A 65 years old patient had a major abdominal surgery a day ago. It is known that during surgery he had a few episodes with a significant decrease in blood pressure. It did require an additional administration of fluids intravenously. Currently this patient has a serum sodium level of 122 mEq/L and a serum osmolality is 250 mOsm/kg. He shows no evidence of dehydration. Describe the sequence of physiogical events that led to this abnormality and its possible consequences.
Q: Activity 2: A "NEW NORMAL" COMMUNITY 1. Due to covid-19 pandemic, our movement is limited. We are…
A: Covid -19 pandemic has definitely brought a significant change in our lifestyle, many people have…
Q: Forceps was heated before use, why?
A: Forceps is a commonly used instrument used in medical practice. It has a wide range of uses from…
Q: Why do you think so many nurses continue to work, despite the many challenges they face and the lack…
A: Nursing counselling and advise involves certain intervention which helps process focusing on the…
Q: A nurse is caring for for a client who is receiving cisplatin for treatment of ovarian cancer. The…
A: Chemotherapy is indicated in women with ovarian cancer after the surgery. The common…
Q: What are the 5 Rights of Medication Administration?
A: Drug is defined as any substance helps to diagnose illness, promote health and prevent illness by…
Q: Describe what the principles of isolation nursing are. Include a minimum of 6 points.
A: The isolation department AIIMS to control the air flow in the room so that the number of airborne…
Q: OBJa nurse is preparing to measure a clients vital signs. The nurse should identify that which of…
A: We know that Vital signs are temperature, pulse, respiration and blood pressure, and also called as…
Q: What are the key differences between the following types of literacy: Internet literacy Health…
A: Literacy, in its broadest definition, refers to "certain ways of thinking about and performing…
Q: Why physical fitness is important and how are we going to be physically fit?
A: WHO have defined physical fitness as any physical movement which are produced by skeletal muscles…
Q: What is the predominant cause of the diabetogenecity of pregnancy? increased pancreatic insulin…
A: Gestational diabetes is the intolerance of glucose that is first detected at the time of pregnancy…
Q: Mrs. Giammo asks, "How is what I had different from a stroke?" Provide a simple explanation of how a…
A: One of the most common and life-threatening illnesses are major neurological illnesses like Stroke…
Q: What are the 5 Rights of Medication Administration?
A: Drug is defined as any substance helps to diagnose illness, promote health and prevent illness by…
Q: e) to be given orally at a dose of 400 mg per day in divided doses every 12 hours. Mrs. Simpson…
A: Answer 1 Given:- The physician orders disopyramide (Norpace) to be given orally at a dose of 400…
Q: Identify one (1) bowel elimination problem, then list down at least 3 risk factors or causes, list…
A: Fecal incontinence is the inability to control bowel motions, resulting in stool (faeces) leaking…
Q: 10) We should use caution in administering diuretics in patients with a history of _______________.…
A: Introduction:- Diuretics are drugs which increase the urine output from the body. They are used in…
Q: Uda was brought to the clinic with yellowing of the skin over the trunk and extremities along with…
A: Uda was brought to the clinic with yellowing of the skin over the trunk and extremities along with…
Q: Can you answer 10 ,17,18 please
A: The nurse need to follow 5 Rights of drug administration while administering the medication. They…
Q: What are main symptoms of prolactin oversecretion? How can this condition be treated? Give some…
A: Since we only answer up to 3 sub-parts, we'll answer the first 3. Please re-submit the question and…
Q: Henry climbed to the top of Mt. Apo. To celebrate, he drank a glass of whiskey. Alcohol stimulates…
A:
Q: From an manger or administrator's perspective, what would contemplate for the strategic development…
A: The administrator is someone who works at the top level of an organization and formulates plans and…
Q: Mehmet Yavuz is 62 yo. He presented to the clinic and after having an HbA1c test (result 9%) was…
A: *Mehmet was recently diagnosed with Type 2 Diabetes. *Metformin is beneficial to Mehmet because:.…
Q: The nurse is working in the PACU and has received a patient from the operating suite. The patient…
A: Acute postoperative pain is still a serious issue, and if it isn't managed properly, it can lead to…
Q: What are the similarities and divergences between Immunoglobulin and T-Cell Receptor (TCR)…
A: Immunoglobulins are the Y shaped protien also known as antibodies which helps in destroying and…
Q: The following results are obtained for a patient using a point-of-care device that employs the…
A: Hematocrit is the test used to measure the red blood cell proportion in the blood. RBC carries…
Q: Please answer both questions. A 77-year-old postmenopausal woman presented at her GP for her yearly…
A: Osteoporosis is a systemic illness that affects the skeleton and is characterised by decreased bone…
Q: 6) Which of the following is not a long-term health effect of alcohol consumption? A) High blood…
A: High blood pressure or hypertension is a condition when the pressure of the blood flowing through…
Q: 3) Which of the following best describes the mechanism of an antiplatelet medication? A) Inhibition…
A: Antiplatelet are medicines which stop cells in the blood from sticking together and forming a clot…
Q: Explain how pituitary and hypothalamic hormones regulate and control the process of reproduction.…
A: Here we have to describe about how pituitary and hypothalamic hormones regulate and control the…
Q: Which of the following is considered as a health outcome: Dissatisfaction Destitution Improved…
A: Health Outcomes are changes in health that result from measures or specific health care…
Q: Mehmet Yavuz is 62 yo. He presented to the clinic and after having an HbA1c test (result 9%) was…
A: Metformin is the drug that is used as the first-line pharmacological treatment for type 2 diabetes.…
Q: Does metaphor of the dance make sense in relation to professional practice when caring for dying…
A: Connection, freedom, creativity, improvisation, beauty, emotion, and significance are all evoked by…
Q: Nursing You are caring for a patient who has a history of Crohn’s disease. She gets severe…
A: ♦ANSWER♦ • Hot pad is good for abdominal cramps. But Hot application is contraindicated in pregnant…
Q: What are causes of primary and secondary or tertiary adrenal insufficiency? Which symptoms are…
A: Adrenal gland is composed of 3 zones:- 1) zona glomerulosa :- which secretes aldosterone. 2) zona…
Q: Cite the importance of fibrinogen in blood coagulation. Explain why dysfibrinogenemia can also…
A: The liver produces fibrinogen, which is a protein. This protein aids in the formation of blood…
Q: Use your favorite example to explain why and how organisms can practice family planning
A: Family planning is the planned number of birth of springs and planned timing of their births. Family…
Q: What are the top 3 EHR systems? 2. What are some of the features of an EHR?
A: Health information management processing refers to all the procedures that are performed to collect,…
Q: Paramedics When the ambulance arrived, Zac had a GCS of 15 and could recall the whole incident. Zac…
A: Early warning scores are common prediction models that are frequently mandated in daily clinical…
Q: when you are caring for a person with diabetes you should
A: Diabetes is a disorder in which our blood glucose, or blood sugar, is too high. Blood glucose is…
Q: 39. UF 40. %3D
A: Note : Hi. Since you have asked many questions. We will solve two questions. Please repost the…
Q: What are modifiers and when do you use these?
A: Modifiers are nothing but, that communicate specific information about a service or procedure which…
Q: Cues Nursing Diagnosis Abnormal uterine bleeding related to moderate anemia as evidenced by…
A: Abnormal uterine bleeding is the bleeding from the uterus longer than usual at an irregular time.…
Q: hat are the Practices of The elderly people regarding Sexualit
A: Sexuality and activity in the older age have been inadequately studied worldwide. Though, it is…
Q: 8) Which of the following is a common side effect of cholesterol medication? A) Muscle pain B)…
A: Anti-hyperlipidemic agents are the drugs which causes the decrease blood cholesterol and prevents…
Q: hallmarks of tumor cells
A: Introduction:-The hallmarks constitutes an organizing principle for rationalising the complexities…
Q: the best way to reduce : systemic toxicity is to make the best way to reduce systemic toxicity is to…
A: In this question asked about systemic side effects of the regional anaesthesia and how to prevent…
Q: ICD10/CM
A: Answer. The ICD 10/CM ( international classification of diseases, Tenth Revision, clinical…
Q: Explain the mechanism of antibiotic resistance in S. aureus
A: Staphylococcus aureus is an gram positive bacillus . They are generally susceptible to beta lactam…
Q: Sharon is a 68 year old woman presenting short of breath, pale and cyanosed and talking in short…
A: Pneumonia is an inflammatory disease in which there is abnormal alveolar filling with fluid.…
Q: . Mr. Rastuh an obese patient came for blood extraction, the phlebotomist started collecting blood…
A: Phlebotomy is the act of withdrawing blood , which is practiced since a centuries ago. It is still…
Q: Nursing Considerations/observations for clients who are using “Nitrates in the treatment of angina…
A: Myocardial infarction is chest pain caused by decreased blood flow, contributing to decreased…
A 65 years old patient had a major abdominal surgery a day ago. It is known that during surgery he had a few episodes with a significant decrease in blood pressure. It did require an additional administration of fluids intravenously. Currently this patient has a serum sodium level of 122 mEq/L and a serum osmolality is 250 mOsm/kg. He shows no evidence of dehydration. Describe the sequence of physiogical events that led to this abnormality and its possible consequences.
Trending now
This is a popular solution!
Step by step
Solved in 3 steps
- The renal handling of a novel drug is being studied. When the drug is present in the blood, it is filtered into the Bowman’s capsule and secreted via transport proteins in the renal tubules, but it is NOT reabsorbed. The lines on the following graph represent filtration, secretion and excretion rates of this drug at various plasma concentrations. For the three lines shown (labeled A-C) identify which line represents filtration, which line represents secretion, and which line represents excretion Explain how you determined this.a 54 year old man develops vomiting and diarrhea over a 24 hour period. his serum sodium concentration is 140 mEq/L. Intravenous infusion of isotonic saline is initiated . which of the following changes and intracellular and extracellular fluid volume is most likely to result from this infusion a ICF volume : decreased , ECF decreased b. ICF volume :increased , ECF decreased c. ICF volume : increased , ECF. increased d. ICF volume : increased , ECF. no change e. ICF volume : no change , ECF increased30, With respect to renal autoregulation, myogenic mechanism refers to Multiple Choice both glomerulus increase of blood flow and macula densa secreting renin are correct ability of macula densa to sense a increase in Na+ content in tubular fluid and secrete renin in response ability of a muscle to contract reflexively without nervous stimulation to adjust blood vessel diameter ability of glomerulus to increase blood flow and increase filtration rate
- Renin is secreted in response to hypovolemia or to an increase in the osmolality of the blood. Provide three possible mechanisms by which these conditions may stimulate rennin secretion. What are the consequences of increased rennin secretion that lead to increased aldosterone secretion? Present this sequence of events. Why are angiotensin converting enzyme inhibitors (ACEIs) used as a common therapy for hypertension? How do they influence blood pressure? Are plasma levels of renin elevated or depressed in a patient with Conn’s disease? Why?In a person with diabetes mellitus, what would be causing polyuria? Glucose has saturated the secondary active transporters in the PCT that move glucose into the cells, increasing the concentration gradient between the filtrate and the ISF or Glucose has saturated the secondary active transporters in the PCT that move glucose into the cells, reducing the concentration gradient between the filtrate and the ISFAn investigator is studying renal physiology in patients with type 1 diabetes mellitus. When a substance that inhibits glucose reabsorption is given, which of the following best describes the clearance of glucose?a. Decreases and approaches the clearance of p-aminohippurateb. Decreases and approaches the clearance of inulinC. Increases and approaches the clearance of p-aminohippurated. Increases and approaches the clearance of inuline. Increases and approaches the clearance of sodium
- In the management of DKA, why would potassium be added to the maintenance fluids even if potassium levels are normal or high? Question 66 options: a) Potassium shifts from the extracellular fluid to the intracellular fluid when acidosis corrects b) Insulin promotes renal potassium loss c) Osmotic diuresis may continue to deplete extracellular fluid potassium levels d) Maintenance fluids will dilute potassium levels in the extracellular fluidWhich of the following is TRUE about glucose reabsorption in the kidney? a.If an individual does not have diabetes mellitus, 100% of filtered glucose is reabsorbed at the proximal convoluted tubule. b.If an individual has diabetes mellitus, filtered glucose will be present in all the renal tubule. c.Glucose reabsorption along the proximal convoluted tubule uses the sodium glucose secondary active transporter and it is independent of insulin. d.All of the above e.None of the above asapThe immediate effect of ADH on the renal tubules of frogs and mice is the same, yet when ADH is secreted, frogs produce urine that is approximately isosmotic to their blood plasma, whereas mice produce urine far more concentrated than their blood plasma. Explain this difference in terms of the factors affecting osmosis in the kidneys of frogs and mice.
- the major difference between plasma and interstitial fluid is the absence of plasma proteins from the interstitial. explain how this affects solute distrbution and what kind of correction you would do it if you were measuring solute concentrationWhich of the following is TRUE concerning glucose transport across the proximal convoluted tubule (PCT)? Group of answer choices must choose one answer Glucose is usually absorbed approximately 70% here and the remainder of the absorption is under hormonal control in the distal convoluted tubule (DCT). Glucose moves by paracellular transport. Glucose moves across the apical membrane by secondary active transport via co-transport with sodium. Glucose transport is passive, requiring facilitated diffusion across both the apical and basolateral membranes.What are major factors that determine blood osmolality? The osmolality of 0.9% NaCl is ___________. How is the osmolality different from the molarity? Also, predict the effect of 1 L of 600 mOsm/L infusion of sucrose on patients RBC’s osmolality and volume, if previous osmolality of RBC’s was 250 mOsm/L, plasma volume – 3.6 L and RBC’s volume – 2.4 L.