7:34Case Study Chapter 61 April 202...Case Study, Chapter 61, Introduction toPharmacology.LTEDoneMrs. Geraldine Cook, a 45-year-old Caucasian female,was admitted to the hospital with chief complaint ofabdominal pain in the right lower quadrant. She hasbeen vomiting since yesterday morning with the painbeginning last night. The healthcare provider orders aflat plate of the abdomen, lab work: CBC and SMAC,NPO, IV fluids and pain medication of Demerol 25 mgIV every 2 to 3 hours PRN for pain. Her homemedication reconciliation list includes Norvasc, Lasix,potassium, Prilosec, and Vicodin. She states she isallergic to strawberries and penicillin. Her weight is100 lb and her vital signs are: T= 100.9°F (38.3°C),P=110 and regular, R=24, B/P=100/50, SaO₂-97%RA, and pain scale 9/10. (Learning Objectives 1, 2, 3,4, 6, 7) Demerol may be administered by which routes?5. List factors for this client that may affect thedosage of Demerol.4.6. Mrs. Cook is going to be dismissed home onVicodin. List the 7 components of a prescription.

Mrs. Geraldine Cook is a 45-year-old Caucasian female. She got hospitalized with chief complaint of…

Answered: 7:34 Case Study Chapter 61 April 202...…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

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DOB: 28 Jun 1961 | GENDER: FEMALE SITUATION Mrs Donna Hovey is a 60-year-old female who was admitted to the ward two (2) days ago for pneumonia. She is now complaining of mild pressure in her chest (rated 4/10) that started 10 minutes ago while she was lying on the bed. Mrs Hovey states she also has a slight ache in the underside of her upper left arm.She is diaphoretic and feeling a little nauseated. Mrs Hovey has developed slight shortness of breath. Her peripheries are a little cool to touch BACKGROUND Mrs Hovey has a history of Ischaemic Heart Disease (IHD), hypertension and beginning Peripheral Vascular Disease (PVD). She had Coronary Artery Bypass Graft (CABG) surgery six (6) years ago with Saphenous Vein grafts to her Left Anterior Descending (LAD) coronary artery and diagonal branch. Mrs Hovey also had a Percutaneous Transluminal Coronary Angioplasty (PTCA) with stenting to her Right Coronary Artery (RCA) and Posterior Descending Artery (PDA). ASSESSMENT Her observations at…
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Case study 3: Many epidemiological studies showed that breastfed babies get sick less compared to babies who are partially breastfed or not breastfed at all. For example, researchers found that babies who are exclusively breastfed have fewer and less severe infections e.g., they have lower risk of ear, respiratory and gastrointestinal tract infections. Explain these study findings. With references
43 Case study: A 24 yr old woman suffered from recurrent episodes of Clostridium difficile infection (CDI) for the past 13 months. She routinely experienced profuse watery diarrhea, abdominal pain, and fever. As with most patients who have CDI, the woman had been taking an oral antibiotic shortly before her symptoms began- in this case to treat a tooth infection. When the patient first started experiencing CDI, her doctor told her to stop taking the antibiotic prescribed for her tooth infection, hoping the CDI would resolve on its own, When that did not help, the doctor prescribed a different antibiotic that is often effective at treating/CDI. The patient started feeling better, but the symptoms quickly returned when she stopped taking the antibiotic. What are some features of C. dif bacteria? Why would certain oral antibiotics allow C. dif to thrive in the intestinal tract? What effect does C. dif have on intestinal cells that causes the symptoms? What are some treatments for…
Case Study #8: A 35-year -old Native-American male presents in the clinic with a complaint of recurrent low-grade fevers, sweating, weakness, muscle pains and a loss of about 10% of his body weight over a 4 month period. The worsening weakness and muscle pain prompted the visit. The patient reports that he has been working on a bison slaughter line owned by his tribe, and blood and tissue juices often splash in his face or contaminate minor hand and arm injuries. He likes to hunt and fish. He is married and has two children. He eats fairly well, but he has not been as hungry lately. He had rheumatic fever as a child and was in a fairly serious car accident three years earlier, resulting in a leg broken in three places. He feels he was physically fit prior to the past 4 months. He likes to play basketball and softball. He has had all the usual childhood immunizations, but does not see the doctor often. On physical examination, the patient has a temperature of 101F. He has mildly swollen…
A 51-year-old man with diabetes mellitus and who is on oral hypoglycemics, recently underwent surgery to remove his appendix after being diagnosed with acute appendicitis and was discharged after two days. Three days later, he notices increasing pain, redness, and swelling around the surgical incision site. He has a fever of 37.9°C and a foul odor emanating from the wound, in addition to some pus discharge. He decides to seek medical attention and is diagnosed as having acute wound infection.a. Discuss the infection prevention and control practices that should be incorporated to decrease the risk of spreading infection when providing care.b. Discuss the teaching strategies that should be implemented with the client and family to help control and eliminate the infection and potential reservoirs where pathogens can liveHere are two subpartsof the same ques, keep that in your mind. answer on your own, don't copy from ai. Otherwise be prepared for downvote
Case #3Mr. C is a 60-year-old male who lives in his 1994 Toyota Corolla. He earns money by collectingaluminum cans along the roadside and from trash dumpsters. He states that he has been coughing up about ¼ cup of white sputum each morning for the past 20 years. About 1 week ago, he noticed a sudden onset of shaking chills, fever, sweating, malaise, chest pain, and shortness of breath at rest. He also begancoughing up rust-colored sputum that was thicker than his normal sputum production. Mt. C admits to current consumption of two packs per day of cigarettes (ie 70 pack-year smoking history). He admits to occasional alcohol use but denies having orthopnea, ankle edema, nausea, vomiting, diarrhea, weight loss,dysuria, wheezing, or hemoptysis.Lab results on room air:ABGpH 7.47PaCO2 32 mmHgPaO2 44 mmHgHCO3 23 mEq/lSaO2 75%BE -2Hb 12 g/dlPB 760 mmHgETCO2 10 mmHgPart 1: Interpret the ABGPart 2: Calculate Mr. C’s PaO2 and A-a gradient
1. Please describe the clinical manifestations of strangulated intestinal obstruction fully. 2. Female, 40 years old, sudden right upper abdomen and heart fossa knife colic with paroxysmal exacerbation for 1 day, 12 hours after the onset, chills, high fever, yellow sclera, deep tenderness on the right side of the xiphoid process, mild muscle tension in the right upper abdomen, Body temperature 38℃, WBC15×109/L, TBIL 65umol/L, urobilinogen (-), urinary bilirubin (2+), she should be diagnosed as（） Acute pancreatitis Acute cholecystitis Common bile duct stones High appendicitis Duodenal perforation
All please
b. What is her CrCl? 4. J.C., a 70 year old male (5'8", 100 kg) is to begin Vancomycin (along with Zosyn and Levaquin) for broad-spectrum coverage for pneumonia (moderate infection with goal AUC 500-600). WBC=13.8, SCr=0.9 mg/dL. Using AUC dosing, please come up with a dosing regimen that is appropriate for JC. a. What is the dosing weight? CrCl ? b. What LD & MD & interval would you recommend? c. When should you order a vancomycin trough for J.C? Now, lets adjust his dose Assume his initial dose was 1750mg g 12h scheduled at 0900 & 2100. Assume his doses were given on time. The hospital policy required an infusion time of 2hr. The peak was 45ug/ml drawn after the 4th dose at 1230, 3.5hr after the start of the infusion. The trough level was 21ug/ml drawn at 2030, 11.5hr after the 4th dose. How would you adjust the dose? a. Calculate the patient specific k b. Calculate Cmax & Cmin c. Calculate the AUC d. Calculate patient specific Vd e. Calculate new dosing interval f. Calculate new…
RNSG 1301 Pharmacology 16. What should the nurse continually monitor when administering an antiarrhythmicagent?
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