1. Canagliflozin or Exenatide for DM2 in Stage 4 CKD Preference: Rationale: 2. Apixaban or Dabigatran for Artrial Fibrillation in Stage 4 CKD Preference: Rationale: 3. Enoxaparin or Heparin for DVT prevention in the hospital in Stage 4 CKD Preference: Rationale:
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1. Canagliflozin or Exenatide for DM2 in Stage 4 CKD
Preference:
Rationale:
2. Apixaban or Dabigatran for Artrial Fibrillation in Stage 4 CKD
Preference:
Rationale:
3. Enoxaparin or Heparin for DVT prevention in the hospital in Stage 4 CKD
Preference:
Rationale:
Step by step
Solved in 4 steps
- 1.Coversyl 5mg, Doxepin 25mg daily, Atorvastatin 40mg daily . Provide the mechanism of action, side effects correct dosage and contraindications for each medication. Explain how this might affect Geraldine in the post-operative period 2.. Using the Roper-Logan Tierney Model, identify one (1) potential cultural/biopsychosocial issue/problem and discuss how this will affect the patient post-operatively or on discharge Incident: 72 yr old female Mrs Geraldine Berry sustained left fractured neck of femur (#NOF) and laceration to her head 5cm while walking her dog. Tripped on an uneven pathway. PMH: Hypertension and depression Current Medications: Coversyl 5mg Doxepin 25mg daily Atorvastatin 40mg daily SHx: Lives with elderly husband. Is the primary carer for elderly husband who has had a stroke previously and is mildly impaired. Attends church every Sunday and is responsible for arranging flowers for every Sunday service. She has started volunteering at the St Vincent De Paul’s Meals on…11. Order: Coumadin 7.5 mg once daily for DVT post-op hip replacement Dose on hand: Coumadin 2.5-mg tablets How many tablets will you give? 12. Order: 500 mL to infuse at 50 mL/hr. The infusion started at 7 AM What time will the infusion end? 13. Order: Nexium 40 mg once daily for GERD Dose on hand: Nexium 20-mg tablets How many tablets will you give? 14. Order: Xanax 0.25-mg tablets prn for anxiety Dose on hand: Xanax 0.5-mg scored tablets How many tablets will you give? 15. Order: Colchicine 0.5 mg PO tid prophylaxis for gout Dose on hand: Colchicine 0.5-mg tablets How many tablets will you give? 16. Order: Lovenox 30 mg SC injection every 12 hours prior to knee replacement surgery Dose on hand: Multiple-dose vial 300 mg/3 mL How many mL will you give? 17. Order: Bisacodyl 15 mg as a single dose for constipation Dose on hand: Bisacodyl 5 mg/tablets How many tablets will you give? 18. Order: Acetaminophen 325 mg PO q6h pain Dose on hand: Acetaminophen solution 100 mg/mL How many mL…Suggest THREE (3) strategies to prevent heart disease.
- 1. What are the possible sources of error in the measurement of CK and LDH activity? 2. What is responsible for the false elevations of CK levels in hemolyzed samples? 3. How can the specificity of CK-MB in the diagnosis of myocardial infarction be increased? 4. Complete the table. Laboratory Report No. 3 Electrophoretic mobility Tissue distribution Sources of elevation CK Isoenzymes LDH Isoenzymes1,What is creatine phosphokinase (CPK) and why are elevated CPK levels in the blood suggestive of a myocardial infarction? 2,What is cor pulmonale? 3, Describe the main clinical findings (with cor pulmonale) on examination. Explain your answer.PO Aav DAV == AaBbCcDdEe AaBbCcDdEe AaBb CcD AaBbCcDdE Normal M H No Spacing Heading 1 Heading 2 Question 5 a) Explain the general principles by which medical images may be obtained through the use of radiopharmaceuticals and a gamma camera. b) Explain the use of radiopharmaceuticals in i) Myocardial perfusion scans ii) Skeletal scintigraphy 20 ¶
- UHU UNIVERSITY HOSPITAL BED # 1 DATE: 8/30 TIME: 1700 ADMISSION DATABASE Yellow PRIMARY PERSON TO CONTACT: Name: Maria Rodriguez DOB: 12/19 (age 38) Physician: A. Gustaf, MD ☐ Green ☐White Name: Emilio Santiago (brother) TRIAGE STATUS (ER ONLY): ☐ Red Initial Vital Signs Home #: 555-212-7890 TEMP: 102 RESP: 32 SAO2: HT (in): WT (lb): 110 5'2" UBW 145 B/P: 78/60 PULSE: 68 LAST TETANUS 5 years ago LAST ATE yesterday LAST DRANK water 1 hour ago Work #: 555-213-4563 ORIENTATION TO UNIT: ☑Call light ☑Television/telephone ☑Bathroom ☑Visiting ☑ Smoking ☑Meals ☑Patient rights/responsibilities CHIEF COMPLAINT/HX OF PRESENT ILLNESS "I found out I had an ulcer 2 weeks ago. Last night I seemed to have gotten worse. I have been vomiting, and I have diarrhea. My pain is terrible. I think I have blood in my vomit and my diarrhea." ALLERGIES: Meds, Food, IVP Dye, Seafood: Type of Reaction Codeine causes nausea and vomiting. PREVIOUS HOSPITALIZATIONS/SURGERIES For delivery of her two daughters only…A patlent has been prescribed 1.25 mg ramipril capsules 43h poat myocardial infarction. How many capaules need to be dapenned for a 14 dey supely Assume that ramipril is wel tolerated 1. Name of the medicinal product Ramipril 1.25 mg capsules, hard 2. Qualitative and quantitative composition Ramipril 1.25 mg, capsules, hard contains 1.25 mg of ramipril For the full list of excipients, see section 6.1. Symptomatic heart failure Starting Dose: In patients stabilized on diuretic therapy, the recommended initial dose is 1.25 mg daly. Titration and maintenance dose Ramipril should be titrated by doubling the dose every one to two weeks up to a maximum daily dose of 10 mg. Two administrations per day are preferable. Secondary prevention after acute myocardial infarction and heart failure Starting Dose After 48 hours, following myocardial infarction in a clinically and haemo dynamically stable patient, the starting dose is 2.5 mg twice daily for three days. If the initial 2.5 mg dose is not…An example of NGN question relating to inserting peripheral IV catheters. Include rationale
- 1. route of administration for ISDN 5mg given for chest pain 2. Indication for lactulose 3. PRN for increase ICPMultiple Choice. Answer the following questions. 1. Which of the following is correctly matched in the phases of cardiac cycle? A. Atrial systole : QRS complex B. Opening of aortic semilunar valve : Ventricular systole (late) C. Atrial systole : Ventricular sytole (early) D. Ventricular systole (early) : T wave E. All of the choices are incorrectly matched 2. The nitric oxide (NO) which is a potent vasodilator is secreted in which layer of the veins? A. Tunica intima B. Tunica media C. Tunica externa D. None of the selection 3. Which of the following statement/s is/are true about capillaries? A. Precapillary sphincters regulate blood flow into capillary networks based on tissue needs. In less tissues they dilate whereas, in more active tissues they constrict. B. Sinusoids are very permeable capillaries found in the liver, spleen, pituitary gland, and red bone marrow to permit proteins and blood cells to enter or leave the blood. C. Blood pressure in capillaries brings nutrients to…The most common forms of distributive shock include all of the following EXCEPT: O Cardiogenic shock O Septic shock O Neurogenic shock O Anaphylactic shock The type of shock associated with inadequate tissue perfusion resulting from myocardial dysfunction is: O Obstructive shock O Distributive shock O Hypovolemic shock O Cardiogenic shock The acute treatment of shock consists of all of the following EXCEPT: O Starting therapeutic hypothermia O Optimizing oxygen content of the blood O Improving volume and distribution of cardiac output O Correcting metabolic imbalances of crystalloid For fluid resuscitation in hemorrhagic shock, give about for every of blood lost. O 3 mL, 2 mL O 2 mL, 3 mL O 1 mL, 3 mL O 3 mL, 1 mL The consensus definition of hypoglycemia in children and infants is: O Less than or equal to 60 mg/dL O Less than or equal to 50 mg/dL O Less than or equal to 40 mg/dL O Less than or equal to 80 mg/dL What is the primary therapy for hypovolemic shock? O Antibiotics O Fluid…