84. A 35-year-old man comes to the physician because of a 3-day history of tingling in his fingers and muscle cramps. Tapping over the facial nerve produces ipsilateral contraction of the facialmuscles. His serum calcium concentration is 7.2 mg/dL. Serum concentrations of vitamin D and 25-hydroxycholecalciferol are within the reference range, serum 1,25-dihydroxycholecalciferolconcentration is 5 pg/mL (N=18-65). Disease in which of the following is the most likely cause of this patient's findings?A) BoneB) GutC) KidneyD) LiverE) LungsF) Skin

The Laboratory findings of the patient helps to determine the actual problems of the patient. It…

Answered: A 35-year-old man comes to the…

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

Problem 1SRQ

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A 68-year-old patient was delivered to the intensive care unit with the suspicion of hyperlactacidemic coma and complaints of severe muscle ache, vomiting drowsiness alternating with stupor, pain in the heart region. Objectively: eye ball tone is lowered, arterial pressure –100/55, pulse - 136beats/minute, glycemia - 14mmol/l, acidosis, blood PH – 7.0, level of lactic acid – 1.9mmol/l. What are you going to do in this case?A. Injecting 1% solution of methylene blueB. Injecting 500ml 5% glucose solutionC. Injecting 0.1% adrenaline solutionD. Introducing 100 mg prednisoloneE. Introducing 500 ml 0.9% sodium chloride
A 40yo male presents to the emergency department with the chief complaint of shortness of breath (SOB). His past medical history (MHx) is remarkable for hypertension (HTN) and diabetes mellitus II (DMII). On examination, his oxygen saturation on room air is 87%, blood pressure 160/100 mmHg, and pulse rate is 93/min. His arterial blood gas on room air shows pH 7.44, PCO2 35 mmHg, PO2 55 mmHg. Assume that the RQ is 0.8. Based on your calculations, what should the arterial blood gas be?
A 78-year-old female patient is hospitalized with pneumonia. On admission, she weighs 198 lbs and reports her height to be 66 inches. She has a serum creatinine of 1.3 mg/dL. What is the patient's creatinine clearance? Round your answer to the nearest whole number.
James Dunn is a 40-year-old African American man. He presents to the physician’s office today complaining of headache. His vital signs during triage are as follows: blood pressure 165/90 mm Hg, heart rate 80 beats/minute, temperature 98.5F, weight 125 kg (275 lb), and height 5 ft 11 in. He currently has no other diagnosed medical conditions. The physician gives Mr. Dunn a prescription for lisinopril/hydrochlorothiazide (Prinzide) 10/12.5 mg with directions to take one tablet by mouth daily in the morning. (Learning Objectives 1, 3, 4, 8) 1. In which stage of hypertension would you place Mr. Dunn? 2. What lifestyle modifications should Mr. Dunn be encouraged to follow? 3. What class of antihypertensive is lisinopril/hydrochlorothiazide? 4. What would you tell Mr. Dunn about his new medication?
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…
HC is a 42-year-old male with hypertension (his average systolic/diastolic blood pressure is 147/92 mm Hg), who is referred to the outpatient clinic. Dietary recall shows that he consumes highly processed foods with added salt such as processed meats, canned foods, salty snacks, and he does not consume adequate amounts of fresh vegetables and fruits. d. What is the recommended optimal dietary intake for sodium and potassium for HC? e. What would be the major specific recommendations to modify HG’s current diet to improve management of hypertension? How would your dietary modification recommendations affect his intake of sodium and potassium?
A 31-year-old white male patient with known type 1 diabetes mellitus, end-stage renal disease secondary to diabetic nephropathy, and a history of alcoholism was admitted with acute abdominal pain in the mid-epigastrium, with a blood gas values of pH of 7.48, poz of 121 mm Hg, 02 saturation of 99%, pCO2 of 30 mm Hg, and bicarbonate of 20 mE q/L. What is a possible compensatory mechanism? A. Decreasing H* ion retention B. Increasing bicarbonate retention C. Increasing the respiratory rate D. Decreasing the respiratory rate
What is the difference between Cockroft gault formula and Ckd-epi creatinine equation? Does both measures creatine clearance? What is more accurate to use? Based on the table below, what would be the recommended dosage of "Levofloxacin 500 mg IV every 24 hours" if the 72-year-old patient weight is 78 kg and has a serum creatinine: 3.2 mg/dL?
Urine Color Changes with Commonly Used Drugs I. Matching Type: Match column A with Column B. Write the answer before the number.
A 6 YO child weighting 50lb is diagnosed with bacterial sinusitis and is prescribed azithromycin 10mg/kg PO once daily for 3 days. Azithromycin oral suspension is availalbe in 15, 22.5 and 30ml bottles containing 200mg/5mL. How many mL will you administer?
A prescription indicates i-iii tsp po q 4-6 hr prn. How many ounces are needed for a five-day supply?
A 20 year old man presented with jaundice and tiredness. On investigation his AST was 150IU/L, ALT was175IU/L and bilirubin was 4.5 mg/dl.Serum ceruloplasmin level where found to be low. Which mineral is required to treat this condition?

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