3. 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? d. Explain briefly the physiologic mechanism that account for the CSF total protein and glucose values.
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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
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