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Which of these patients has the highest risk for coronary artery disease?
Patient 1: 40 year old male with HDL 60, LDL 150, total cholesterol 200 and triglycerides 160.
Patient 2: 50 year old male. frequently runs 5K races, HDL 50.
Patient 3: 30 year old female with family history of heart disease, smokes, does not have time for exercise, HDL 25, total choesterol 250, triglycerides 300mg/dL
Patient 4: 60 year old female?
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- Many older adults are on multiple medications. Take for example Ms. Jones. She is on metformin 1 gram po twice a day, Lantus 20 units SQ daily, Lisinopril 10mg po daily, metoprolol 50mg po twice a day, simvastatin 20mg po qHS, Eliquis 5mg po BID, Calcium 600mg daily, Vitamin D 2000IU daily, baby aspirin 81mg po daily. Define polypharmacy and discuss important prescribing points for safety medication in aging adults. What are some ways to determine if the medications listed is safe for the patient to take? What tools are available to use for safe administration? What questions would be important to ask the patient about her medication?choose one option only A nurse is reviewing the laboratory results for a client with a history of atherosclerosis and notes elevated cholesterol levels. Which of the following statements by the client indicates the nurse should plan follow-up instructions on a low cholesterol diet? I eat two eggs for breakfast each morning I take an omega-3 supplement daily I flavor my meet with lemon juice I cook my food with canola oilSex : MaleAge : 40 yearsHeight : 5 feet 7 inchesWeight : 60 kgActivity : sedentary lifestyleClinical pictureHis blood picture is (values are in mg/dl):Haemoglobin 10.5Creatinine 2.0Urea Nitrogen 35.0Uric acid 7.8Total protein 6.9Albumin 3.9Serum calcium 8.7Sodium 141Potassium 5.1Chloride 106 Plan a day's diet for him. Mention nutrients that need special emphasis, Also list out do's and don'ts.
- Twenty year old Kelly has a sore throat, fever, weight loss, no appetite, and is very lethargic. Her periods are mild, without much bleeding. She sleeps all night and most of day. She admits to having several boyfriends this semester at college. Her hematocrit is 44%, Hemoglobin 12. Diabetes runs in her family, so the Doctor also ordered a fasting glucose, which was80 mg/dl, and a Hemoglobin A1C, which was 4.9%, Finally her CBC with differential revealed neutrophils of 30%, lymphocytes of 60% , basophils of less than 1% and an elevated monocyte count. First address each blood test and explain if it is normal or not. Then provide a few possible diganosis for Kelly. Explain why you chose these possibilities.Pt is 69 years old male, complaining of dizziness, falls and getting up to use the bathroom at night. Recently dx with BPH and ED. Has SULFA allergies. Vitals - BP:112/66 TSA: 3.0 HTN - Lisinopril 10mg Hypothyroidism - Levothyroxine 50mcg BPH - Doxazosin 2mg Can I give Finastiride and Viagra to help with BPH and ED symptoms?Use the Mifflin–St. Jeor equation to calculate an appropriate energy intake for a 30-year old male hospital patient who is 5 ft 9 in. tall and weighs 162 lb. Use 1.25 as the stress factor for this patient. The patient’s energy requirement is _____ calories Blood antibody testing for food allergies ____. Group of answer choices is the most accurate method should be accompanied by other diagnostic tests to confirm the food allergy is rarely clinically meaningful predicts lack of allergy better than actual allergy
- Which of these foods would help someone who was suffering from anemia? food vitamin C vitamin D calcium iron 1 low high low low low low low high 3 low low high low 4 high low low low O 1 O 2 3 4Mr Nguyen is an overweight 40 year old who has recently been diagnosed with type 2 diabetes. He has been started on Metformin but has been complaining of diarrhoea, some abdominal pain and loss of appetite. He continues to work as a taxi driver and often works the night shift as he has young school aged children. His HbA1c is 8%. The medical staff are considering adding Exenatide to his medication regime. Outline the mode of action of Metformin and Exenatide and why these drugs may be prescribed together. Describe factors to be considered when administering each of these drugs.Heart disease is characterized by: Group of answer choices low blood LDL cholesterol high blood HDL cholesterol low blood pressure high blood VLDL cholesterol low body fatness
- Net contents: Equivalent to 4 grams amoxicillin. Directions for mixing: Tap bottle until all powder flows freely. Add approximately 1/3 total amount of water for reconstitution (total = 55 mL) shake vigorously to wet powder. Add remaining water: again shake vigorously. Usual Adult Dosage: 250 to 500 mg every 8 hours. Usual Child Dosage: 20 to 40 mg kg day in divided doses every 8 hours. depending on age, weight, and infection seventy See accompanying prescribing information Store dry powder at 20 to 25°C (68 to 77°F) (See USP Controlled Room Temperature). Keep tightly closed. Shake well before using. Refrigeration preferable after reconstitution but not required. Discard suspension after 14 days. KEEP THIS AND ALL DRUGS OUT OF THE REACH OF CHILDREN. Mid. For: Dava Pharmaceuticals, Inc.. a Subsidiary of Qualtest Pharmaceuticals, Huntsvite, AL 35811 By: Sandoz GmbH in Austria, Product of Spain zuon (8) Seisa 19h1 67253-148-45 4 AMOXICILLIN FOR ORAL SUSPENSION, USP 250 mg/5 mL inimba iliw…A patient of 48 years old complains of irritability, fatigue, weight loss with increased appetite, sweating, sleep disturbance. At inspection: body temperature - 37,6 C, the skin is wet and hot to the touch. There is a tremor of the fingers. The border of the heart is widened to the left, the pulse is 130 beats per minute, arterial pressure is 150/70 mm Hg. Thyroid gland is diffusely enlarged, soft and elastic, with palpation. Exophthalmos is noted. Pathological immunoglobulins (LATS - factors) were found in the patient's blood. Questions: 4. How must be changed the metabolism of lipids, proteins and fats change in this pathology? 5. Describe the mechanism of development of arterial hypertension in the patient. 6. Describe the mechanism of exophthalmos development in the patient. 7. Name the most dangerous complication of the patient's disease.A child is to receive phenobarbital 2 mg/kg IV on call as a preoperative sedative. The child weighs 64 pounds. How many milligrams will the child receive for this dose?