Ethnicity: Hispanic male Height: 68" Name: Jerrod Age: 16 Weight: 134 lbs. A 16 year-old male is admitted to the ED with abdominal pain, nausea, and vomiting. He is very lethargic; his skin is warm, dry, and flushed; his pulse is rapid; and he has a sweet smell to his breath. His parents report that he has been very thirsty, his appetite has been poor, and he has been urinating frequently. His initial plasma glucose is 420 mg/dL and a urine test for ketones is strongly positive. Investigational Framework What is the most likely cause of the boy's elevated ketonuria and blood glucose? Explain his presenting sign and symptoms in terms of elevated blood glucose and metabolic acidosis. What are the priorities of treatment? What associated electrolyte disturbances would you expect and why?

Ethnicity: Hispanic male Height: 68" Name: Jerrod Age: 16 Weight: 134 lbs. A 16 year-old male is admitted to the ED with abdominal pain, nausea, and vomiting. He is very lethargic; his skin is warm, dry, and flushed; his pulse is rapid; and he has a sweet smell to his breath. His parents report that he has been very thirsty, his appetite has been poor, and he has been urinating frequently. His initial plasma glucose is 420 mg/dL and a urine test for ketones is strongly positive. Investigational Framework What is the most likely cause of the boy's elevated ketonuria and blood glucose? Explain his presenting sign and symptoms in terms of elevated blood glucose and metabolic acidosis. What are the priorities of treatment? What associated electrolyte disturbances would you expect and why?

An Illustrated Guide To Vet Med Term

4th Edition

ISBN:9781305465763

Author:ROMICH

Publisher:ROMICH

Chapter17: Drugs And Dissection

Section: Chapter Questions

Problem 1.2CS

See similar textbooks

Similar questions

J.C. is a 52-year-old man with a history of chronic heavy alcohol use. He has frequent bouts of gastrointestinal bleeding for which he has been hospitalized on six separate occasions over the years. He continues to drink and exhibits most of the common manifestations of alcoholic cirrhosis. He was recently hit by a car and was hospitalized for a broken leg. He appeared to be under the influence of alcohol at the time of the accident and had a blood alcohol level of 0.18. What are the common manifestations of alcoholic cirrhosis? Which of these are secondary to hepatocellular failure? Which are secondary to portal hypertension? (List at least 6 manifestations of alcoholic cirrhosis and discuss which of those manifestations are secondary to hepatocellular failure and which are secondary to portal hypertension.) Why is J.C. at particular risk for GI bleeding? (List at least 3 reasons for an elevated risk of GI bleeding.)
J.C. is a 52-year-old man with a history of chronic heavy alcohol use. He has frequent bouts of gastrointestinal bleeding for which he has been hospitalized on six separate occasions over the years. He continues to drink and exhibits most of the common manifestations of alcoholic cirrhosis. He was recently hit by a car and was hospitalized for a broken leg. He appeared to be under the influence of alcohol at the time of the accident and had a blood alcohol level of 0.18. What is the probable cause of F.C.’s progressive mental deterioration? How might his mental deterioration be medically managed? ( Explain the probable cause of the mental deterioration and list at least 3 ways this cause can be medically managed.) How does alcoholic cirrhosis differ from biliary cirrhosis? What occurs in the two types of biliary cirrhosis? (Explain how alcoholic cirrhosis differs from biliary cirrhosis. List the 2 types of biliary cirrhosis and explain the pathophysiology of each type.)
N.H. is a 76-year-old male admitted to the hospital through the emergency department. He fell outside his home. It appears that he may have sustained a fracture to his left hip. He has a history of type 2 diabetes mellitus and has a 40 pack-year smoking history that is now complicated by chronic obstructive pulmonary disease. Data Collected (use only those that apply) Complains of excruciating pain and tenderness in left hip Pain not relieved with morphine BP 166/94 mmHg Diaphoretic and pale skin Respiratory rate 36; crackles, expiratory wheeze X-ray of left hip reveals extracapsular fracture Hematocrit 30%; hemoglobin 15g/dL; WBC 15,000/uL Discussion Questions: Considering the nursing process, list in order the steps in transferring patient from bed to chair post operatively.
Mr. B is a 57-year-old man who was admitted yesterday after starting to pass black stools. He has a two-day history of severe stomach pains and has suffered on and off with indigestion for some months. He is a life-long smoker, with mild chronic heart failure (CHF) for which he has been taking enalapril 5 mg twice daily for 2 years. He also recently started taking naproxen 500 mg twice daily for arthritis. He works a stressful job and drinks large amounts of caffeinated coffee daily. Yesterday his hemoglobin was reported as 9.3 g/dL, hematoocrit 30%, RBC's 3.2, platelets 162, INR 1.1 with Liver Function Test normal. He was mildly tachycardic (110 bpm) and had a slightly low blood pressure of 100/77 mmHg and was given 1.5 L of saline. He has just returned from an endoscopy this morning and has been newly diagnosed as having a bleeding duodenal ulcer. They took a biopsy to determine if he is positive for H-pylori. He has been written up for his usual medication for tomorrow if he is…
Shirley Smith Age: 52Race: CaucasianGender: FemaleHeight: 68 inchesWeight: 153 lb. (69.4 kg) Occupation: Retired Marital Status: Widowed Religion: AgnosticAllergies: None knownAddress: Assisted Living facilityImmunizations: Up to date HistoryShirley's husband died unexpectedly 2 months ago, which is the time she enteredan assisted living facility. Shirley states she has become depressed from the lossof her husband and the inability to physically do activities she desires due to theCOPD.Shirley presents to the ER with difficulty breathing and shortness of breath atrest, and increased fatigue. The patient is currently on 2 Liters of oxygen nasalcanula at all times. Shirley smoked cigarettes for 32 years and just recently quit 2months ago when she was put on full-time oxygen.Past medical history: hysterectomy at the age of 48, Gastroesophageal refluxdisease (GERD), and Atrial Fibrillation. MedicationsPrednisone (HOLD) 20 mg oral DailyPantoprazole 40 mg oral DailyWarfarin 5 mg oral…
Shirley Smith Age: 52Race: CaucasianGender: FemaleHeight: 68 inchesWeight: 153 lb. (69.4 kg) Occupation: Retired Marital Status: Widowed Religion: AgnosticAllergies: None knownAddress: Assisted Living facilityImmunizations: Up to date HistoryShirley's husband died unexpectedly 2 months ago, which is the time she enteredan assisted living facility. Shirley states she has become depressed from the lossof her husband and the inability to physically do activities she desires due to theCOPD.Shirley presents to the ER with difficulty breathing and shortness of breath atrest, and increased fatigue. The patient is currently on 2 Liters of oxygen nasalcanula at all times. Shirley smoked cigarettes for 32 years and just recently quit 2months ago when she was put on full-time oxygen.Past medical history: hysterectomy at the age of 48, Gastroesophageal refluxdisease (GERD), and Atrial Fibrillation. MedicationsPrednisone (HOLD) 20 mg oral DailyPantoprazole 40 mg oral DailyWarfarin 5 mg oral…
Mr. H is a 52-year-old male who presents to the emergency department. His left leg is in a cast, and he states that 1 week ago he was in an automobile crash and broke his upper leg. Since that time, he has had difficulty “getting around” and has mostly been lying on the couch watching television. On the evening of admission he noticed a sudden onset of dyspnea and chest pain. He denies having orthopnea, cough, hemoptysis, or wheezing. He smoked two packs of cigarettes a day for 19 years but quit 3 years ago. The ABG analysis of Mr. H suggests uncompensated respiratory alkalosis with mild hypoxemia, with base excess of -1 in her arterial side, whereas -4 in her venous side. Part 1: Her actual arterial-venous oxygen content difference (Ca-vO2) is 5.31 mL/dL. (Normal range considered here is 3.5 to 5 mL/dL) Part 2: Patient's actual oxygen extraction ratio (O2ER) was 29%. (Say normal range is 20-28%) What is clinically happening to the patient?
Define the term: aggultiantion
J.W. is a 15-year-old high school student who is in the clinic for a sports physical prior to beginning football practice. He has no known significant medical history, takes no medications, and has no allergies. J.W. states “I get really winded, really easily and it’s embarrassing. Sometimes, I get so winded that I feel dizzy and like I want to throw up. The other guys on the team don’t have that problem.” He attributes this to needing to get into better physical condition. The physical exam is unremarkable except for a grade III systolic murmur heard over the entire precordium. Select a potential diagnosis for J.W. and describe the pathophysiology of that diagnosis. How does the pathophysiology explain J.W.’s reported symptoms and physical exam findings?
Will age weight lifestyle ethnicity play a role in his diagnosis?
is alcohol cirrhosis alcohol hapatitis?
NURSING DIAGNOSIS list) - Risk of fluid volume depreciation as evidenced by nausea, vomiting, anorexia & reduced fluid ingestion. - Imbalanced nutrition less than body requirements as evidenced by difficulty to eat/digest food secondary to dysphagia & evidenced by weight loss & physical examination - Deficient knowledge related to nutrition as evidenced by consumption of IBS(Irritable Bowel syndrome) triggering foods. - Acute pain related to abdominal cramps as evidenced by the patient’s facial grimace. 1. What type of goal should be established? Short term Long term 2. In writing the goal for the top priority problem, what components should be included? Subject Verb Conditions or Modifiers/ Effects of interventions Criterion of desired performance/ Expected outcomes 3. What goal now can you formulate following the above components to resolve the top priority problem mentioned? 4. What specific objectives can you set to achieve the goal you have formulated?…