Situation B: Mr. Mahmood, a 45-year-old man was trapped in the lift with no water and food. It was nearly more than 2 days (> 48 hours) before he was discovered and rescued. i. Identify the physiological state. ii. Explain the biochemical responses and hormone(s) implicated.
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Situation B: Mr. Mahmood, a 45-year-old man was trapped in the lift with no water and food. It was nearly more than 2 days (> 48 hours) before he was discovered and rescued.
i. Identify the physiological state.
ii. Explain the biochemical responses and hormone(s) implicated.
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- Case Scenario: John Doe, 53y.o., has a history of Type I diabetes mellitus, cigarette smoking 40 pack-years, CAD, and PVD. Six weeks ago, he developed a wound in his left heel which measured 4cm by 2cm when he discovered it. Despite IV antibiotics and chemical debridement, the wound developed a gangrene infection. He is scheduled for a BKA of the left lower extremity tomorrow at 10:00 am. His meds include daily insulin, aspirin 325mg/day, Pletaal 100mg BID. Question: Mr. Doe was very restless the evening before. He verbalizes to his wife that he is “scared to death” and worried about losing his foot. She asks the nurse what can be done to help him. How will the nurse address the psychological comfort of Mr. Doe? (Discuss in 2-3 sentences only)Case Scenario: John Doe, 53y.o., has a history of Type I diabetes mellitus, cigarette smoking 40 pack-years, CAD, and PVD. Six weeks ago, he developed a wound in his left heel which measured 4cm by 2cm when he discovered it. Despite IV antibiotics and chemical debridement, the wound developed a gangrene infection. He is scheduled for a BKA of the left lower extremity tomorrow at 10:00 am. His meds include daily insulin, aspirin 325mg/day, Pletaal 100mg BID. What preoperative testing is appropriate for Mr.Doe? (Give at least 4 priority examples) Note to Tutor: Thank you so much, Ma'am/SirCase Scenario: John Doe, 53y.o., has a history of Type I diabetes mellitus, cigarette smoking 40 pack years, CAD, and PVD. Six weeks ago, he developed a wound in his left heel which measured 4cm by 2cm when he discovered it. Despite IV antibiotics and chemical debridement, the wound developed a gangrene infection. He is scheduled for a BKA of the left lower extremity tomorrow at 10:00am. His meds include daily insulin, aspirin 325mg/day, Pletaal 100mg BID. Please make 1 intraoperative NCP with 1 diagnosis
- Case Scenario: John Doe, 53y.o., has a history of Type I diabetes mellitus, cigarette smoking 40 pack years, CAD, and PVD. Six weeks ago, he developed a wound in his left heel which measured 4cm by 2cm when he discovered it. Despite IV antibiotics and chemical debridement, the wound developed a gangrene infection. He is scheduled for a BKA of the left lower extremity tomorrow at 10:00am. His meds include daily insulin, aspirin 325mg/day, Pletaal 100mg BID. Question: During the admission assessment, the nurse questions Mr. Doe to determine if there is a latex allergy or sensitivity. Why is this essential to the patient’s safety? What symptoms would the nurse question Mr. Doe about in order to determine this? (Discuss in 3-5 sentences only)Question: HPI: Ms. Lewis is a 63-year old female who comes into your office with concerns of low blood sugar... Flag HPI: Ms. Lewis is a 63-year old female who comes into your office with concerns of low blood sugar in the morning, fasting. She reports seeing blood sugar as low as 50 fasting in the mornings for the last few weeks. She has a known history of Diabetes, Hypertension, Hyperlipidemia, and Chronic Osteoarthritis. She also reports elevated blood pressure. Her blood pressure at presentation is 165/90. Ms. Lewis is a 63 y/o female who is AAOX4. She makes no unusual motor movements and demonstrates no tics. She denies any visual or auditory hallucinations. She denies any suicidal thoughts or ideations. She denies any falls, denies any pain. (All other Review of System and Physical findings are negative other than stated.) Vital Signs: BP 165/90, HR 89, RR 20, Temp 98.1 PMH: Hypertension, Hyperlipidemia, Diabetes, Chronic Osteoarthritis Allergies: Penicillin, lisinopril…The nurse is caring for Mr. Adrian, an 82-year-old man with CHF who has a past medical history of diabetes and renal insufficiency. He is prescribed digoxin (Lanoxin) 0.125 mg IV and then 0.125 mg PO daily. a. What are the therapeutic effects of cardiac glycosides? b. Is this patient at risk for digoxin toxicity? Explain. c. What are the adverse effects of digoxin? Discuss the nursing considerations for digoxin administration.
- Question:- 10.Aldo Tagliatelli is 71 years old migrated to this country from Italy with his wife ten years ago. He is in hospital having treatment for a minor stroke. The stroke has affected his speech , as well as the movement of his right arm and hand (he is right-handed). He is recovering well and it is expected that he will be discharged home where his 68-year old wife, Mary will care for him. He is taking , and will continue to take , the diuretic hydrochlorothiazide and the B-blocker atenolol for hypertension. Added to this will be the anticoagulant warfarin. Discuss the factors both positive and negative affecting aldos adherence to his drug therapy.How many days will the following prescription last?Microgestin#211 po qd x 21 d off 7d.What is the estimated days supply for this medication? [____] days. Hint: Look up what this medication is used for.Case Scenario: George, a 72-year-old African-American patient, has heart failure and diabetes. George's vital signs are BP 176/94, PR 92, and RR 30. George's medications include hydrochlorothiazide 50 mg/day, atenolol 50 mg/ day, and digoxin 0.25 mg/day. Why was hydrochlorothiazide prescribed for George ? Explain the effects of hydrochlorothiazide on blood pressure? List Nursing Responsibilities and their rationale for George while taking her prescribed medications.
- A 30-year-old female patient with uncontrolled hypertension is suspected by an investi- gating endocrinologist of having Conn's syndrome. Results of routine biochemistry were (reference ranges are given in brackets): Sodium Potassium Urea Creatinine Alkaline phosphatase Alanine aminotransferase Albumin Bilirubin Calcium 146 mmol/L 2.1 mmol/L 7.2 mmol/L 146 μmol/L 290 IU/L 20 IU/L 49 g/L 8 μmol/L 2.19 mmol/L (135-145) (3.5-5.0) (3.5-6.6) (70-150) (95-320) (5-42) (35-50) (<17) (2.12-2.62) (a) Are any of the electrolyte concentrations abnormal, and if so what condition is suggested? (b) What further biochemistry investigations would you undertake? Explain your reasoning.RON is suspected of DKA. Formulate a plan of education for Ron's wife, so she will better understand his condition and be able to assist him to manage those days when is unwell. What areas would you cover? How would you ascertain her understanding?Case Scenario: Jack, a 58-year-old patient, has been recently diagnosed with hypertension. Jack's resting blood pressure is 158/92. Jack is prescribed hydrochlorothiazide 50 mg/day and told to eat foods rich in potassium. After 1 month on hydrochlorothiazide therapy, Jack becomes weak and complains of nausea and vomiting. His muscles are “soft.” His serum potassium level is 3.3 mEq/L. Why is it necessary for Jack to eat foods rich in potassium when taking hydrochlorothiazide? Should Jack receive a potassium supplement?