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What indicates the following pathology result in patient with DKA?
- GFR 25 mL/min
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- IDENTIFY THE URETER 0 0 0 0 G B F G В A 37 38 39 с D EMehmet 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…RECORD THE HOURLY INTAKE AND OUTPUT USING THE TABLE PROVIDED. SHOW YOUR COMPUTATION IN THE TABLE- LABEL/ NAME ALL THE INATAKE PER You admitted a patient with hypotensive crisis; with the following data and doctor’s order Patient Juan Dela Cruz, 45 y/o, the patient NGT for gavage feeding every 4 hours. With Indwelling Foley Catheter for urine output monitoring 6:30am Clients VS BP=70/40 RR=15 PR=59 O2 Sat=98% monitor I &O every hour Doctor’s Order: Fluid Regimen: (R hand) Start IVF of D5LRS 1L to run for 8 hours using macroset with Side drip of Levophed: 2 ampules + 96 cc of PNSS x 15 ugtts/min stock dose of levophed (2ndline) L start IVF PNSS 1L x 10 gtts/min; To Start Blood transfusion of 2-unit PRBC once available properly typed and crossmatched You received the patient at exactly 7:00 AM and started the fluid regimen 8:00 AM – started gavage feeding of 1 glass osteorized feeding with 1/2 glass of plain water to dilute the feeding. 8: 30 AM -packed RBC…
- The renal pyramids appear striped because they are made up of parallel bundles of the collecting ducts True FalseMehmet 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. 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…
- What factors can prolong the coagulation time? What is the reason for the use of siliconized glass wares in coagulation test? Why does capillary blood have a shorter coagulation time than the venous blood?In a person with diabetes mellitus or hypertension, periodic measurement of the GFR is recommended for each of the following except: (select all that apply) Reveal health of the heart O Adjust medications to protect kidney and/or preserve function O Identify stage of Chronic Kidney disease O Determine frequency of dialysisGive the clinical significance of detecting the following_parameters in urine Parameter Clinical significance pH Protein Glucose Ketones Blood Bilirubin Urobilinogen Nitrite Leukocyte esterase Specific Gravity
- CASE SCENARIO ACUTE GLOMERULONEPHRITIS: J.B., female 36 years old, single, a bus conductor was apparently well, until 4 days prior to admission, when she experienced dizziness and headache while at work. Once parked at the terminal, she asked to be checked in the clinic and BP was recorded at 180/100 mmHg, which was unusual since she usually had a BP of 90/60 mmHg. Clonidine 75 mcg was placed sublingual, which reduced her BP to 150/90 mmHg. She was then advised by the company nurse to go home. 2 days PTA, a co employee noticed that her eyes were puffy and even kidded if she broke off with her boyfriend. She just shrugged off the comment and did her usual chores. Few hours PTA, while preparing for work, she noticed blood in the toilet bowl after urinating, which prompted her to seek consult and eventually admission. Her history is essentially negative for past kidney or urinary problems. She admitted that her eyes seemed a little puffy, but she thought this was due to lack of sleep and…Indicate whether the following sentences is True or False IgA nephropathy is the most common type of glomerulonephritis, where polymeric IgA deposition causes glomerular membrane damage and can be examined by a kidney biopsy These lab tests can be required for diagnosing anemia: serum ferritin, transferrin saturation, vit B12, folate, and iron levelsDescribe how net filtration is calculated and be sure to include the pressure associated with the Net filtration pressure. Be sure to include exact values of each pressure