1. What happens to the rate of liver glucose metabolism during moderate intensity exercise? 2. Would the use of pH buffers help prevent muscle fatigue during exercise?
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- State the likely times of glycogenolysis or glycogenesisrelative to food intake or lack of intake.list the different diagnostic tests for liver function with their corresponding reagents, results and reference rate.MAKE AN ANALYSIS OF THE SAID DX. dx: Imbalanced nutrition related to lack of knowledge about diet SCENARIO: Aubrey, 19 years old, an incoming college freshman student went to Ateneo De Manila Health Services for physical examination. The nurse gathered the following information: Height: 5 ft Weight: 48 kg Vital signs: Temp 37.2C, Pulse rate: 95 beats per minute, Respiration rate: 12 breaths per minute, and BP: 100/70mmHg. Family History of illness: Father (+) Hypertension (HPN), and Diabetes Mellitus (DM) Present Health History: Aubrey never experienced to get hospitalized as far as she can remember. Her mother ensures that she takes daily supplemental vitamins such as vitamin C and B complex, and every year she gets flu vaccine from their family doctor. During the interview with the nurse, Aubrey mentioned that she has no known allergies. She said “I don’t think I have any problems with my health. I am lacto-ovo vegetarian. Most of the time I hang out with my friends for a tea or…
- A client is on complete bed rest after a total hip replacement surgery while he is being treated for a mild postoperative surgical wound infection. Identify the underlying physiologic factors that could increase the nutritional needs of this client. Give specific rational A.Anabolism, polydipsia, hypertriglyceridemia B.Elevated protein plasma levels, hypotension, glycolysis C.Large abdominal girth,insulin resistance, acidosis D.Fever, increased white blood cell count, negative nitrogen plasma levelProvide a nursing care plan about Dysfunctional Gastrointestinal Motility related to Diabetes Mellitus as evidenced by vomiting, pain in the upper abdomen and increased HCG levels and conplete the tableCompare the signs of diabetic ketoacidosisand hyperosmolar hyperglycemic nonketoticcoma.
- Identify the recommended changes in fat intake to improve health status.Discuss various ways to improve a patient’s appetite and relieve nausea.Explain how plasma levels of liver transaminases can be useful for evaluating and diagnosing disease. Include the terms: De Ritis ratio, cholestasis, extrahepatic injury, AST, ALT in your answer.
- Case Study: Upper GI Chap 33 Mrs. B is a 54 y/o female that went to her PCP with complaints of heartburn, dyspepsia, nausea and chest pain. She feels bloated and obtains little or no relief from OTC antacids. Her past medical hx includes 2 ppd cigarette smoking, a stressful job and chronic use of NSAIDs for chronic back pain. 1- Mrs. B’s doctor ordered an esophagoscopy (EGD). Why was this test ordered? 2- What teaching would the nurse provide to the client who is scheduled for EGD? 3- What classification of medication might be used during the procedure? What nursing considerations should be considered while pt is receiving this medication? 4- After EGD Mrs. B was diagnosed with GERD. What are nursing considerations & patient education that should be provided to the client with GERD? 5- What discharge instructions & patient education should be provided to Mrs. B after having EGD?Case Study (Overweight/Obesity and Metabolic Syndrome) – Bob This client is a male 46 years old, nonsmoker, and drinks on average two standard drinks a day, but he’s cutting back to just the weekends. Bob regularly exercises 3 times a week for at least 30 min at a moderate intensity. No history of cardiac events or stroke. Family history shows no history of cardiovascular disease and he currently takes medication for cholesterol. He got a blood panel done because he wants to take better care of himself and needs an exercise prescription. His main goal is general fitness and to lose his ‘beer belly’. He passed the fitness screening exercise test with no problems apparent. Height: 5’7.5” Weight: 189lbs Waist Circumference: 40.5 inches Glucose: 109 mg/dL Hemoglobin A1C: 5.3 Triglycerides: 109 mg/dL Cholesterol: 235 mg/dL HDL: 71 mg/dL LDL:128 mg/dL Resting BP: 132/90…List all the inborn errors of Carbohydrate metabolism. Explain their pathophysiologies