A 36-year-old woman presents to the emergency department with intense upper abdominal pain radiating to her back, weakness, loss of apetite, and sever indigestion after eating. She had not traveled in recent months. She has not been well for several days.Quesions:1. What laboratory tests should be ordered to help diagnose this patient?2. What enzyme tests will be useful in diagnosing this patient?3. What two diagnoses are most likely for this patient? Case Study 13-1A 51-year-old, overweight white man visits hisfamily physician with a symptom of "indigestion" of5 days' duration. He has also had bouts of sweating,malaise, and headache. His blood pressure is140/105 mm Hg; his family history includes a fatherwith diabetes who died at age 62 of AMI secondaryto diabetes mellitus. An electrocardiogram revealedchanges from one performed 6 months earlier. Theresults of the patient's blood work are as follows:limits. The woman is sutured for the mouth injuriesand admitted to a 24-hour observation unit.Questions1. What possible diagnoses is the physicianconsidering?2. What laboratory tests would be elevated at6, 12, and 24 hours if this patient had anAMI?3. What isoenzyme tests would be useful withthis patient?CK129 U/L (30-60)CK-MB4% (<6%)LD280 U/L (100–225)Case Study 13-3A 36-year-old woman presents to the emergencydepartment with intense upper abdominal painradiating to her back, weakness, loss of appetite,and severe indigestion after eating. She had notLDIsoenzymes LD-1 > LD-2AST35 U/L (5-30)Questionstraveled in recent months. She has not been well for1. Can a diagnosis of AMI be ruled out in thisseveral days.patient?2. What further cardiac markers should be runQuestions1. What laboratory tests should be ordered tohelp diagnose this patient?2. What enzyme tests will be useful indiagnosing this patient?3. What two diagnoses are most likely for thispatient?on this patient?3. Should this patient be admitted to thehospital?Case Study 13-2While a 71-year-old woman is walking home from ashopping center, she faints and falls. She is drivenhome by a friend. When home, she realizes that sheis bleeding from her mouth and is slightlydisoriented. She appears injured from the fall, butshe does not remember tripping or falling. Thewoman is taken to a local emergency department.The examining physician determines that there wasa loss of consciousness; to determine the reason, heorders a head CT and ECG and the followinglaboratory tests: CBC, PT, APTT, CK, LD, AST, andtroponin Tand troponin I. All tests are within normal

The diseases that are related to the digestive tract or gastrointestinal tract are called…

A 36-year-old woman presents to the emergency department with intense upper abdominal pain radiating to her back, weakness, loss of apetite, and sever indigestion after eating. She had not traveled in recent months. She has not been well for several days. Quesions: 1. What laboratory tests should be ordered to help diagnose this patient? 2. What enzyme tests will be useful in diagnosing this patient? 3. What two diagnoses are most likely for this patient

A 36-year-old woman presents to the emergency department with intense upper abdominal pain radiating to her back, weakness, loss of apetite, and sever indigestion after eating. She had not traveled in recent months. She has not been well for several days. Quesions: 1. What laboratory tests should be ordered to help diagnose this patient? 2. What enzyme tests will be useful in diagnosing this patient? 3. What two diagnoses are most likely for this patient

Surgical Tech For Surgical Tech Pos Care

5th Edition

ISBN:9781337648868

Author:Association

Publisher:Association

Chapter22: Cardiothoracic Surgery

Section: Chapter Questions

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CASE STUDY 15.4 A disoriented 58-year-old man with a history of poorly controlled diabetes mellitus and chronic obstructive pulmonary disease presents to the ED. The patient has been smoking cigarettes for many years. He has been taking steroid medications for his pulmonary disease. Physical examination shows that he is slightly febrile, lethargic, and respiratory failure. A diagnosis of meningitis is being considered. A lumbar puncture is done, and cerebrospinal fluid (CSF) is collected for a smear and culture. Laboratory Data A CSF specimen is collected and sent to the laboratory. A cytocentrifuged preparation of the CSF is stained, using calcofluor white for yeast by staining the yeast cell walls. The smear shows encapsulated, thick-walled budding yeasts. A cryptococcal antigen test is completed and is positive. The culture of CSF identifies Cryptococcus neoformans. Multiple Choice Questions Fungi are widespread in the environment but rarely cause central nervous system (CNS)…
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John Doe, 53y.o., has a history of Type I diabetes mellitus, cigarette smoking 40 pack-years, CAD, and PVD. Six weeks ago, he developed a wound in his left heel which measured 4cm by 2cm when he discovered it. Despite IV antibiotics and chemical debridement, the wound developed a gangrene infection. He is scheduled for a BKA of the left lower extremity tomorrow at 10:00 am. His meds include daily insulin, aspirin 325mg/day, Pletaal 100mg BID. Question: Preventing complications of surgery is an important part of all surgical patient care. What preoperative While Mr. Doe is in the Operating Room, what considerations will be taken to ensure Mr. Doe’s safety and positive outcome? Identify 2 IntraOp nursing diagnoses for Mr. Doe teaching does Mr. Doe require in order to prevent complications? Give 3-4 examples)
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Case study diabetes mellitus Eric is a 52-year-old High school principal, who presented with a 2-week history of polyuria, polydipsia, polyphagia, weight loss, fatigue, and blurred vision. A random glucose test performed 1 day before presentation was 352 mg/dl. The patient denied any symptoms of numbness, tingling in hands or feet, dysuria, chest pain, cough or fevers. He had no prior history of diabetes and no family history of diabetes. Admission of non-fasting serum glucose 248 mg/dl (N=<180 mg/dl), HbA1c 9.6% (N=4-6.1%). Electrolytes, BUN and creatinine were normal. Physical examination revealed weight of 180 pounds, height 5'5.5" (IBW 140-145). The rest of the examination was unremarkable,i.e., no signs of retinopathy or neuropathy. The patient was taught self-monitoring of blood glucose and began on 5 mg glyburide once a day. He was instructed in diet (1800 cal ADA). Blood glucose levels ranged from 80 to120 mg/dl within 2 weeks of starting glyburide, his symptoms…
CASE STUDY 1 A 14-year-old, severely mentally disabled boy, who was institutionalized in a state facility, was evaluated for episodes of chronic diarrhea, anal pruritis, restless nights, and occasional vomiting. Significant laboratory findings were a 10% eosinophilia, an IgE level of 225 IU/mL, and microscopic examination of a stool concentrate that revealed two thin-shelled, oval-shaped eggs measuring 45 by 35 um in size and containing three pairs of hooklets and polar filaments. 1. What is the most likely identification of the parasite in question? 2. Why is this organism unique among the intestinal cestodes? 3. What is the preferred treatment for infection caused by this organism?
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Case Study 1 Morphine Suspension (1 mg/mL) One of your long-term patients who you have known for many years has progressed to end-stage prostate cancer and been placed on a palliative care program. The currently commercially available morphine liquids he has been using contain a flavouring agent that makes him nauseous. His Physician has requested you compound a morphine liquid for him without flavour as his pain is well controlled on this medication and he does not want to change to another pain reliever. Your pharmacy team and the Physician would like to make his end-of-life process as comfortable as possible. A formulation for a suspension appears to be a good option to try. RX: Morphine liquid 1 mg/mL Sig: Take 1-2 mL q1h prn Mitte: 100 mL Formulation: Morphine HCl 10 mg Glycerol 1 mL Compound Hydroxybenzoate Solution 0.1 mL Purified water to 10 mL Use within 1 month Questions: What are the purposes of each excipient in this mixture? What counselling instructions should…
Case Study 1 Morphine Suspension (1 mg/mL) One of your long-term patients who you have known for many years has progressed to end-stage prostate cancer and been placed on a palliative care program. The currently commercially available morphine liquids he has been using contain a flavouring agent that makes him nauseous. His Physician has requested you compound a morphine liquid for him without flavour as his pain is well controlled on this medication and he does not want to change to another pain reliever. Your pharmacy team and the Physician would like to make his end-of-life process as comfortable as possible. A formulation for a suspension appears to be a good option to try. RX: Morphine liquid 1 mg/mL Sig: Take 1-2 mL q1h prn Mitte: 100 mL Formulation: Morphine HCl 10 mg Glycerol 1 mL Compound Hydroxybenzoate Solution 0.1 mL Purified water to 10 mL Use within 1 month. What special prescription requirements will you need from the doctor? Can he prescribe refills over the…
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