with chest pain revealing pericarditis in the echocardiogram, secondary to recently diagnosed end-stage renal disease. Physical examination reveals yellowish discoloration to the skin and sclera, multiple bruises, and 2+ bilateral edema. Sarah reports weakness lasting more than three weeks. Her medications include Glisten, a new drug for diabetes that causes ATP sensitive potassium channels to close, thereby releasing insulin.
Q: . A 22-year-old woman (previously adopted, not currently taking medications, negative medical…
A: Iam answering the first question only . Kindly repost the rest of questions. 1 . Adrenal glands are…
Q: Please answer both questions. A 77-year-old postmenopausal woman presented at her GP for her yearly…
A: Osteoporosis is a systemic illness that affects the skeleton and is characterised by decreased bone…
Q: A 14-year-old male student was seen by his physician. His chief complaints were fatigue; weight…
A: The glucose level of a healthy person rise after a meal and returns to normal after some time.…
Q: Preventing complications of surgery is an important part of all surgical patient care. What…
A: Nursing is a profession. The main aim of the profession is to promote, maintain and restore the…
Q: A 21-year old female (A.M.) presents to the urgent care clinic with symptoms of nausea, vomiting,…
A: Diabetic ketoacidosis is found to be the condition the patient is suffering from. In this condition,…
Q: Patient is a 70 year old male with Parkinson’s disease, depression, HTN, and insomnia. He fell at…
A: Parkinson's disease is a chronic progressive disease. It is a disease of the nervous system. It is…
Q: Patient is a 70 year old male with Parkinson’s disease, depression, HTN, and insomnia. He fell at…
A: Parkinson’s disease is defined as a slowly progressive disorder of the central nervous system that…
Q: Mr. Xu is a 43-year-old male presenting to ED at 1600hrs. Referred by GP for likely meningitis with…
A: Patient complains are as follows: h/o fever since 3 days. Temperature 39.8 deg Celsius = 103.60F…
Q: This is a case of a 65 year old female with a 10 year history of hypertension and diabetes. She is…
A: We have a case of a 65-year-old female Health history: A10-year history of hypertension History…
Q: Complains of excruciating pain and tenderness in left hip Pain not relieved with morphine BP 166/94…
A: Diabetes mellitus is a metabolic disorder in which the level of glucose in the blood is high. There…
Q: What is the medication error severity level?
A: According to the National Coordinating Council for Medication Error Reporting and Prevention, a…
Q: A 56-year old maintenance worker, with a past medical history of insulin dependent diabetes, CHF,…
A: As per our policy, we are answering the first 3 questions only. Kindly repost for other questions.…
Q: A daughter goes to visit her elderly mother, who lives alone. The mother wants to remain as…
A: Urine is formed from the filtrate of blood. The composition of urine is used to assess the health…
Q: a Discharge Plan for a 3-year-old male child newly diagnosed with Diabetes Mellitus Type 1. Use the…
A: Type 1 diabetes is a disease which affects the child's body in making or producing the insulin and…
Q: Patient is a 55 year old female with a diagnosis of diabetes. She was diagnosed when she was 50…
A: Diabetes mellitus is a chronic condition characterized by hyperglycemia (increased blood sugar…
Q: celcius
A: 1. The patient has got Lactation Mastitis , this is an inflammation of breast tissue with…
Q: Mehmet Yavuz is 62 yo. He presented to the clinic and after having an HbA1c test (result 9%) was…
A: Metformin is the drug that is used as the first-line pharmacological treatment for type 2 diabetes.…
Q: N.H. is a 76-year-old male admitted to the hospital through the emergency department. He fell…
A: Diabetes mellitus is a metabolic disorder in which the level of glucose in the blood is high. There…
Q: A 54-year-old man with a medical history significant for bipolar disease presents to his physician…
A: Diabetes insipidus is a rare condition that induces fluid disproportionality in the body. Even if…
Q: A 49-year-old male was brought to the Emergency Department for evaluation of nausea, fatigue, and…
A: The patient has the following abnormalities which need immediate medical attention: - Hyponatremia…
Q: Vour client is a 65-year-old Bahraini, obese person, known case of Type 2 Diabetes Mellitus, came to…
A: Diabetes mellitus is a metabolic disorder that leads to a build-up of excessive sugar in the…
Q: 1. Describe the pathophysiology of coronary artery disease. 2. Discuss risk factors for coronary…
A: 1. The underlying pathophysiologic processes for MI start with atherosclerosis, which develops and…
Q: Mehmet Yavuz is 62 yo. He presented to the clinic and after having an HbA1c test (result 9%) was…
A: Metformin is a first-line medication for type 2 diabetes. It is a biguanide antihyperglycemic…
Q: describe the mechanism of ACTION/S of rosuvastatin 2. identify the AIM of rosuvastatin therapy…
A: “Since you have posted a question with multiple sub-parts, we will solve first three sub-parts for…
Q: hungry and very thirsty, but despite eating more, he has lost 8 pounds. He also mentions that he has…
A: Diabetes can be defined as a disease condition associated with increased blood sugar levels in the…
Q: CONCEPT MAPPING Create a CONCEPT MAP or DIAGRAM from among the following high-risk conditions.…
A: In this question asked about concept map . Detailed solution in step 2.
Q: Case: A case due to illegible prescription is presented, occurring in a 52-year- old man with a…
A: A drug is a chemical that, when it interacts with the body, has a physiological impact on it. They…
Q: Spencer Question: if he is hospitalized how we will be able to care for Spencer and his family?…
A: In the present scenario, Spencer a 11-month-old baby is diagnosed with viral gastroenteritis and…
Q: Case: A case due to illegible prescription is presented, occurring in a 52-year- old man with a…
A: Medications form a major source of therapy for patients in their line of treatment prescribed by…
Q: ken includes reporting 4 days of anorexia, nausea, vomiting, and occasional diarrhoea before he…
A: When the blood is not transported to the heart due to the blockage in the coronary artery it leads…
Q: A 57 year-old male patient who has a longstanding history of hypertension, type 2 diabetes and…
A: Given : Urine creatnine = 88mg/dL Plasma creatnine = 4.75mg/dL Urine volume = 3777 ml in 24 hours 24…
Q: ersonal Information Name: Thomas Sykes Gender: Male Age: 17 Marital Status: Single Weight: 240…
A: A nursing care plan involves assessment which is collecting subjective and objective data. The…
Q: A 54-year-old man with a medical history significant for bipolar disease presents to his physician…
A: The most prevalent cause of nephrogenic diabetes insipidus is lithium. It is a bipolar disorder drug…
Q: diagnosis of diabetes insipidus is entertained. Questions A. Do you suspect central or nephrogenic…
A: Hello. Since your question has multiple sub-parts, we will solve first three sub-parts for you. If…
Q: A 14-year-old male student was seen by his physician. His chief complaints were fatigue; weight…
A: The glucose level of a healthy person rise after a meal and returns to normal after some time.…
Q: This is a case of a 65 year old female with a 10 year history of hypertension and diabetes. She is…
A: In this case study, the patient is 65 years old female with a history of diabetes mellitus ad…
Q: Describe the pathophysiology of Type II Diabetes Mellitus with links to Madam Suba’s case. Include…
A: A disorder in the body's ability to control and utilise sugar (glucose) as fuel is type 2 diabetes.…
Q: ehmet Yavuz is 62 yo. He presented to the clinic and after having an HbA1c test (result 9%) was…
A: HbA1c level is the average of your glucose levels (sugar) levels over the previous two to three…
Q: Mehmet Yavuz is 62 yo. He presented to the clinic and after having an HbA1c test (result 9%) was…
A: As per the given data the elderly client Mehmet Yavuz's assessment findings are as follows: HbA1c…
Q: Marie Gonzales, a 47-year-old mother of four, has just returned to the physician's office for the…
A: DIABETES MELLITUS - It is a metabolic disorder resulting from defects in beta-cell insulin secretion…
Q: Patient C., 32 y/o, complains of excessive weight, shortness of breath, defective memory,…
A: The prefix 'hypo' means less and thyroidism means condition related to the thyroid gland and hormone…
Q: What do you think she is experiencing? What are your reasonings? (Talk about signs and symptoms and…
A: Methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant Enterococci (VRE) are…
Q: A 65-year-old woman presents to the clinic to establish care. Her past medical history is notable…
A: The Health history of the patient is : 1)Chronic smoker 2)Hypertension 3)Type 2 diabetes mellitus…
Q: Patient is a 70 year old male with Parkinson’s disease, depression, HTN, and insomnia. He fell at…
A: Parkinson’s disease is defined as a slowly progressive disorder of the central nervous system that…
Q: Mehmet Yavuz is 62 yo. He presented to the clinic and after having an HbA1c test (result 9%) was…
A: Type 2 diabetes is also known as adult-onset diabetes is the impairment of how the body uses and…
Q: Mehmet Yavuz is 62 yo. He presented to the clinic and after having an HbA1c test (result 9%) was…
A: In accordance with Bartleby's guidelines, we are allowed to answer only the first 3 parts of a…
Q: Patient is a 70 year old male with Parkinson’s disease, depression, HTN, and insomnia. He fell at…
A: Parkinson’s disease is defined as a slowly progressive disorder of the central nervous system that…
Q: Case # 2 Eric is a 52-year-old High school principal, who presented with a 2-week history of…
A: “Since you have asked multiple question, we will solve the first question for you. If you want any…
Q: administered oxygen via NC, Established IV line access and placed the patient on a monitor.
A: 1.Clinical diagnosis is that of Chronic kidney disease resulting in azotemia/uremia due to…
A 63 yo female w/ a past medical history significant for diabetes mellitus, cirrhosis, gout, and a 30-pack a year smoking history, presents to the emergency room
with chest pain revealing pericarditis in the echocardiogram, secondary to recently diagnosed end-stage renal disease. Physical examination reveals yellowish discoloration to the skin and sclera, multiple bruises, and 2+ bilateral edema. Sarah reports weakness lasting more than three weeks. Her medications include Glisten, a new drug for diabetes that causes ATP sensitive potassium channels to close, thereby releasing insulin.
- Explain the cause of her abnormal stool and urine sample.
- What cell does Glisten work on? Explain how this medication is able to stimulate insulin secretion.
Trending now
This is a popular solution!
Step by step
Solved in 2 steps
- A 57 year-old male patient who has a longstanding history of hypertension, type 2 diabetes and hyperlipidemia. He presents with a chief complaint of nausea, shortness of breath, lower extremity edema and abdominal swelling. He is 5 feet and 6 inches tall and weighs 77.7 kilograms (Body Surface Area: 1.90). His blood pressure is 165/92 mmHg, heart rate is 97 beats per minute. Blood has drawn and urine is collected for various clinical chemistry tests. Laboratory Data Urine Creatinine: 88 mg/dL Urine Volume: 3,777 mL/24 hrs Plasma Creatinine: 4.75 mg/dL Urea Nitrogen: 170 mg/dL Blood Uric Acid 11.7 mg/dL Questions: 1. Given these data, what is the Creatinine Clearance of this patient? What are the possibilities for his lower extremity edema? What is/are the probable cause/s for the elevated Creatinine and Urea N? 2. 3.History of present illness: Patient is a 28 year old Caucasian female presenting to an outpatient clinic with complaints of weakness, numbness, tingling, and mild tremors (for the last 2 weeks) in her upper extremities, having trouble concentrating, fatigue, dizziness, and lacking balance for at least three and half months. Past medical history Breast fibroadenoma Mononucleosis Family history: Father has HBP Mother has Rheumatoid arthritis Social History No tobacco, illicit drugs, or alcohol history Patient has 2 children and lived with husband in Alaska for most of her adult life. Currently having trouble with home choirs and playing with children. Allergies None Medications Multivitamins Key Labs, images, or procedures performed in relation to current diagnosis. CBC: Hemoglobin: 10.8g/dL MRI with contrast: Inflammatory demyelination within the central nervous system. Currently inconclusive. Lumbar puncture (spinal tap): Elevated levels of IgG antibodies, and…One of the problems that Nurse Rain was able to identify is pre-eclampsia of Mrs., Cantos, 36 years old mother of 5 children. She is at 22 weeks A0G, with BP of 140/90. There is pedal edema and weighs 120 lbs. One of the family nursing problems that was identified was the inability to recognize the presence of possible complication in pregnancy due to lack of knowledge. One of the interventions was geared towards broadening the knowledge of the family on possible complications of pregnancy. What will be the more specific actions of the nurse for this? Choose all that apply. Discuss the implications of the signs and symptoms presented by Mrs. Cantos. Discuss with the family the causes of pre-eclampsia and risk factors of pre-eclampsia. Explore with the family the available courses of action open to them. Discuss the consequences of a possible consequence of pre-eclampsia
- A 24-year-old male presented with confusion, shortness of breath, and painful calves. It was reported by a friend that he had been lying on the floor for several hours. He was a known intravenous heroin and alcohol abuser. On examination he appeared dehydrated and cold (tem- perature 35°C); his pulse was 75/minute and blood pres- sure 110/70 mmHg. Intravenous injection sites were apparent. His urine was dark coloured. His chest was clear. Arterial blood gases were done in the casualty department and a blood sample was sent to the pathology department and gave the following results (reference ranges are given in brackets): Arterial blood pH PCO₂ PO₂ HCO3- Serum Sodium Potassium Creatinine Calcium Albumin Phosphate Creatine kinase C-reactive protein 7.276 4.82 KPa 12.7 kPa 18.0 mmol/L 138 mmol/L 7.6 mmol/L 236 μmol/L 1.66 mmol/L 32 g/L 2.43 mmol/L >140,000 U/L 73 mg/L (7.35-7.45) (4.7-6.0) (12.0-14.6) (24-29) (135-145) (3.8-5.0) (71-133) (2.10-2.55) (35-50) (0.87-1.45) (55-170) (<10) The…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. Airway. - Patent, superficial burns to right side of face Breathing. - Spontaneous, RR-22mt, SPO2-92% RA, air-entry equal Circulation- Lower limb odema, cap refill 3 seconds, bilateral dorsal pedis pulses weak. BP- 88/50 mmHg, HR- 127/mt, sinus tachycardia, Disability - GCS-15 E4V5M6, PEARL- 3mm, Exposure - Temperature 35.9 deg Celsius. Full thickness burns to right lower limb and right arm, partial thickness burns to left lower limb, bilateral hands.…Description A-45-year-old woman presents complaining of fatigue, 30 pounds of weight gain despite dieting, constipation, and menorrhagia. On physical examination, the thyroid is not palpable: the skin is cool, dry, and rough: the heart sounds are quiet; and the pulse rate is 50 bpm. The rectal and pelvic examinations show no abnormalities, and the stool is negative for occult blood. The clinical findings suggest hypothyroidism. Questions A. What other features of the history should be elicited? What other findings should be sought on physical examination? B. What is the pathogenesis of this patient's symptoms? C. What laboratory tests should be ordered, and what results should be anticipated? D. What are the possible causes of this patient's condition? Which is most likely? E. What other conditions may be associated with this disorder?
- History of present illness: Patient is a 67 year old thin Caucasian female presenting to her family practitioner with the main complaints of decreasing strength and moderate back pain that radiates from the back to the sides of the her body. Past medical history Irritable bowel disease. Right foot stress fracture last year while stepping off a small bench. Family history Father dies of a heart attack at age 80. Mother has a history of Osteoporosis. Social History Patient smoked 2 packs a week from age 25-50. Patient has a long history of alcohol use and abuse from age 20 to 45. She frequently got drunk during social occasions as well as during gatherings, as often as once a week. She stopped drinking 13 years ago. Sedentary life style Allergies None Medications Multivitamins Calcium 1200 mg/day Key Labs, images, or procedures performed in relation to current diagnosis. Bone Density: T score of -3.1 Estrogen levels: <30 pg/mL (decrease) Key Physical Examination…History of present illness: Patient is a 67 year old thin Caucasian female presenting to her family practitioner with the main complaints of decreasing strength and moderate back pain that radiates from the back to the sides of the her body. Past medical history Irritable bowel disease. Right foot stress fracture last year while stepping off a small bench. Family history Father dies of a heart attack at age 80. Mother has a history of Osteoporosis. Social History Patient smoked 2 packs a week from age 25-50. Patient has a long history of alcohol use and abuse from age 20 to 45. She frequently got drunk during social occasions as well as during gatherings, as often as once a week. She stopped drinking 13 years ago. Sedentary life style Allergies None Medications Multivitamins Calcium 1200 mg/day Key Labs, images, or procedures performed in relation to current diagnosis. Bone Density: T score of -3.1 Estrogen levels: <30 pg/mL (decrease) Key Physical Examination…Formulate a Discharge Plan for a 3-year-old male child newly diagnosed with Diabetes Mellitus Type 1. Use the acronym METHODS (medication, exercise(activity /environment, treatment, health education, out-patient follow-up, diets, social/spiritual). His home medication is Regular Insulin 3 units SC TID 30 minutes before meals. The doctor also ordered monitoring of blood glucose TID before an insulin injection. The doctor advised them to return for a follow-up checkup after 2 weeks with the CBG monitoring log, and as needed. The parents are anxious about their child's condition and worried that they might not be able to take care of him. The mother asks for instruction on how to administer the insulin as this is the first time that they will do this. The mother verbalized concern that his child might need diet and activity restrictions. They have heard the word "hyperglycemia and hypoglycemia" from an adult neighbor and asks you if their child would also experience those episodes. The…
- CASE: A 43-year-old man presents to the emergency department complaining of nausea and severe right flank pain that started one hour ago. The pain is intermittent, radiates to his groin, and has no associated aggravating or alleviating factors. He reports no previous similar episodes. The patient denies chest pain, shortness of breath, vomiting, diarrhea, constipation, changes in urination such as frequency and urgency, and visible blood in the stool or urine. He has no significant past medical history and takes no medications. His family history is noncontributory. He does not smoke, drinks, or use illicit drugs. The patient’s vital signs are as follows: temperature 36.7 °C, heart rate 110 beats per minute, respirations 14 per minute, and blood pressure 150/76 mm Hg. The patient is diaphoretic and unable to sit still due to pain (rated 10 of 10 on the pain scale). His abdominal examination reveals active bowel sounds without tenderness to percussion or palpation and no guarding or…CASE: A 43-year-old man presents to the emergency department complaining of nausea and severe right flank pain that started one hour ago. The pain is intermittent, radiates to his groin, and has no associated aggravating or alleviating factors. He reports no previous similar episodes. The patient denies chest pain, shortness of breath, vomiting, diarrhea, constipation, changes in urination such as frequency and urgency, and visible blood in the stool or urine. He has no significant past medical history and takes no medications. His family history is noncontributory. He does not smoke, drinks, or use illicit drugs. The patient’s vital signs are as follows: temperature 36.7 °C, heart rate 110 beats per minute, respirations 14 per minute, and blood pressure 150/76 mm Hg. The patient is diaphoretic and unable to sit still due to pain (rated 10 of 10 on the pain scale). His abdominal examination reveals active bowel sounds without tenderness to percussion or palpation and no guarding or…A 58-year-old woman presents to the emergency department with progressive fatigueand weakness for the past 6 months. She is short of breath after walking several blocks.On review of systems, she mentions mild diarrhea. She has noted intermittent numbnessand tingling of her lower extremities and a loss of balance while walking. She denies otherneurologic or cardiac symptoms and has no history of black or bloody stools or otherblood loss. On physical examination, she is tachycardic to 110 bpm; other vital signs arewithin normal limits. The head-and-neck examination is notable for pale conjunctivas anda beefy red tongue with loss of papillae. Cardiac examination shows a rapid, regularrhythm with a grade 2/6 systolic murmur at the left sternal border. Neurologicexamination reveals decreased sensation to light touch and vibration in the lowerextremities; no depression noted. The hematology consultant on call is asked to see thispatient because of a low hematocrit level. Megaloblastic anemia…