Case Scenario # 1 Hector, a 27 year-old sales clerk, reports weakness, malaise, and flu-like symptoms for 3-4 days. Although thirsty, he is unable to tolerate fluids because of nausea and vomiting, and she has liquid stools 2-4 times per day. 5. Make Concept Map, Deficient Fluid Volume 6. Journal Reading
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- Case Scenario # 1 Hector, a 27 year-old sales clerk, reports weakness, malaise, and flu-like symptoms for 3-4 days. Although thirsty, he is unable to tolerate fluids because of nausea and vomiting, and she has liquid stools 2-4 times per day. 1. Preparation of Functional Health Pattern. 2. Make Nursing Care Plan for Deficient Fluid Volume. 3. Preparation of Structured Health Teachings: Home Care, Wellness Care.t Famil Merisca student/active Submit Assignment Back to Class Case Study, Chapter 17, Fluid and Electrolyte Balance Jessica Sagat, 21 years old, is a type 1 diabetic client. She has been ill for the past several days and unable to control her blood sugar. She has developed elevated blood sugar, nausea, vomiting. rapid and deep respirations, and a fruity odor to her breath. An arterial blood gas (ABG) is taken and the results are: pH 7.30, PaCO, 43 mm Hg. Bicarb (HCO,) 19 mEq/L, and PaO, 93 mmHg.(Learning Objective10) Page 1/1 1. What type of acid-base imbalance is this client experiencing? What components of the acid-base balance system are involved in this imbalance? 2. What are the normal ABG values? Download + Ⓡ Logout 7:13 PM 7/18/2022I. Two patients presented to the Emergency Department. They were experiencing two different sets of signs and symptoms. The first patient, Patient A, is a very old woman who presented with cardiac issues. Her ECG (electrocardiogram) result was very abnormal. She was admitted to the ICU on the same day. She told the physician on duty that she had diarrhea for 1 and a half months. The admission laboratory work showed a potassium level of 1.1 mEq/L. The other patient, Patient B, is a 15-year-old female, of Chinese descent, who experiences dizziness, malaise, nausea, loss of appetite, chilly sensation, dyspnea, and projectile vomiting. Her laboratory results show a significant decrease/deficiency with the trace element selenium. A. What is a likely reason for Patient A's cardiac abnormalities? Explain why. B. Why was Patient A's potassium level so low? Discuss your answer. C. What is the most probable diagnosis for Patient B? D. What other diseases are associated with selenium…
- A 31-year-old white male patient with known type 1 diabetes mellitus, end-stage renal disease secondary to diabetic nephropathy, and a history of alcoholism was admitted with acute abdominal pain in the mid-epigastrium, with a blood gas values of pH of 7.48, poz of 121 mm Hg, 02 saturation of 99%, pCO2 of 30 mm Hg, and bicarbonate of 20 mE q/L. What is a possible compensatory mechanism? A. Decreasing H* ion retention B. Increasing bicarbonate retention C. Increasing the respiratory rate D. Decreasing the respiratory rate#4. The doctor orders cefadyl 750 mg to be added to 100 mL D-5-W IVPB to be administered over 45 minutes q 6 hours. The stock supply is a 2 gram vial. Reconstitute with 14.5 mL of water for a total volume of 15 mL. Drop factor for IVPB is 15 gtt/mL. How many grams of cefadyl will the patient receive in 24 hours?Case Scenario # 1 Hector, a 27 year-old sales clerk, reports weakness, malaise, and flu-like symptoms for 3-4 days. Although thirsty, he is unable to tolerate fluids because of nausea and vomiting, and she has liquid stools 2-4 times per day. 4. Applying critical thinking a. What action would you take if Hector’s heart became irregular? b. Hector is responding inappropriately to your questions; he seems to be confused. What do you think is happening? c. Offer suggestions for ways to help Hector increase his oral intake. d. Hector asks why you weigh him every morning. How do you respond?
- 1gtt OU q4h x 72h then q6h x 10 days # 10 mL. The physician then tells the patient to continue the last dose until the bottle is empty. How many days will the medication last (what is the Estimated Days Supply)? this isnt 23.7 nor 24 nor 4 daysPatient M, 72 y/o, is in the intensive care unit with the symptoms of dehydration, oliguria, hypothermia, hypoxemia (hypoxia). In the anamnesis there is a record of type 2 diabetes mellitus treated with biguanides. Her condition began to deteriorate after she had a myocardial infarction one month ago. Objectively: the skin is dry; turgor is lowered, arterial pressure – 80/40 mm column of mercury, pulse – 136beats/minute. The breathing is shallow, eye ball tone is lowered. What is your diagnosis?A. Hyperlactacidemic comaB. Uremic comaC. Ketoacidotic comaD. Brain comaE. Hyperosmolar comaPatient WY 58 y/o weighs 130 lbs is diagnosed with pneumonia. Her physician requested for serum creatinine test and the result is 8.5mg/dL. Because of her current condition, her attending physician prescribed Amoxicillin 500mg PO Q12. Is the order correct based on the renal function of the patient? If incorrect, what is your recommended regimen? CrCl 10 to 30 mL/min: 250 to 500 mg orally every 12 hours CrCl 9 mL/min or less: 250 to 500 mg orally every 24 hours The 875 mg tablets and the 775 mg extended-release tablets should not be given to patients with CrCl less than 30 mL/min
- Pt is a 55 y.o female with past medical history of end-stage renal disease on hemodialysis via perm catheter, hypertension, hyperlipidemia, type 2 diabetes, anemia of chronic disease, peripheral neuropathy, recurrent C.Difficile. History of Acinetobacter bacteremia come into the hospital as direct transfer from Newport given worsening pleural effusion of importance. Pt was recently admitted at Rhode Island Hospital and discharged a few weeks ago after being diagnosed with necrotizing pneumonia. lung disease abscess on CT scan. She underwent BAL and culture grew klebsiella oxytocin which she was treated with Augmentin for 6weeks duration. She had elevated 1,3 Beta D flu an but was deemed to be potentially false positive. She was also found to have Acinetobacter growing from dialysis catheter too and the catheter was removed on 3/8 and a new one was replaced on 3/9. Unfortunately came back from Newport hospital because of progressively worsening shortness of breath as well as well as…Pt is a 55 y.o female with past medical history of end-stage renal disease on hemodialysis via perm catheter, hypertension, hyperlipidemia, type 2 diabetes, anemia of chronic disease, peripheral neuropathy, recurrent C.Difficile. History of Acinetobacter bacteremia come into the hospital as direct transfer from Newport given worsening pleural effusion of importance. Pt was recently admitted at Rhode Island Hospital and discharged a few weeks ago after being diagnosed with necrotizing pneumonia. lung disease abscess on CT scan. She underwent BAL and culture grew klebsiella oxytocin which she was treated with Augmentin for 6weeks duration. She had elevated 1,3 Beta D flu an but was deemed to be potentially false positive. She was also found to have Acinetobacter growing from dialysis catheter too and the catheter was removed on 3/8 and a new one was replaced on 3/9. Unfortunately came back from Newport hospital because of progressively worsening shortness of breath as well as well as…Pt is a 55 y.o female with past medical history of end-stage renal disease on hemodialysis via perm catheter, hypertension, hyperlipidemia, type 2 diabetes, anemia of chronic disease, peripheral neuropathy, recurrent C.Difficile. History of Acinetobacter bacteremia come into the hospital as direct transfer from Newport given worsening pleural effusion of importance. Pt was recently admitted at Rhode Island Hospital and discharged a few weeks ago after being diagnosed with necrotizing pneumonia. lung disease abscess on CT scan. She underwent BAL and culture grew klebsiella oxytocin which she was treated with Augmentin for 6weeks duration. She had elevated 1,3 Beta D flu an but was deemed to be potentially false positive. She was also found to have Acinetobacter growing from dialysis catheter too and the catheter was removed on 3/8 and a new one was replaced on 3/9. Unfortunately came back from Newport hospital because of progressively worsening shortness of breath as well as well as…