A 47-year-old male comes to the phnausea, constipation, depression, abumps on his fingers. His temperatublood pressure is 145/98 mmHg. Phhard nodules on his fingers. An x-ralesions. Which of the following setsAnswers A - EAAB BCCD DE EAB'CSerum calciumNormalNormalDecreaseD IncreaseE DecreaseSerum phosphateNormalNormalDecreaseDecreaseIncreaseAlkaline phosphataseNormalIncreaseIncreaseIncreaseIncreaseo A 47-year-old male comes to the physician with a 3-month history of bone pain. In addition, he has hadnausea, constipation, depression, and muscle weakness for the past 2 months. He also notes somebumps on his fingers. His temperature is 37.1°C (98.8°F), pulse is 61/min, respiration is 14/min, andblood pressure is 145/98 mmHg. Physical examination reveals generalized bone tenderness and smallhard nodules on his fingers. An x-ray of his hands shows generalized bone thinning and small cysticlesions. Which of the following sets of findings are most likely seen in this patient?Answers A - EA AB BC CD DEE

Multiple Myeloma: Multiple myeloma is a type of cancer that affects plasma cells, which are a type…

Answered: A 47-year-old male comes to the ph…

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 patient (76 years old female) with compromised cardiac function was hospitalized due to significant volume overload and generalized edema. Chest X-ray confirmed pulmonary edema, ejection fraction was estimated - 20%. Patients’ heart rate and blood pressure have been monitored. Despite intravenous use of diuretics she still feels significant shortness of breath, her blood pressure is now 90/60 mm Hg. Blood tests confirmed that renal function is worsening. Blood creatinine – 2.0 mg/L, Na – 132 mEq/L; K – 3.9 mEq/L. Intravenous therapy with Dobutamine was initiated. After intensive treatment at the hospital for more than a week, this patient was released home and will be followed by primary care physician. Along other medication lisinopril was prescribed. Questions: What group of cardiovascular drugs does lisinopril belong to? What is mechanism of action? What effect this drug has on patient’s neurohumoral responses? What potential side effects can be related to long term lisinopril…
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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
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Mehmet Yavuz is 62 yo. He presented to the clinic and after having an HbA1c test (result 9%) was diagnosed with type 2 Diabetes mellitus. His cardiovascular risk was > 15% http://www.cvdcheck.org.au/ His renal health screen showed an eGFR 90 mL/min/1.73m2 with microalbuminuria of 3.5 mg/mmol. http://www.kidney.org.au/HealthProfessionals/DetectingCKD/tabid/632/Default.aspx He attended a podiatry appointment which detected decreased dorsalis pedis and posterior tibialis pulses in both legs. Management of his condition now includes the following: Exercise: at least 150 minutes of aerobic and 60 minutes of resistance exercise each week Diet: a plan worked out with an accredited dietician based on the Australian Dietary Guidelines (2013). Drug use: smoking cessation plan to stop cigarette use; alcohol consumption reduction to 1 - 2 full strength beers every second day Weight loss: Mehmet aims to lose 5 kg over the first 6 - 8 weeks after diagnosis Medications: Jardiamet…
Mehmet Yavuz is 62 yo. He presented to the clinic and after having an HbA1c test (result 9%) was diagnosed with type 2 Diabetes mellitus. His cardiovascular risk was > 15% http://www.cvdcheck.org.au/ His renal health screen showed an eGFR 90 mL/min/1.73m2 with microalbuminuria of 3.5 mg/mmol. http://www.kidney.org.au/HealthProfessionals/DetectingCKD/tabid/632/Default.aspx He attended a podiatry appointment which detected decreased dorsalis pedis and posterior tibialis pulses in both legs. Management of his condition now includes the following: Exercise: at least 150 minutes of aerobic and 60 minutes of resistance exercise each week Diet: a plan worked out with an accredited dietician based on the Australian Dietary Guidelines (2013). Drug use: smoking cessation plan to stop cigarette use; alcohol consumption reduction to 1 - 2 full strength beers every second day Weight loss: Mehmet aims to lose 5 kg over the first 6 - 8 weeks after diagnosis Medications: Jardiamet…
Vancomycin in the presence of an aminoglycoside antibiotic increases the risk of: Group of answer choices Hepatotoxicity Nephrotoxicity Cardiotoxicity CNS toxicity
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Mehmet Yavuz is 62 yo. He presented to the clinic and after having an HbA1c test (result 9%) was diagnosed with type 2 Diabetes mellitus. His cardiovascular risk was > 15% http://www.cvdcheck.org.au/ His renal health screen showed an eGFR 90 mL/min/1.73m2 with microalbuminuria of 3.5 mg/mmol. http://www.kidney.org.au/HealthProfessionals/DetectingCKD/tabid/632/Default.aspx He attended a podiatry appointment which detected decreased dorsalis pedis and posterior tibialis pulses in both legs. Management of his condition now includes the following: Exercise: at least 150 minutes of aerobic and 60 minutes of resistance exercise each week Diet: a plan worked out with an accredited dietician based on the Australian Dietary Guidelines (2013). Drug use: smoking cessation plan to stop cigarette use; alcohol consumption reduction to 1 - 2 full strength beers every second day Weight loss: Mehmet aims to lose 5 kg over the first 6 - 8 weeks after diagnosis Medications: Jardiamet…
A patient (76 years old female) with compromised cardiac function was hospitalized due to significant volume overload and generalized edema. Chest X-ray confirmed pulmonary edema, ejection fraction was estimated - 20%. Patients’ heart rate and blood pressure have been monitored. Despite intravenous use of diuretics she still feels significant shortness of breath, her blood pressure is now 90/60 mm Hg. Blood tests confirmed that renal function is worsening. Blood creatinine – 2.0 mg/L, Na – 132 mEq/L; K – 3.9 mEq/L. Intravenous therapy with Dobutamine was initiated. Questions: What group of cardiovascular drugs does dobutamine belong to? What is mechanism of action? What effect this drug has on cardiac and vascular adrenergic receptors?

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