recall Myra. Her mother was contacted by the EMTS, and she mentioned that her daughter had been losing weight and making frequent trips to the bathroom at night. The emergency squad noticed a fruity odor on Myra's breath. The decision was made to transport Myra to the emer- gency department. On arrival, her vital signs were as follows: Blood pressure Respirations Temperature Stat laboratory testing was ordered and the results are reported: Random Urine PH Protein Glucose Ketones Blood 5.5 Negative 98/50 mm Hg Rapid 99 °F Moderate Negative Serum Chemistries 500 mg/dL Glucose Ketones BUN Creatinine Positive 6 mg/dL 0.4 mg/dL Assist the physician's in explaining Myra's diagnosis to her mother. 1. Based on the preceding information, can Myra be diagnosed with diabetes? 2. Which type of diabetes is most likely to be diagnosed? 3. What is the cause of the fruity breath? 4. Why is Myra's respiration elevated?
Q: What is the net charge on the peptide RHTLE at pH 12.5?
A: Net charge of a peptide is calculated by adding the charges of individual amino acids in the…
Q: Give the structure and the corresponding function of Inulin.
A:
Q: which two amino acid have two chiral center? I know Isoleucine contain two chiral center,how about…
A: Proteins are composed of amino acids. They are linked together by peptide linkages. Proteins have…
Q: 1. A 2M NaCl solution and a 2 M glucose solution are separated by a semi-permeable membrane,…
A: Osmosis is the movement of water across the semipermeable membrane driven by the difference in…
Q: Which statement best describes the physiological role of the endocannabinoid system in learning…
A: The endocannabinoid system has become recognised as a key regulator of numerous brain activities.…
Q: please check if my answers are correct. Especially for prolin and Leucine
A: Amino acids are biomolecules that have an amino group and a carboxyl group attached to the same…
Q: What would the primary ATP production pathway(s) and fuel source(s) be for a competitive basketball…
A: Skeletal muscle can use free fatty acids, ketone bodies, or glucose as fuel, depending on the degree…
Q: Classify the 13 known vitamins into water-soluble or fat-soluble vitamins. Water-Soluble Vitamins…
A: A vitamin organic molecules essential for the proper functioning of the body. They are…
Q: Type of chlorophyll only found in eukaryotes. a.Chl b b.Chl a c.Chl d d.Chl c
A: Introduction: The green color of the plant is due to this chemical called chlorophyll which is used…
Q: 2. Characterize the physical chemical properties of protein solution. What is the viscosity of the…
A: Proteins are made up of amino acids and they form peptide bonds linking the amino acids. Thus…
Q: What is the importance of biochemistry signaling to our health and development? How does it affect…
A: Biochemistry is the branch of science that is concerned with the chemical substances found in living…
Q: What is the major difference between motifs and domains? a) Motifs are unstable on their own, while…
A: Motifs and domains are the structural elements of proteins that differ in their organisation and…
Q: is the active component in Benedict's Reagent is the storage from of carbohydrates in plants is the…
A: These tests are used to detect the presence of carbohydrates or reducing sugars or the presence of…
Q: What is the dominant force behind the interaction between side chains of 2 Cys? A H-bond B…
A: Cysteine is a sulphur containing amino acid. It has side chain with thiol group (-SH).
Q: Metabolic cycles are rather common (Citric acid cycle, Urea cycle, Calvin cycle). wny are cycles so…
A: Metabolic cycles are step-by-step series of interconnected biochemical reactions. In such a…
Q: A pentapeptide has a titration curve that shows five inflection points for five equivalents of…
A: Amino acids contain ionizable groups. The ionic form of the amino acids depends upon the pH of the…
Q: Ion channels can open or close based on electrochemcical gradient.
A: Ion channels are proteinaceous pathways that allow the passage of ions across a membrane at rates…
Q: In the given segment showing parallel strands, there are a total of In a parallel 3 sheet, hydrogen…
A: Beta sheets are secondary structures of proteins. They can be formed by a single peptide chain or…
Q: 0 H₂N-CHC-OH CH₂ HN A NH* 0 HẲN-CHC-O CH₂ HN B NH* HÌN CHỈO HẠN CHÈO CH₂ CH₂ N N HN- C HN D What is…
A: pKa is the pH at which half of the acid is dissociated. Given to us is the amino acid histidine with…
Q: Lab 2 Worksheet (cont.) Practice with Solution Calculations How many grams are needed to make each…
A: Stock solution is concentrated solution therefore we need to dilute it to make working solution.…
Q: Name two important outcomes of catabolism?
A: Catabolism is the set of metabolic pathways that breaks down molecules into smaller units. Redox…
Q: Elaborate Please complete the table. Table 1. The Compounds and Elements in the Human Body Compounds…
A: Carbohydrates, proteins, fats and vitamins are essential nutrients that are important for proper…
Q: What is the purpose of a bacterial smear? What is the purpose of a bacterial smear? It spreads the…
A: Introduction: The bacterial smear technique is a routine procedure performed to prepare the…
Q: 1. Explain why egg white and milk are used as antidotes in heavy metal poisoning. 2. Surgical…
A: 1. The egg white and milk are used as antidotes for heavy metal poisoning because the egg white and…
Q: 11. Match the following Sigmoidal curve ✓ Oxygen storage ✓ Contains heme Globular proteins Tetramer…
A: Haemoglobin is a transport protein that can transport oxygen to cells and tissues in the body.…
Q: The retention factor, Rf is measured: Any place in a spot - some of the molecules migrated there. At…
A: Rf means retention factor in a thin layer of paper chromatography. A solute or mixed sample is…
Q: b. You have 100 mLs of a 2 M histidine solution at pH 6.0, how many mls of a 5 M KOH solution must…
A: Dissociation of a weak acid is mathematically described by the Henderson-Hasselbalch equation: pH =…
Q: Which of the following statements about cellular membranes is/are FALSE? A. Only lipids move Within…
A: Cell membranes serve as both organizers and protectors. An outer plasma membrane surrounds every…
Q: Which of the following are common to all metabolic pathways? a) Citric acid cycle b) Oxidative…
A: Citric acid cycle carries out the complete oxidation of acetyl CoA and release CO2, NADH, FADH2, and…
Q: Why can nitrogen cross the membrane via diffusion through the bilayer and while protons require a…
A: Passive diffusion refers to the process by which small nonpolar, uncharged molecules dissolve into…
Q: Determine the Primary amino acid sequence of an Octapeptide Composition · Tyr , Arg,Pro, Lys ,Lys…
A: Introduction Amino acids are building block of proteins. Amino acids contain both amino and…
Q: Which of the following is an example of a primary active transport? a.CPT-I b.Na+/K+ pump…
A: Animal cells are usually surrounded by a cell membrane which acts as a structure that regulates the…
Q: Explain why some disaccharides such as maltose are reducing agents, whereas others, such as sucrose…
A: Disaccharides are sugars made up of two monosaccharide units connected by a glycosidic bond, a…
Q: Questions Nguy sapreds Tagab Fitn nass 1. An unknown protein yielded the following test results…
A: Amino acids are detected by a set of qualitative tests: Ninhydrin test: amino acids react with…
Q: 1. Amino acids as the structural components of proteins in the human body: the structure, isomerism…
A: Amino acids form polymers via condensation reaction of the amino group of one amino acid with a…
Q: Which two molecules are lipids and are they lower or higher numbered lipids and are they steroid,…
A: Number (2) is a phosphate moiety part of H3PO4 Number (3) is a carbohydrate. It is a hexose sugar…
Q: How Research and Development Pharmaceutical Chemist of the Multinational PFIZER aims to discover a…
A: Dyslipidemia is a condition of body in which imbalance of lipids occurs (Lipids like cholesterol,…
Q: Histidine is an amino acid with three ionizable groups, one of which has a pKa of 6.0. This group,…
A: pKa of an amino acid changes with a change in PH of the medium. An amino acid has three groups…
Q: Match the following - Secreted by B cells of the pancreas ✓ Secreted in response to high blood…
A: PART 1 Pancreas is a gland and an organ,both at the same time. Glands are those organs which produce…
Q: 3. The general properties of amino acids: a) formation of zwitterion; b) the acid-base properties…
A: All living organisms employ amino acids as building blocks for proteins. Twenty different amino…
Q: Proteins tracked by fluorescence recovery after photobleaching (FRAP) showed that they are ALL…
A: Introduction: Fluorescent markers get excited at a particular wavelength of light and undergo…
Q: Mention all the enzymes and reagents used in the everse Transcriptase Polymerase Chain Reaction…
A: RT PCR is Reverse transcription polymerase chain reaction. This a process used to generally…
Q: Describe how the following allosteric effectors regulated Hemoglobin’s O2 affinity: • CO2 • H+ (pH;…
A: Both Myoglobin and hemoglobin (Hb)contain the heme prosthetic group and the inorganic co-factor…
Q: After transcription, the molecule that is formed is a.complementary to part of one strand of DNA.…
A: Transcription is the process that is catalyzed by the RNA Polymerase enzyme. In this process a…
Q: Which of the following pentoses is/are involved in the 2nd phase PPP? A. ribose B. erythrose…
A: Introduction: The pentose phosphate pathway is also known as the hexose monophosphate pathway,…
Q: 3. Precipitation of proteins from aqueous solutions is caused by: A. Appearance of the charge of…
A: Proteins are polymers of amino acids. Therefore they are soluble in water as most of the amino acids…
Q: Which of the following statements is/are FALSE about glycolysis? A. It is an anaerobic process.…
A: Glycolysis is the catabolic pathway and is the first step in cellular respiration. This metabolic…
Q: Which of the following statements correctly describe(s) the general structure of steroids? a.2…
A: A steroid is an organic compound that is biologically active and has four rings arranged in a…
Q: The movement of water through a semipermeable membrane from a region of lower solute concentration…
A: A semi-permeable membrane is a membrane which allows partial transfer of molecules through it i.e.,…
Q: Why is it more important for DNA to be replicated accurately than transcribed accurately?
A: DNA is the genetic material in almost all the organisms in earth. RNA is formed from DNA , that…
Need answers from 1-4 ASAP! Please show step by step solution.
Trending now
This is a popular solution!
Step by step
Solved in 3 steps
- Patient M., 36 y/o, was found in the street unconscious. The patient has a medical history of diabetes. There is a smell of alcohol from the mouth. The skin is moist, warm, arterial pressure -145/90 mm column of mercury, convulsive twitching of muscles. Breathing is shallow, eye ball tone is retained, pupils are dilated, hyperflexion. How would you treat this patients?A. Intravenous introduction of 40-80-100 ml 40% glucose solution B. Injecting 20 units of insulin subcutaneouslyC. Injecting 20 units of insulin intravenouslyD. Injecting 500 ml 5% glucose solution intravenouslyE. Injecting 500 ml 0.9% sodium chloride intravenouslyHeart Failure Case Study James is a 70-year-old male brought to the emergency department (ED) by ambulance with complaints of shortness of breath. The patient's medical record shows a past history of hypertension, diabetes, MI X 2, congestive heart failure (CHF), and chronic renal insufficiency. Upon assessment, James has labored breathing at 36 breaths/min and tachycardia at 112 beats/min. His pulse oximetry is 90% on 40% oxygen via a face mask. Crackles are heard throughout his lungs. 1. List potential causes and risk factors for his condition. 2. Identify the typical symptoms of left-sided heart failure vs. right-sided heart failure with an "L" or an "R" or "B" for both. Cough Blood-tinged sputum Tachycardia Fatigue Nocturnal polyuria Exertional dyspnea Peripheral edema Crackles or wheezes Jugular venous distension Ascites and GI distress Orthopnea Cyanosis Paroxysmal nocturnal dyspnea The physician orders a chest x-ray, ECG, arterial blood gases (ABGS), and lab work to be done.…Patient B., 60 years old, was hospitalized with the diagnosis "Myocardial infarction". On examination: cold and cyanotic skin. Respiration is frequent, superficial, arterial pressure 90/60 mm Hg, pulse - 110 beats / min (normal 60-90 beats per minute). The patient is transferred to the intensive care unit. Questions: 6. Describe typical changes of gas parameters and pH in blood at this type of TPP? 7. List the signs of adaptive reactions available to the patient.
- CASE STUDY - SHOCKYou and your partner are dispatched for a report of an unresponsive 77-year-old male in asenior’s apartment complex. The time of the call is 08:36 am.Upon arrival, a home health aide greets you at the apartment door and informs you thepatient is in the bedroom. As she leads you towards the bedroom, the aide begins to tellyou she arrived for work about an hour ago and found the patient in his bed. “He normallyis awake when I get here, but today I found him still in his bed. I thought he was onlywanting to sleep in so I decided I would give him a little time, but he didn’t respond when Itried to wake him a few minutes ago.”She tells you she routinely visits Mr. Oliveira twice a week to help with cleaning andcooking. She says, “The last time I saw him was 3 days ago and he was sick at the time. Ithought he might have come down with a bad cold because he was coughing a lot and Itried to encourage him to see his physician.”As you approach the patient’s bedside, you observe…John Doe, 53y.o., has a history of Type I diabetes mellitus, cigarette smoking 40 pack-years, CAD, and PVD. Six weeks ago, he developed a wound in his left heel which measured 4cm by 2cm when he discovered it. Despite IV antibiotics and chemical debridement, the wound developed a gangrene infection. He is scheduled for a BKA of the left lower extremity tomorrow at 10:00 am. His meds include daily insulin, aspirin 325mg/day, Pletaal 100mg BID. Question: Preventing complications of surgery is an important part of all surgical patient care. What preoperative While Mr. Doe is in the Operating Room, what considerations will be taken to ensure Mr. Doe’s safety and positive outcome? Identify 2 IntraOp nursing diagnoses for Mr. Doe teaching does Mr. Doe require in order to prevent complications? Give 3-4 examples)Case #2Mr. H is a 52-year-old male who presents to the emergency department. His left leg is in a cast, and he states that 1 week ago he was in an automobile crash and broke his upper leg. Since that time he has had difficulty “getting around” and has mostly been lying on the couch watching television. On the evening of admission he noticed a sudden onset of dyspnea and chest pain. He denies having orthopnea, cough,hemoptysis, or wheezing. He smoked two packs of cigarettes a day for 19 years, but quit 3 years ago.Blood work values on room air:Blood Gas Blood Gas Arterial Venous pH 7.51 7.40 PaCO2 30 mmHg 45 mmHg PaO2 60 mmHg 30 mmHg HCO3 24 mEq/l 21 mEq/l BE - 1 - 4 SaO2 90% 60% Hb 15 g/dl 15 g/dl Part 1: Interpret the ABGPart 2: What is the arterial- venous oxygen content (Ca-vO2) difference for this patient?
- Case #2Mr. H is a 52-year-old male who presents to the emergency department. His left leg is in a cast, and he states that 1 week ago he was in an automobile crash and broke his upper leg. Since that time he has had difficulty “getting around” and has mostly been lying on the couch watching television. On the evening of admission he noticed a sudden onset of dyspnea and chest pain. He denies having orthopnea, cough, hemoptysis, or wheezing. He smoked two packs of cigarettes a day for 19 years, but quit 3 years ago. Part 1: What is his arterial-venous oxygen content (Ca-vO2) difference? Part 2: Calculate his extraction ratio please.Eosinophilia Magnification:Z6at 2. Which chamber of the heart - left or right ventricle- has thicker walls? How does this difference reflect the functions of these two chambers? 3. After observing the models, identify one structural difference that you could use to differentiate between the anterior and posterior surfaces of the heart. 4. Identify one structural difference that you could use to differentiate the right and left sides of the heart. 44 Blood Pathologies and Heart Anatomy Laboratory 2ADDITIONAL ACTIVITIES 1. A patient with iron deficiency anemia experiences shortness of breath, weakness and has a pale skin. Explain why anemic people experience and share the same symptoms. 2. A pacemaker is a small device that is placed in the chest or abdomen to help control abnormal heart rhythms. This device uses electrical pulses to prompt the heart to beat at a normal rate. Who are the patients greatly in need of this procedure of having pacemaker built in their chest? And why?
- 12:55 AM Hli 55% Specific module 4 - BASIC LIFE SUPPORT p... Assessment 1. A 65-year-old male is on a short ladder changing a light and suddenly collapses. He is unresponsive. What is the next step? a) Call 9-1-1 b) Begin CPR c) Begin mouth-to-mouth ventilation d) Check pulse 2. CPR is initiated and the victim's pulse returns but he is not breathing. What ventilation rate should be used for this patient? a) 8 per minute b) 12 per minute c) 20 per minute d) Depends on his color 3. The child begins to breath spontaneously at a rate of 18. Her pulse is 50. What is the next step? a) Faster rescue breaths b) Carotid massage c) Begin CPR d) Monitor breathing 4.) Geeno, a 21-year-old intoxicated college student turms blue and collapses while eating a hot dog at a bar. What is the most likely cause? a) Cardiac arrest b) Alcohol poisoning c) Choking d) Drug ingestion 5. You assess that the patient still has a pulse, what is the next step in managing this case? a) Begin CPR b) Open airway c)…Topic: Capillary Puncture Questions 1. Why do we need to wipe the first drop of blood after puncturing the fingers?2. State the advantages and disadvantages of capillary puncture.nurse intervention for Mr. Reddy is a 62 yo presenting to ED at 1500hrs. He was preparing the gas cylinder for a Sunday BBQ when it suddenly exploded while he was trying to connect the hose. Family standing by tried to extinguish the fire with their hands and tried to remove his clothing. Burns 30% TBSA – Face, hands, bilateral lower limbs. Complaints of severe pain and burning 10/10. Past Medical History: Hypertension, Type II DM Regular medications – Candesartan 8mg, Glimepiride 4mg, Metformin 500mg and Pravastatin 20mg. Fully vaccinated against COVID.