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Additional Scenario:
As the mother is tired after the delivery, the infant is sent to the nursery immediately. On Day 3, the mother is advised to bottle feed as her milk appears to be too weak. She lived in a shack and plans to return to a rural district. It is suggested that the infant starts solids at 1 month.
- What would be your nursing care plan with this case?
- Why is it incorrect to advise formula feeds if the breast milk appears to be weak?
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- A 39 yearold woman comes to the clinic complaining of diarrhea and abdominal pain. “I feel so weak.” She reports having four to five loose, occasionally bloody stools per day for the past two weeks, with abdominal cramping beginning over the past 48 hours. She has been self-treating with occasional other-the-counter (OTC) antidiarrheals without success. She denies recent antibiotic use. She complains of severe fatigue. She gave birth to her third child 6 weeks ago. She is not breast feeding. A complete blood count, blood chemistry (including electrolytes, renal function tests and blood glucose) and serum iron is ordered along with stool cultures, colonoscopy and upper gastrointestinal (UGI) endoscopy with small bowel follow-through. Lab Data: Sodium 140 mmol/L Potassium 3.5 mmol/L Chloride 105 mmol/L Urea 3.57 mmol/L Serum creatinine 115 µmol/L Glucose 7.8 mmol/L Iron 4.3 µmol/L Hb 132 g/L Hct 0.39 L/L WBC 7.68 x 109 with normal differential She…An 8 month-old child with relatively poor growth compared to his brother and sister at the same age, and a chronic cough, is taken by his mother to the see the family GP. The child was born at 41 weeks of gestational age. Soon after birth, he developed respiratory distress and was admitted to the neonatal intensive care unit where he was mechanically ventilated for 1 day and discharged after 5 days. He was initially breast-fed, but due to frequent vomiting and loose bowel movements, he was changed to formula feeding. Despite trials of different types of formulas (soy, hypoallergenic, etc.), his clinical course was remarkable for bloating, diarrhoea and failure to thrive. He developed a daily cough and some respiratory difficulty. At the age of 5 months he was hospitalized for respiratory distress, and after coughing induced by respiratory physiotherapy, and throat culture showed growth of Staphylococcus aureus. He continued to have loose, greasy, foul-smelling stools and failed to gain…Consider the following case study: Shaylee is a 24-year-old female. She is a member of the millennial generation who relies heavily on technology for many things, including healthcare. She comes into the clinic complaining of gastrointestinal distress. She also says that she is often constipated, gets diarrhea easily, and has noticed blood in her stool on several occasions. Shaylee has visited several websites and is certain that she has inflammatory bowel disease (IBS). Her mother also suffers from IBS, and WebMD stated that IBS runs in the family. You explain to Shaylee that to officially diagnose her with IBS and to ensure she gets the appropriate treatment, she must undergo several diagnostic tests. Shaylee refuses the tests explaining that she does not have good health insurance and cannot afford them. She insists that she has done her research on IBS and becomes agitated when you state that you cannot confirm the diagnosis without testing. Shaylee emphatically states that she…
- TO DO: Make an analysis and interpretation of the Nutritional-Metabolic pattern of the patient below: ANALYSIS: (SCIENTIFIC AND MUST HAVE IN-TEXT CITATION) INTERPRETATION: (NORMAL OR DEVIATED FROM NORMAL) Patient details: Conscious about food intake and skipping meals every time (most of the time he only eats dinner in a day) Not well nourished because skipping meals Not immunized with 7 target diseases Conscious about his weight, feel anxious when he gains weight, and he does feel scared when other people tell him fat when he already knows. Allergic to having the stench or taste of fish Low intake of vegetable and fruits (1-2 per week only) Has diet restrictions of 1000-1500 calories per day Not immunized with 7 target diseases Poor diet because of skipping mealsWhat nutritional therapies should be followed by patients with CKD and why?ProteinFluid Sodium and Potassium Phosphate1. True or False: 1. WBC's, like monocytes can live for years 2. Changes in elevation affects respiration due to Dalton's law. 3. Cortisol is stimulated by ACTH and functions to store energy and suppress the immune response 4. Filtration occurs in both the glomerulus and PCI 5. Estrogen is produced in both males and females
- Order of Draw: Match the following additives found in the rows to their corresponding use/purpose in the columnsDirection: Read the following item carefully. Write TRUE if the statement is correct and FALSE if the statement is incorrect. 1. If you use a household or kitchen spoon to measure liquid medicines, you can be sure you will get the right dose. 2. You can't be harmed by over-the-counter medicines. After all, you can buy them without a doctor's prescription. 3. It's okay to take two medicines with the same active ingredient at the same time. 4. It's alright to use someone else's prescription medicine if you have the same symptoms he or she had when he or she got it. 5. It's also safe to take your leftover prescription medicine later if you get sick again. 6. It's okay to take more medicine than what is directed on the label if you are very sick. 7. In a medicine, an active ingredient is what relieves a person's symptoms. 8. The Drug Facts label tells you what symptoms the medicine treats. 9. The Drug Facts label gives you the dosage information. 10. A pharmacist can answer…A 42 year old man reports to his physician for annual physical examination. He is 5'8" and weighs 240 pounds with a skin fold test revealing 33% body fat composition. The patient complains of recent episodes of waking up in the middle of the night with the urge to urinate. Further questioning reveals he has also been thirstier than normal. Laboratory analysis reveals a random plasma glucose level of 160 mg/dL and hemoglobin A1c of 7.2%. His physician orders further testing and it is found that his C-peptide level is normal. What type of diabetes would this patient have? O Type 1 O Type 2 O Gestational Other
- A 6-year-old boy is brought to the physician by his mother because of intermittent upper abdominal pain during the past 5 weeks and a rash for 1 week. Vital signs are normal. Physical examination shows yellow nodules over the extensor surfaces of the upper extremities. There's hepatomegaly and tenderness on palpation of the epigastric region. Serum studies show an increased amylase activity, increased chylomicron concentration, and a markedly increased triglyceride concentration. 3 months after beginning a fat-restricted diet, his serum chylomicron and triglyceride concentration decreased significantly, and the skin lesions resolve. A deficiency of which of the following enzymes is the most likely cause of these findings? a. Acetyl-CoA carboxylase b. HMG-CoA lyase c. HMG-CoA reductase d. Hormone-sensitive lipase e. Lipoprotein lipaseA 62 year old man was "found down" in his home by a family member earlier this AM. Per the paramedics bring him into the ER, family members state that he's a diabetic and a chronic alcoholic. Additionally, he'd been having bouts of fairly severe diarrhea for about 3 days prior to admission. On presentation to the ER, the gentlemen is nonresponsive and slightly blue. The paramedics tried to intubate but were unsuccessful, so they have been "bagging" him as best as they could en route. Labs taken upon entrance to the ER: ABG: 7.1/49/120/14 135 | 100 | 54 / 265 6 | 14 | 2.4 \ What do you think, by history and by labs and presentation, do you think is happening, at least in reference to his ACID/BASE STATUS; additionally, you may want to think about what underlying processes may be contributing to his overall condition.Child of 6 months, body mass at birth 3000g, length-50cm. From 3 months on artificial feeding with cow's milk, rarely receives vegetable soup; feeds 4 times a day. Food tolerance is maintained. Admitted to the hospital with body mass 5700g., length 56 cm. 1.Make a diagnosis. 2. Establish plan of investigation..
