Patient: Lebron James Lopez Block S Lot 3, Camp 101, Baguio City Ward-Rm: Surg-2 Date :11/08/2021 Rx: 2098576 Parenteral Admixture Order 234 Cefazolin sodium 400 mg in 100 mL normal saline solution Instructions: infuse over 20 minutes q6h ATC for 3 days . Alex U. Park, MD Lower Bonifacio St Baguio City (074) 442-5701 AREKS HOSPITAL How many mL of the Cefazolin sodium solution will be required for the whole therapy?
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- Patient Profile: K.J is a 73 year old African American woman with no history of hypertension.She came to the doctor’s office for a flu shot Subjective data Says she has gained 20lbs over the past year since her husband died Has never smoked and uses no alcohol Only medication is one multivitamin per day Eats a lot of canned food Does not exercise Objective data Height 5 ft,4 in (162.6 cm) Weight 170 lbs. (77.1kg) BP 170/82 Physical examination shows no abnormalities Serum potassuim 3.3 mEq/L(3.3mmol/L 1.What contributing factors to the development of ISH are present in K.J.? 2. What additional risk factors are present? 3.What specific dietary changes would be the nurse recommend for K.J.?Case study 1. Present a treatment or solution to address such case through the guiding questions after the case.Patient M., 36 y/o, was found in the street unconscious. The patient has a medical history of diabetes. There is a smell of alcohol from the mouth. The skin is moist, warm, arterial pressure -145/90 mm column of mercury, convulsive twitching of muscles. Breathing is shallow, eye ball tone is retained, pupils are dilated, hyperflexion. How would you treat this patients?A. Intravenous introduction of 40-80-100 ml 40% glucose solution B. Injecting 20 units of insulin subcutaneouslyC. Injecting 20 units of insulin intravenouslyD. Injecting 500 ml 5% glucose solution intravenouslyE. Injecting 500 ml 0.9% sodium chloride intravenously
- NEED HELP WITH #6 N.R. is a 49-year-old lumber worker admitted to the emergency department after a severe laceration of his left thigh. He lost about 4 units of blood prior to effective control of bleeding and closure of the wound. He received several hundred milliliters of normal saline during the procedure. Postsurgical clinical data are as follows: vital signs lying down, HR 115, BP 98/60, RR 28; sitting, HR 140, BP 92/62, RR 28; Hct 22, Hb 8, PaO2 90, SaO2 98% breathing room air. N.R. continues to have significant oozing from his sutured wound postoperatively, prompting his physician to order a coagulation screen that has the following results: platelet count 250,000, bleeding time more than 10 min, PT and aPTT within normal ranges. Discussion Questions In view of N.R.’s history and vital signs, do you think he is hypovolemic? Support your conclusion. Calculate N.R.’s arterial oxygen content (CaO2) using the following formula: CaO2 = (PaO2 × 0.003) + (Hb × SaO2 × 1.34). What…Patient M, 72 y/o, is in the intensive care unit with the symptoms of dehydration, oliguria, hypothermia, hypoxemia (hypoxia). In the anamnesis there is a record of type 2 diabetes mellitus treated with biguanides. Her condition began to deteriorate after she had a myocardial infarction one month ago. Objectively: the skin is dry; turgor is lowered, arterial pressure – 80/40 mm column of mercury, pulse – 136beats/minute. The breathing is shallow, eye ball tone is lowered. What is your diagnosis?A. Hyperlactacidemic comaB. Uremic comaC. Ketoacidotic comaD. Brain comaE. Hyperosmolar comaUsing the techniques described in this chapter carefully read through the case study and determine the most accurate ICD-10-CM code(s) and external cause code(s) if appropriate. Remember, check the chapter specific, sub-chapter specific and category specific notations within the Tabular list. Patient: Winston Waller Physician: Morris Johnston, MD August 1, 2018 History This patient is a 73-year-old male nonsmoker with type 2 diabetes mellitus and hypertension. He presented to this ED with shortness of breath and was found to have had an acute myocardial infarction of the anterior wall of his heart showing an ST elevation that had previously been left untreated. He developed several complications, including renal failure from a combination of cardiogenic shock and toxicity from the dye used for emergency catheterization of his heart. Hemodialysis was started during this hospitalization because of his renal failure. After spending almost a month in the hospital and…
- While assessing a patient in the PACU, a nurse notesincreased wound drainage, restlessness, a decreasing blood pressure, and an increase in the pulse rate. The nurse inter-prets these findings as most likely indicating: a. Thrombophlebitisb. Atelectasisc. Infectiond. HemorrhagePt is a 55 y.o female with past medical history of end-stage renal disease on hemodialysis via perm catheter, hypertension, hyperlipidemia, type 2 diabetes, anemia of chronic disease, peripheral neuropathy, recurrent C.Difficile. History of Acinetobacter bacteremia come into the hospital as direct transfer from Newport given worsening pleural effusion of importance. Pt was recently admitted at Rhode Island Hospital and discharged a few weeks ago after being diagnosed with necrotizing pneumonia. lung disease abscess on CT scan. She underwent BAL and culture grew klebsiella oxytocin which she was treated with Augmentin for 6weeks duration. She had elevated 1,3 Beta D flu an but was deemed to be potentially false positive. She was also found to have Acinetobacter growing from dialysis catheter too and the catheter was removed on 3/8 and a new one was replaced on 3/9. Unfortunately came back from Newport hospital because of progressively worsening shortness of breath as well as well as…Pt is a 55 y.o female with past medical history of end-stage renal disease on hemodialysis via perm catheter, hypertension, hyperlipidemia, type 2 diabetes, anemia of chronic disease, peripheral neuropathy, recurrent C.Difficile. History of Acinetobacter bacteremia come into the hospital as direct transfer from Newport given worsening pleural effusion of importance. Pt was recently admitted at Rhode Island Hospital and discharged a few weeks ago after being diagnosed with necrotizing pneumonia. lung disease abscess on CT scan. She underwent BAL and culture grew klebsiella oxytocin which she was treated with Augmentin for 6weeks duration. She had elevated 1,3 Beta D flu an but was deemed to be potentially false positive. She was also found to have Acinetobacter growing from dialysis catheter too and the catheter was removed on 3/8 and a new one was replaced on 3/9. Unfortunately came back from Newport hospital because of progressively worsening shortness of breath as well as well as…
- Pt is a 55 y.o female with past medical history of end-stage renal disease on hemodialysis via perm catheter, hypertension, hyperlipidemia, type 2 diabetes, anemia of chronic disease, peripheral neuropathy, recurrent C.Difficile. History of Acinetobacter bacteremia come into the hospital as direct transfer from Newport given worsening pleural effusion of importance. Pt was recently admitted at Rhode Island Hospital and discharged a few weeks ago after being diagnosed with necrotizing pneumonia. lung disease abscess on CT scan. She underwent BAL and culture grew klebsiella oxytocin which she was treated with Augmentin for 6weeks duration. She had elevated 1,3 Beta D flu an but was deemed to be potentially false positive. She was also found to have Acinetobacter growing from dialysis catheter too and the catheter was removed on 3/8 and a new one was replaced on 3/9. Unfortunately came back from Newport hospital because of progressively worsening shortness of breath as well as well as…National Heart, Lung, and Blood Institute. (n.d.). https://www.nhlbi.nih.gov/health-topics/thrombocytopenia (Links to an external site.) Then, discuss the following: Mention the signs and symptoms of thrombocytopenia. Discuss the diagnosis process and the treatments available.A 66-year-old woman was admitted to the emergency department with hemorrhage into the right arm and right breast. No previous history of bleeding or medication was indicated. Lab. Data upon admission were as follows: PT 12 sec APTT 58 sec Fibrinogen: APTT (1:1) mix 40 sec dRVVT 21 sec N.V. <25 sec PNP (PNP vs saline): 58sec/59sec N.V. PNP vs saline <5 sec Prolonged incubation of Patient’s plasma with Normal pooled plasma at 37 degrees Celsius for 1 hour and 2 hours was done and the result indicates prolong APTT overtime but with correction if done in more than 2 hours incubation. QUESTION What is the reason why the dRVVT is part of the lab request? What material is used to perform the 1:1 Ratio mixing study?