Human Physiology: An Integrated Approach (8th Edition)
8th Edition
ISBN: 9780134605197
Author: Dee Unglaub Silverthorn
Publisher: PEARSON
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Chapter 16, Problem 16RQ
Summary Introduction
To determine: The relation between the recommendations and results of the 1-day and 20-day blood tests of a patient undergoing chemotherapy.
Introduction: Blood is the circulating portion of the extracellular fluid (ECF) compartment. The liquid matrix of blood is called plasma and is composed of mostly water with dissolved proteins and other molecules.
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A 56-year-old man has a history of chronic anemia that was improved by an operation at the age of 15. He develops tiredness and shortness of breath after moderate exertion but does not require blood transfusion and copes well with everyday activities. Drug therapy comprises folic acid 5 mg/day and penicillin V 250 mg twice daily. A full blood count shows:
Hemoglobin- 90 g/L
MCV- 109 f/L
What are the abnormalities present in the peripheral blood smear of the patient and why?
What is the possible diagnosis of the patient based on the given case above?
How to confirm the patient’s diagnosis? Provide hematology tests needed for this case and explain why.
Betty Cooper, 25-y/o-female, is admitted to the emergency department with decreasing level of consciousness. She is 98lbs and stands at 5ft. She has a history of diabetes mellitus since she was 9 years of age. A physical assessment and laboratory data reveal the following:➢ Dry skin, poor turgor > Serum glucose = 504mg/dl➢ RR = 40cpm, rapid and deep & labored > Serum Na = 130 mEq/L➢ HR = 118bpm, weak pulse > Serum K = 5 mEq/L➢ Temp = 98°F > Serum Cl = 108 mEq/L ➢ BP = 110/70 mmHg > BUN = 74.68 mg/dL➢ ABG: pH = 7.15; HCO3; 13mEq/L; pCO2 = 35 mEq/L1. Calculate Betty’s serum osmolality. 2. What type of diabetes mellitus does Betty possibly have? Why? 3. Which complication of diabetes mellitus does Xia possibly have, diabetic ketoacidosis or hyperglycemic hyperosmolar state? Why? 4. What is the 1st priority nursing management and medical management? Why?
The following complete blood count (CBC) is completed for a client with
chemotherapy-induced bone marrow suppression include: hemogiobin of
8.2 g/dL, hematocrit of 29%, platelet count of 160,000/ul, and white blood
cell count of 2500/µL. The client was placed on filgrastim (Neupogen) 480
mcg SQ for 2 weeks. Which laboratory finding indicates that this therapy is
effective?
O The client's hemoglobin is 8.6 g/dL
The client's hematocrit is > than 30%
O The client's white blood cell is 3500/µl
The client's platelet count is 165,000/µL
Chapter 16 Solutions
Human Physiology: An Integrated Approach (8th Edition)
Ch. 16.1 - Name the five types of leukocytes.Ch. 16.1 - Prob. 2CCCh. 16.1 - On the basis of what you have learned about the...Ch. 16.2 - Prob. 4CCCh. 16.3 - Distinguish between (a) heme and hemoglobin, and...Ch. 16.3 - Prob. 6CCCh. 16.3 - Prob. 7CCCh. 16.5 - Prob. 8CCCh. 16 - Prob. 1RQCh. 16 - List the three types of plasma proteins. Name at...
Ch. 16 - Prob. 3RQCh. 16 - Blood cell production is called ________. When and...Ch. 16 - Prob. 5RQCh. 16 - Prob. 6RQCh. 16 - Prob. 7RQCh. 16 - Prob. 8RQCh. 16 - Prob. 9RQCh. 16 - Prob. 10RQCh. 16 - Prob. 11RQCh. 16 - Chemicals that prevent blood clotting from...Ch. 16 - Combine each list of terms into a map. You may add...Ch. 16 - Prob. 14RQCh. 16 - Prob. 15RQCh. 16 - Prob. 16RQCh. 16 - Prob. 17RQCh. 16 - Prob. 18RQCh. 16 - Prob. 19RQCh. 16 - Prob. 20RQ
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