Case Study 11-2: Blood Cultures and Butterflies was acting as preceptor for a pblebotomy student from the local college and was and lytes on a patient in the ICU were ordered, the not been practiced in class. When a stat blood culture anxious to help her learn all the special tests that had A phlebotomist the tube only a drop at a time. After patiently waiting for the tube to fill, both she and the preceptor were relieved to get finished. Almost immediately after returning to the laboratory and processing the sample, they were sent back to redraw the electrolytes because the potassium value was too high. Before leaving, the preceptor grabbed more BC equipment because he knew that the BCs would have to be redrawn also. receptor quickly grabbed the student and they headed r the floor. It was clear after looking at the patient at they would have to use a butterfly in a hand vein p collect the test specimens. The preceptor was busy welping the student prepare the site and, while setting ut all of the equipment needed, he did not pay close Tention to the order in which the media bottles were aced. The student was elated that she was able to cess the difficult vein and that blood was flowing QUESTIONS 1. What had caused the potassium to be too hight 2. Why might they have expected this problem during the collection?

Subparts- Questions 4-10 needs to be answered   Teri goes to see her PCP after feeling depressed last couple of months as well as experiencing a seizure earlier this week. The physician orders a few test, results are shown below: Low hematocrit Low levels of Vit B12 Low Oxygen levels Presence of autoantibodies against the parietal cell Peripheral blood smear shows abnormal RBC (large pale RBCs) After viewing the results, Teri is diagnosed with Pernicious Anemia; a condition in which autoantibodies destroys the parietal cells found within the stomach. Address each of the following regarding Teri’s case: Since the parietal cell is destroyed, which substance(s) is Teri lacking as a consequence? What is the correlation between destruction of parietal cells and Vit B12 deficiency? Due to her condition, Teri lacks Pepsin. Explain why. If Teri were healthy, explain what her RBCs would look like? What is hematocrit? Low oxygen levels stimulate her body to create new RBCs by stimulating…

2020SP Case Study RHK is a 68 year old man who has been brought to the ER by his son. The two were outside planting spring bulbs when RHK passed out after standing up from a kneeling position. His son managed to break the fall and there is no injury associated with the incident. Afterward, there was a brief period of chest discomfort and shortness of breath. RHK reports feeling lightheaded with some palpitations just before he fainted. He reports feeling pronounced weakness during the prior week.  He is two years post CABG. He has no previous episodes of fainting or recent illnesses. He has no other complaints. The patient lives with his wife, uses alcohol occasionally, past tobacco use, no drug use Past medical history includes MI, CAD, 4 vessel CABG, hypercholesterolemia, claudication, and paroxysmal AF. Medications include warfarin 2mg PO QD, Metoprolol 25mg PO QD, Simvastatin 20mg PO QD, Triamterene/HCTZ 25mg PO QD,  amiodarone 200mg PO QD Vital Signs   BP 116/53 RR 16 HR 52 Oxygen…

Case Study #4   Setting: Warsaw Bielany Hospital in Warsaw, Poland.   Subjects: 2522 urine cultures from children admitted to the Department of Pediatrics with varying severities of urinary tract infections from January 2004 to December 2006.   Quantitative analysis was performed on the samples collected and the results analyzed. The results follow for one of the three most commonly identified organisms that were found in the collected samples...   Key to Media Used in Case Studies (in picture left to right) Phenol Red Glucose Phenol Red Sucrose Results holds for lactose too Phenol Red Xylose SIM Read as Sulfur / Indole Lysine Decarboxylase Ornithine Decarboxylase Methyl Red Vogues-Proskauer Urea Simmon’s Citrate Nutrient Gelatin   Results of Inoculated Media   A B C D E F G H I J K Based on the results of the media shown above, determine the causative agent of the infection. Use the figures in this presentation or in your lab manual for identification.