Human Anatomy & Physiology Laboratory Manual, Main Version, PhysioEx 9.1 CD-ROM (Integrated Component) (11th Edition)
11th Edition
ISBN: 9780134227498
Author: Elaine N. Marieb, Lori A. Smith
Publisher: PEARSON
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Chapter 19, Problem 2CCS
Summary Introduction
Introduction:
Captain Fallowell was an astronaut who had been aboard at the international space station from last 8 months. He complained that he had increased HR (heart rate) and abnormal BP (blood pressure) during his speech, in which he was standing. HisHR was high, 112 beats per minute during standing and 85 beats per minute while he was lying.
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Matt, a 54-year-old roofer, just fell 12 metres from a building under construction. Initially he struck the ground with his feet, then fell onto his left side. Conscious and alert at the scene, he complains of severe back and lower leg pain.His vital signs: Blood Pressure- 140/88 mmHg; Heart Rate- 112 bpm; Respiratory Rate- 28 bpm; SaO2- 96% on Room Air; and Temperature- 36.7⁰C. His Glasgow Coma Scale (GCS) score is 15.Paramedics administer oxygen at a flow rate of 15 litres/minute via Non-Rebreather Mask and apply a cervical collar and a backboard to immobilise his neck and spine. They also place a 16-gauge Peripheral Intravenous Canula (PIVC) in his left forearm and begin an infusion of 0.9% Sodium Chloride solution.When Matt is brought into Emergency Department (ED), he can speak clearly and provide an account of the accident.Identify the nursing assessments with rationales that should be provided in the first hour upon receiving Matt from the paramedics
Table 1 Blood pressure recordings for all positions
Body positions
Mean systolic BP
Mean diastolic BP
Sitting position
Standing position
Supine position
Supine position
with crossed legs
102-8 + 11-4
65-7 + 82
99.9 + 10-2
66-0 + 8-7
107-9 + 10-7
66-9 + 96
107-0 + 86
66-7 + 7-3
F= 444, P 00s
BP, blood pressure.
Table 2 Pairwise comparisons between positions in systolic BP
Sitting
position position
Standing Supine
position
Standing position
Supine position
Supine position with crossed legs
*, the mean difference is significant at the level 0-05 level.
Adjustment for multiple comparisons: Bonferroni.
Does age factor has any influences in the blood pressure with the change of body positions?
48
Chapter 19 Solutions
Human Anatomy & Physiology Laboratory Manual, Main Version, PhysioEx 9.1 CD-ROM (Integrated Component) (11th Edition)
Ch. 19 - Prob. 1RQCh. 19 - 3. Peripheral resistance (a) is inversely...Ch. 19 - 4. Which of the following can lead to decreased...Ch. 19 - 5. Arterial blood pressure increases in response...Ch. 19 - Prob. 5RQCh. 19 - 7. The structure of a capillary wall differs from...Ch. 19 - Prob. 7RQCh. 19 - 9. The myocardium receives its blood supply...Ch. 19 - 10. Blood flow in the capillaries is steady...Ch. 19 - Prob. 10RQ
Ch. 19 - Prob. 12RQCh. 19 - Prob. 11RQCh. 19 - Prob. 13RQCh. 19 - Prob. 19RQCh. 19 - 17. Write an equation showing the relationship...Ch. 19 - Prob. 17RQCh. 19 - Prob. 14RQCh. 19 - Prob. 15RQCh. 19 - Prob. 21RQCh. 19 - Prob. 22RQCh. 19 - 22. Describe neural and chemical (both systemic...Ch. 19 - How are nutrients, wastes, and respiratory gases...Ch. 19 - Prob. 18RQCh. 19 - Prob. 24RQCh. 19 - 2. Your friend Jillian, who knows little about...Ch. 19 - 3. The Agawam High School band is playing some...Ch. 19 - 4. When we are cold or the external temperature is...Ch. 19 - 5. Edema is a common clinical problem. On your...Ch. 19 - Prob. 1CCSCh. 19 - Prob. 2CCSCh. 19 - Prob. 3CCSCh. 19 - Prob. 4CCSCh. 19 - Prob. 5CCSCh. 19 - Prob. 6CCS
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