Human Biology: Concepts and Current Issues (8th Edition)
8th Edition
ISBN: 9780134042435
Author: Michael D. Johnson
Publisher: PEARSON
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Chapter 13, Problem 6AWK
A student finishes up the fall semester with several term papers and a number of big exams. After the semester, she goes home for the holidays and comes down with a bad cold. The following year the same thing happens; she's sick for the holidays. During her senior year, the fall semester isn't too bad, but applications to graduate school are due and she spends most of her semester break filling out forms and nervously worrying about what she will do next year. She's again sick for the beginning of the next term. Is this student just unlucky, or is something else at work?
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Ella is an attorney who has worked in private practice for 25 years. She estimates she works 70 hours/week between the office and the courtroom. She has attributed her persistent fatigue to her schedule, poor diet (“I usually eat on the run, whatever is available”) and alcohol consumption (“I drink a bottle of wine a couple nights a week, and maybe more at the weekend especially if there are lots of dinners with clients”). Her fatigue has recently worsened and she has been feeling nauseous and light-headed consistently over the last several days.
How do you interpret the increases in ALT, AST and LDH and what is the most likely cause of this?
Lactate dehydrogenase (LDH)
190
99-191 IU/L
Aspartate amino-transferase (AST)
260
12-45 IU/L
Alanine aminotransferase (ALT)
76
<34 IU/L
Ella is an attorney who has worked in private practice for 25 years. She estimates she works 70 hours/week between the office and the courtroom. She has attributed her persistent fatigue to her schedule, poor diet (“I usually eat on the run, whatever is available”) and alcohol consumption (“I drink a bottle of wine a couple nights a week, and maybe more at the weekend especially if there are lots of dinners with clients”). Her fatigue has recently worsened and she has been feeling nauseous and light-headed consistently over the last several days.
Parameter
Result
Normal
Glucose
87
70-99 mg/dL
BUN
12
7-22 mg/dL
Creatinine
0.71
0.5-1.2 mg/dL
Na
141
135-145 mmol/L
K
4.9
3.5-5.3 mmol/L
Cl
103
98-109 mmol/L
CO2
24
22-26 mmol/L
Calcium
9.2
8.6-10.2 mg/dL
Phosphorus
2.7
2.6-4.9 mg/dL
Albumin
3.0
3.2-4.6 g/dL
Bilirubin
2.2
0.2-1.2 mg/dL
Lactate dehydrogenase (LDH)
190
99-191 IU/L…
Tommy Jones is an 8-year-old boy referred to the student health center where you are working. This is the 4th time this week you have seen him and the 8th time this month. His teachers report that he has been inattentive in class and provoking his peers. When you talk with Tommy and ask him if he took his medications methylphenidate (Ritalin) today, he replied, no that his mommy “crushes it and puts it up her nose” she says, “it’s the only way to get through the day.” (Learning Objectives 1,5, 15, 17)
What additional questions do you want to ask Tommy and why?
What do you think the main issue is in this event and why?3. Describe what nursing actions you would need to take in this case and why?
Chapter 13 Solutions
Human Biology: Concepts and Current Issues (8th Edition)
Ch. 13 -
1. Why do you think that endocrine disruptors...Ch. 13 - Prob. 2QCCh. 13 - List the functions of the six hormones secreted by...Ch. 13 - Prob. 2CRCh. 13 - Prob. 3CRCh. 13 -
4. Define when you would call a norepinephrine a...Ch. 13 - Explain why a 30-year-old short person cannot be...Ch. 13 - Describe the function of the two hormones from the...Ch. 13 - Prob. 7CRCh. 13 - Prob. 8CR
Ch. 13 - Prob. 9CRCh. 13 - Prob. 10CRCh. 13 - _________ hormones enter target cells and bind to...Ch. 13 - Prob. 2TYCh. 13 - Prob. 3TYCh. 13 - Which two hormones most directly regulate...Ch. 13 - All of the following represent hormone pairs with...Ch. 13 - Prob. 6TYCh. 13 - Prob. 7TYCh. 13 - Prob. 8TYCh. 13 - Prob. 9TYCh. 13 - Prob. 10TYCh. 13 - Prob. 11TYCh. 13 -
12. Which of the following statements about...Ch. 13 - Prob. 13TYCh. 13 - Prob. 14TYCh. 13 - Which of the following would be triggered by a...Ch. 13 - Prob. 1AWKCh. 13 - Explain why an injection of epinephrine to combat...Ch. 13 - From what you read in section 13.5 draw the...Ch. 13 - Prob. 4AWKCh. 13 - Prob. 5AWKCh. 13 - A student finishes up the fall semester with...
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