t FamilMeriscastudent/activeSubmit AssignmentBack to ClassCase Study, Chapter 17, Fluid and Electrolyte BalanceJessica Sagat, 21 years old, is a type 1 diabetic client. She has been ill for the past several daysand unable to control her blood sugar. She has developed elevated blood sugar, nausea, vomiting.rapid and deep respirations, and a fruity odor to her breath. An arterial blood gas (ABG) is takenand the results are: pH 7.30, PaCO, 43 mm Hg. Bicarb (HCO,) 19 mEq/L, and PaO, 93mmHg.(Learning Objective10)Page 1/11. What type of acid-base imbalance is this client experiencing? What components of theacid-base balance system are involved in this imbalance?2. What are the normal ABG values?Download+ⓇLogout7:13 PM7/18/2022

A1) The ABG values given in the questions are-: pH= 7.30 = Acidic PaCO2 = 43 = Normal = Changes in…

Answered: Jessica Sagat, 21 years old, is a type…

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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Jessica Sagat, 21 years old, is a type 1 diabetic client. She has been ill for the past several days and unable to control her blood sugar. She has developed elevated blood sugar, nausea, vomiting, rapid and deep respirations, and a fruity odor to her breath. An arterial blood gas (ABG) is taken and the results are: pH 7.30, PaCO2 43 mm Hg, Bicarb (HCO3) 19 mEq/L, and PaO2 93 mmHg. What type of acid–base imbalance is this client experiencing? What components of the acid–base balance system are involved in this imbalance? What are the normal ABG values?
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An 8-year-old girl was down with diabetes mellitus during the pneumonia. Diabetes mellitus is compensated by introduction of insulin Actrapid НМ 4 units in the morning, 6 units at dinner time, 4 units before supper, 2 units at о 11.00p.m. After two weeks of treatment, the girl started suffering from hypoglycaemia. A daily dosage of insulin decreased to 8 units. There is retained normoglycemia, glycosuria. What is the mitigated need for insulin associated with?
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Amelia Frankish is 67 years old. She presented to her GP last week, complaining of a very strong headache, followed by dizziness. The symptoms had resolved by the time she could see the GP, who was concerned enough to request a CT (computerised tomography) of Amelia's head and neck. medical history: Diabetes mellitus Type 2: Management: metformin 1000mg, daily enalapril 10 mg daily rosuvastatin 10mg, daily Atrial fibrillation (AF) Management: apixaban 2.5 mg, BD sotalol 40 mg, BD Cigarette smoking: 20 - 30 cigarettes/day, quit 5 years ago. GP diagnosis - one week ago. Amelia underwent a CT scan of the head and neck, but the results were normal. Amelia was assessed as requiring changes to her hypertension & AF management and the following changes made: enalapril ceased the following medications commenced or changed; irbesartan/ hydrochlorothiazide 300/25, daily amlodipine 5mg, daily apixaban 5mg, BD. Today: Amelia woke early this morning at 0600 hours with a 5/10 headache.…
“You are a nurse in an acute care hospital. Your new patient JD is in the hospital for fractures. His chart showed he has type 2 diabetes with HbA1c of 8.0%. JD’s sister came in to visit at lunch and brought him a Big Mac (3 slices of bread) with large fries on the side in addition to a bag of potato chips and a bottle of orange juice. You are concerned about the high carbohydrate content of the meal and discussed this with JD and JD’s sister. JD’s sister said, “I know my brother has diabetes, so I didn’t bring him soda or dessert.” JD said “I really love my carbs, but I know I should avoid all carbs to make my sugar low. Doctor said something about my ‘A1c’. Do you know what that is about?” Both JD and his sister said they would like to learn more about diabetes and diet.” Q1. Please explain to JD why he needs carbohydrates and describe the 2 functions of carbohydrate. Please explain to JD and his sister what the HbA1c test is and how to use A1c level to categorize normal blood…
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CC: Heartburn, my pills aren’t helping anymore HPI: 75 year old Native American female presents to the family practice clinic for routine visit. Pt reports that over the last 3 weeks she has had increasing heartburn about one hour after eating and also some regurgitation and trouble swallowing food. This occurs nearly every day. c/o food getting stuck behind her breastbone. This is a new problem. She has been using antacids daily in addition to histamine-2-blockers to achieve relief. Despite sleeping with 3 pillows, pt has been experiencing frequent nocturnal wakings due to pain. Reports nighttime coughing and c/o fatigue. Denies SOB, hoarse voice, nausea, vomiting, constipation, diarrhea, abdominal pain, urinary difficulty, blood per rectum or in stool. PmHx: GERD x 7 years, HTN x 15 years, alcoholic cirrhosis x 2 years, hiatal hernia SocHx: Pt is widowed, lives alone, daughter lives in same town and checks on her regularly and takes her grocery shopping. She is a retired…
8) An endocrine case A woman seeks medical advice because she feels tired and listless. She also complains of gaining weight in the past year, although her appetite has decreased. Her friends have also commented that she seems low, or even depressed. When the doctor examines her, she measures a heart rate of 60 beats / minute, which is a little lower than normal, swollen face and dry, brittle hair. During the examination, she gets cold and freezes even if the temperature around is normally warm. The doctor suspects hypothyroidism, but before a final diagnosis she needs some information, including some blood tests. The results show high cholesterol levels, which is usually seen in hypothyroidism, extremely low thyroid hormone levels and high levels of TSH. These results showed that the woman suffered from a problem with the thyroid gland and not from the pituitary gland. Further tests showed that the woman had an autoimmune disease, Hashimoto's disease in which the thyroid follicle…

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