. Patient is lethargic, complains of headache, stiff neck and fever. Following are the CSF results: Blood Chemistry - glucose fasting 90 mg/dl CSF physical - colorless, cloudy Microscopic - WBC- 7,300/ul diff count - monocytes 7%, lymphocytes6% Neutrophils87% Chemical- Total protein - 130 mg/dl, glucose 32 mg/dl, lactate 33 mg/dl a. Calculate the CSF/plasma glucose ratio b. What is most likely the preliminary diagnosis? c. Does the CSF lactate value can assist in determining a diagnosis for this patient?
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- A physician orders 3 grains Phenobarital at bedtime for control of seizures for Mr.I. The Phenoberbital on hand is 60mg/tablet. How many tablets should you administer to Mr. I.A nurse is caring for a client who has schizophrenia in an inpatient facility. Exhibit 1 Medication Administration Record 0730: Clozapine 100 mg PO daily Aripiprazole 5 mg PO daily Multivitamin PO daily Exhibit 2 Laboratory Results 0730: Sodium 125 mEq/L (136 to 145 mEq/L) Potassium 3.5 mEq/L (3.5 to 5.0 mEq/L) Chloride 90 mEq/L (98 to 106 mEq/L) BUN 8 mg/dL (10 to 20 mg/dL) Magnesium 1.2 mEq/L (1.3 to 2.1 mEq/L) Exhibit 3 Vital Signs 1230: Temperature 37.6° C(99.7°F) Heart rate 98/min Respiratory rate 20/min Blood pressure 142/92 mm Hg Oxygen saturation 100% on room air 1500: Temperature 37.1° C(98.8° F) Heart rate 104/min Respiratory rate 24/min Blood pressure 150/90 mm Hg Oxygen saturation 100% on room air Exhibit 4 Nurses' Notes 0730: Client sleeping. Lungs clear to auscultation bilaterally. Hyperactive bowel sounds noted x 4. Abdomen soft and nontender. Small bruise noted on right hand. Family at bedside. Family states client is diagnosed with schizophrenia, and last doctor's…John, 25 Years old, was admitted to the hospital because of on & off high fever for 4 days. He was considered to have typhoid fever. He told the nurse, "Miss I'm having cold, I think I'll get sick" Nurse faye took his vital signs with the following results. T=39'C. PR=100 beats/min, RR= 22bpm, BP=120/8. Assessment findings revealed skin warm touch flushed face. Nurse Faye did tepid sponge bath (tsb) to lose heat by evaporation, to reduce the temperature, She gave Biogesic 500mg 1 tab every 4hrs for fever.After 4 hrs , T= 37.9'C. Nurse Faye continued doing the TSB a. Give a goal/outcome of care for this case b. Give 1 independent intervention c. give your sample evaluation d. 1 dependent nursing intervention
- A patient reports to the emergency department with severe headache and a stiff neck. A spinal tap is ordered and laboratory testing reveals a white blood cell count of 120,000 white blood cells/uL, a CSF glucose of 20 mg/dL, and a marked increase in the CSF total protein. This constellation of findings is most likely due to a case of bacterial meningitis. O True O FalseClinical Situation. A 67-year-old patient with Coronary Artery Disease: Myocardial Infarction (acute stage) is complained of intense pain behind the sternum. Cardialgia was nitroglycerin. The doctor prescribed a drug (1 ml of 1% Promedol Solution for intramuscular injection) to be administered to the patient. not stopped after sublingual administration of 1) Which group of drugs (A or B) does this medicine belong to? 2) What are the rules for storage of potent and narcotic substances? 3) Who should be present during the injection procedure? 4) What to do with the used ampoule? 5) What are the medical documents for taking notes on the medical manipulations performed?A 48-year-old woman visits her physician complaining of what she calls “panic attacks.” She reports that she has experienced a racing heart and that she can feel (and even see) her heart pounding in her chest. She also complains of throbbing headaches, cold hands and cold feet, feeling hot, visual disturbances, and nausea and vomiting. In the physician's office, her blood pressure is severely elevated (230/125). She is admitted to the hospital for evaluation of her hypertension. A 24-hour urine sample reveals elevated levels of metanephrine, normetanephrine, and 3-methoxy-4-hydroxymandelic acid (VMA). After the physician rules out other causes for hypertension, he concludes that she has a tumor of the adrenal medulla, called______? Group of answer choices A. Neuroglioma B. Pheochromocytoma C. Phenoxybenzamine D. Glucagonoma
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- 1. What is called fluid overload 2. 37.5mg + paracetamol 325mg tablet for moderate pain 3. as needed for itchiness. 4.PRN for seizure.3. 20-year-old George Tsakino stepped on a Lego® while helping his daughter Mina pick up her toys. The Lego® broke and pierced the sole of his foot. After a visit to the emergency department at the local hospital the Lego® pieces have been removed, and there is no danger of infection. George has been bandaged, but he is limping and still in some pain. The nurse practitioner has said that he can take acetaminophen for the pain. Acetaminophen is a medication that is taken by mouth but will act at the site of the pain (in this case, in the foot). It is absorbed by the blood vessels in the small intestine. Trace the pathway taken by the acetaminophen as it travels from the site of absorption to the site of the patient's foot pain. 4. Which four (or three) blood vessels empty into the hepatic portal vein? What is the function of the hepatic portal system, and why is this system important to homeostasis and protection of the body from its environment? 5. Congratulations, you've just…Hematoma usually is the result of intraligamentary injection : Hematoma usually is the result of intraligamentary injection نوع السؤال: خيار واحد False True حفظ