he practitioner at the urgent care facility makes the decision that A.M. needs to go to the hospital by ambulance. Once at the Emergency Department (ED), the ED physician orders the following items. Which are questionable related to her diabetic keto acidosis condition, and which are appropriate? Why? 1000 ml Lactated Ringer’s (LR) IV stat 36 units NPH (Humulin N) and 20 units regular (Humulin R) insulin SQ now CBC with differential; CMP: blood cultures X2 sites; clean-catch urine for UA and C&S; stool for ova and parasites; Clostridium difficile toxin, and C&S; serum lactate; ketone; osmolality; ABGs on room air 1800 calorie, carbohydrate controlled diet Bed rest Acetaminophen (Tylenol) 650 mg orally Q4 hrs PRN Furosemide (Lasix) 60 mg IV push now Urinary output every houri. VS every shift

A.M. is experiencing sepsis and DKA condition and hyperkalemia. In DKA blood glucose is very High and symptoms of acetone breath and kusmmal breath due to metabolic acidosis The appropriate interventions are: CBC, blood culture, urine tests to rule out infection Ketones: This test is required to find out ketoacidosis ABG: It is required to rule out oxygen and acid-base balance Serum lactate: It is required to assess for shock LR IV: Because normal saline can induce hyperchloremic acidosis that will result in a drop of bicarbonate levels in the initial phase of DKA resuscitation. NPH: It is administered twice a day, subcutaneously to the patient after resolution of DKA and injection of IV regular insulin. 1800 cal Diet: A diet with meals at proper intervals and less/controlled amounts of carbohydrates is advised during DKA. The interventions which are questionable are: Stool test and C difficile can be done in case of suspicion of direct gastrointestinal infection Check urine output every to assess the shock Checking vital sign is very important in DKA for improving the client and management of IV fluids. Tylenol Furosemide: It interferes with insulin

Answered: makes the decision that A.M. needs to…

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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he practitioner at the urgent care facility makes the decision that A.M. needs to go to the hospital by ambulance. Once at the Emergency Department (ED), the ED physician orders the following items. Which are questionable related to her diabetic keto acidosis condition, and which are appropriate? Why?

1000 ml Lactated Ringer’s (LR) IV stat
36 units NPH (Humulin N) and 20 units regular (Humulin R) insulin SQ now
CBC with differential; CMP: blood cultures X2 sites; clean-catch urine for UA and C&S; stool for ova and parasites; Clostridium difficile toxin, and C&S; serum lactate; ketone; osmolality; ABGs on room air
1800 calorie, carbohydrate controlled diet
Bed rest
Acetaminophen (Tylenol) 650 mg orally Q4 hrs PRN
Furosemide (Lasix) 60 mg IV push now
Urinary output every hour

i. VS every shift

Definition Definition Organism that lives in the body of another organism and obtains food at the expense of the host. A parasite can directly or indirect harm the host. There are two kinds of parasites: internal and external. An internal parasite lives inside another organism and is known as an endoparasite. An external parasite lives on the body surface of the host and is known as an ectoparasite. Protozoa and helminths are examples of major human parasites.

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