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QUESTIONS.
A. Discuss the probable causes of the alterations in T.H.'s laboratory results.
B. Explain the pathophysiology of Cushing syndrome.
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- MAKE AN ANALYSIS OF THE SAID DX. dx: Imbalanced nutrition related to lack of knowledge about diet SCENARIO: Aubrey, 19 years old, an incoming college freshman student went to Ateneo De Manila Health Services for physical examination. The nurse gathered the following information: Height: 5 ft Weight: 48 kg Vital signs: Temp 37.2C, Pulse rate: 95 beats per minute, Respiration rate: 12 breaths per minute, and BP: 100/70mmHg. Family History of illness: Father (+) Hypertension (HPN), and Diabetes Mellitus (DM) Present Health History: Aubrey never experienced to get hospitalized as far as she can remember. Her mother ensures that she takes daily supplemental vitamins such as vitamin C and B complex, and every year she gets flu vaccine from their family doctor. During the interview with the nurse, Aubrey mentioned that she has no known allergies. She said “I don’t think I have any problems with my health. I am lacto-ovo vegetarian. Most of the time I hang out with my friends for a tea or…Patient C., 32 y/o, complains of excessive weight, shortness of breath, defective memory, performance decrement, feeling cold, emotional retardation. It is known from the case history that the patient is suffering from primary hypothyroidism. Objectively: the skin is dry, waxlike, swollen, periosteal reflexes are lowered, body mass index: 33.5 kg/cubic meter, TSH (thyroid-stimulating hormone) – 25 µU/dL (norm 0.5 -5.0). Obesity is homogenous. Arterial pressure: 150/100 mm column ob mercury. What type of obesity can be suspected?A. Endocrine hypothyroidB. Endocrine accompanying dysfunctions of hypothalamopituitary systemC. Alimentary constitutionalD. HypothalamicE. Androidal with the developed symptoms of metabolic syndromeDischarge planning for a patient with hyponatremia Portential prognosis: Patient teaching: Potential follow up care:
- N.H. is a 76-year-old male admitted to the hospital through the emergency department. He fell outside his home. It appears that he may have sustained a fracture to his left hip. He has a history of type 2 diabetes mellitus and has a 40 pack-year smoking history that is now complicated by chronic obstructive pulmonary disease. Data Collected (use only those that apply) Complains of excruciating pain and tenderness in left hip Pain not relieved with morphine BP 166/94 mmHg Diaphoretic and pale skin Respiratory rate 36; crackles, expiratory wheeze X-ray of left hip reveals extracapsular fracture Hematocrit 30%; hemoglobin 15g/dL; WBC 15,000/uL Discussion Questions: Considering the nursing process, list in order the steps in transferring patient from bed to chair post operatively.Case Scenario: 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…Case Scenario: 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 still 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. By accomplishing the table below, you will be able to determine the progress of labor of Mrs. J. Give a short and concise description of each stage of labor using the attached table. Stages of Labor Other Name Description Duration 1st Stage Latent Phase Active…
- PLEASE ANSWER asap write diagnostic statement 3. The client is 45 pounds overweight . He states that he is in a high stress job and doesn't have time to cook regular meals - he tends to eat fast food and snacks a lot . His job is sedentary , and he does not engage in any type of physical exercise or sport . Fo fun, he likes to " eat at a nice restaurant "Damage to the cerebral cortex may cause loss of Skilled movements in the absence of paralysis. T 4:21 PM /Outline nursing interventions including lifestyle modifications and medication management for GERD
- 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. Mr. H suggests hypoxemia and respiratory alkalosis which might be an indication of serious illness such as pulmonary embolism. Part 1: His arterial-venous oxygen content (Ca-vO2) difference is 5.73 mL/dL Part 2: His extraction ratio (ER) 0.276 or 27.6% What is clinically happening to the patient? Please explain.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.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?