Examining the results for a basic metabolic panel on a 49 year old male, the results in red were flagged as failing delta checks. The CLS looked at the BUN and did not check further as it was assumed that his patient had undergone dialysis. Should the CLS have questioned the results? Why
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Examining the results for a basic
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- Calculation about delta standard G, delta H, detla S. Question attached as photo below. And my answer attempted. Need my answer verified and corrected if neccesary. Please let me know where I got wrong and what key ideas I had miss. Thanks.A single dose of 300mg of drug is 63% bioavailable by the IM route. The same drug is 42% bioavailable by the oral route. How many 150mg tablets would need to be administered PO BID to achieve plasma levels comparable to the IM dose?Explain why do we need to determine the glucose in blood and other details during blood analysis.
- A 10-week-old child suffered from a salt-wasting crisis. His adrenal glands were enlarged and other organs were normal size. The child is phenotypically female, karotyping showed that the child is 46XY. The biochemical profile shows as: - sodium of 109 (reference range: 134-147) - potassium of 6.1 (reference range: 3.5-5.0) - pregnenlone of 0.002 (reference range: 0.3-1.5) - renin activity of 38 (reference range: 0.5-3.5) - 17-OH pregnenolone of 0.01 (reference range: 6.8-93.5) - ACTH of 1960 (reference range: 0.5-3.5) The cholesterol esters in the adrenal glands accumulated and the concentration of ∆4-androstenedione was not detectable. Also, the enzymes in the steroid biosynthesis did not have detrimental mutations. The child was given treatment with glucocorticoid and mineralocorticoid. Question: a) Which protein is deficient in this case and explain the rationale.Give typed explanation The provider orders a maintenance dose of Magnesium Sulfate 1(g)/(h) to be given using a premixed bag with a concentration of Magnesium Sulfate 4g in 100mL Normal Saline. You will set the pump for a maintenance dose rate of: m(L)/(h)Prednisone 5mg Quantity: CLXIV 5 tabs po qd x4 d, taper down by one tablet every 5 d for 15 d then ss po qd. How many tablets should you dispense? this is the full question
- A 44-year-old woman was experiencing headaches and fatigue. The consultingphysician recommended testing glucose and electrolytes. The results are attached in the picture below: (a) What is the difference between serum and plasma? (b) Describe the results (c) Plasma glucose levels lower than 20 mg/dl can be fatal. As the patient’s resultsdid not match with her clinical presentation, the consulting biochemist decidedto investigate this test, and found that the glucose analyser was giving theresults in mM, but the lab assistant had assumed the results were in mg/dl. Isthis error pre-analytical, analytical or post-analytical? (d) 1 mM glucose = 18 mg/dL glucose. What is the patient’s fasting plasmaglucose in mg/dL, and is it within the normal range? (e) Describe possible consequences of this error.Using the data on enhanced coagulation and TTHM and HAA5 yield data and propose modification to the design necessary if your treatment process cannot meet the new regulation that specifies a maximum 80 and 60 ppb of TTHM and HAA5, respectively Table 2: DOC concentration achieved after enhanced coagulation pH Dose 5 6 7 8 0 5 5 5 5 10 3.07 3.21 3.42 3.59 20 2.05 2.63 3.17 3.37 40 1.71 2.22 3.00 3.32The instructions for the azithromycin state to reconstitute the 600 mg vial with 3.6 mL until dissolved, to yield a strength of 150 mg/mL, and then to add it to 270 mL of D5W and administer over at least 60 minutes. At what rate will you set the infusion pump if you choose to administer the medication over 90 minutes? order:
- An 84 year old male patient has been given a loading dose of digoxin of 298 micrograms in divided doses by intravenous infusion. He has a creatinine clearance (Ccr) of 34 ml / min. What is the maintenance dose (in micrograms) that this patient should receive? Round your answer to the nearest whole number. Use the formula provided to calculate the maintenance dose. Maintenance Dose = Peak body stores x % daily loss 100 Where: Peak Body Stores = Loading Dose % Daily Loss = 14 + Creatinine clearance (Ccr) 5a 50-year-old woman with a body mass index in the obese range had a weakness in their muscles. she had a history of increased blood pressure but controlled it with medication. the GP has diagnosed her with extreme hypertension and therefore has given her an increased dosage of blood pressure medication but did not have an effect on her hypertension. the biochemical profile shows: - urea of 8.9 (reference range: 2.5-7.0) - sodium of 162 (reference range: 134-147) - potassium of 2.2 (reference range: 3.5-5.0) -aldosterone of 863 (reference range: 90-700) - renin activity of 4.3 (reference range: 0.5-3.5) - aldosterone/RA ratio of 201 (reference range: <680) -cortisol of 511 (reference range: 138-690) -pH of 7.51 ( reference range : 7.35-7.45) Questions: a)what is the medical condition the patient has and what are the causes? fully explain the rationale which is based on the patients history and the test results indicated above. b)which non invasive test will be taken into…Incorrect amino acid changes: Justin (CGC--> AGC) Patient A (GGA-->GAA) Patient B (CGG-->CCG) Patient C (CCT-->TCT) What amino acid changes are associated with the enzymes from the other three patients and how would changes lead to non-functional enzymes?