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Sex : Male
Age : 45 years
Height : 5 feet 3 inches
Weight : 77kg
Activity : sedentary worker
Symptoms : undergone cardiac by-pass surgery
Food habits : moderate alcoholic consumption, smoker, predominantly nonvegetarian
Clinical picture: Blood pressure 180/90
His blood picture is (values are in mg/dl):
Total cholesterol 290
Serum triglycerides 220
HDL cholesterol 32
VLDL cholesterol 43.7
LDL cholesterol 137.2
TC/HDL-C Ratio 9.06
LDL-C/HDL-C Ratio 4.28
What will be your advice to him regarding the following:
1. Post-operative recovery
2. Diet
3. Lifestyle
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- Sex : maleAge : 64 yearsHeight : 5 feet 4 inchesWeight : 67 kgActivity : sedentary workerSymptoms : diagnosed for angina pectoris, has difficulty in brisk walking or climbing stairsClinical picture : Blood pressure 190/90His blood picture is ( values are in mg/dl):Total cholesterol 195Serum triglycerides 189HDL cholesterol 38VLDC cholesterol 37.8LDL cholesterol 119.2TC/HDL-C Ratio 5.13LDL-C /HDL-C Ratio 3.14 What will be your suggestion to the patient regarding the following:1. Improving his blood picture 2. Appropriate from of exercise 3. Any other investigations which you feel are necessary.Sex : MaleAge : 40 yearsHeight : 5 feet 7 inchesWeight : 60 kgActivity : sedentary lifestyleClinical pictureHis blood picture is (values are in mg/dl):Haemoglobin 10.5Creatinine 2.0Urea Nitrogen 35.0Uric acid 7.8Total protein 6.9Albumin 3.9Serum calcium 8.7Sodium 141Potassium 5.1Chloride 106 Plan a day's diet for him. Mention nutrients that need special emphasis, Also list out do's and don'ts.A 12-year-old boy presents to the clinic with complaints of frequent urination, constant thirst, and weight loss despite a voracious appetite. Physical examination and laboratory tests were done and results are shown below. Use this information to answer questions 4-5. Physical Exams and Tests Results Normal Range Height 5 feet, 3 inches Weight 50 kg Percentage Adipose Tissue 30% Blood Pressure 90/55 Plasma Fasting Glucose 340 mg/dL 70-110 mg/dL Plasma Na+ 142 mEq/L 140 mEq/L Plasma BUN 9.5 mg/dL 10 mg/dL Urine Glucose 15 mg/dL 0-15 mg/dL Urine Na+ 280 mEq/L/day 15-250 mEq/L/day 4. The plasma osmolarity in this patient is: A) 290 mOsm/L B) 306 mOsm/L C) 312 mOsm/L D) 320 mOsm/L 5. The total body water in this patient is: A) 15 L B) 20 L C) 26 L D) 35 L
- A patient of 40 years complains of constantly increasing body weight, increased appetite. He works as a cook, he constantly tries cooked food. On examination: height - 179 cm, weight - 130 kg. There is excessive fat deposition on the abdomen and thighs.Body mass index is calculated as height in meters divided by weight inkilograms. Is true or falseNormal limits of the internal environment – blood glucose, pH, blood pressure, body temperature values.
- A 68-year-old patient was delivered to the intensive care unit with the suspicion of hyperlactacidemic coma and complaints of severe muscle ache, vomiting drowsiness alternating with stupor, pain in the heart region. Objectively: eye ball tone is lowered, arterial pressure –100/55, pulse - 136beats/minute, glycemia - 14mmol/l, acidosis, blood PH – 7.0, level of lactic acid – 1.9mmol/l. What are you going to do in this case?A. Injecting 1% solution of methylene blueB. Injecting 500ml 5% glucose solutionC. Injecting 0.1% adrenaline solutionD. Introducing 100 mg prednisoloneE. Introducing 500 ml 0.9% sodium chlorideWhich dosage of polyethylene glycol is correct 17g,17.2 mg,10 mg ,15mgchoose one option only A nurse is providing education to a group of adult athletes about prevention of the effects of dehydration on the body. Which of the following manifestations should the nurse include in the instructions? Impaired motor control drop in body temperature during exercise increase in appetite decrease resting heart rate
- John is a 35-year-old advertising executive. He is fairly active, has a BMI of 23, and is in generally good health. However, at his yearly physical his doctor discovers that John has high blood pressure. John assures his doctor that he eats well, and can't understand why the numbers are so high. John's doctor tells him that he probably is salt sensitive, and needs to cut back on the sodium in his diet. When John returns home he immediately puts the saltshaker in the back of the cupboard, so he is not tempted to add salt to his foods. He also replaces his usual snack of salted peanuts with dry cereal, his favorite being cornflakes. He has heard about packaged foods being high in sodium, so he swears off his usual frozen dinners and takes the time to prepare some of his favorite meals. John eats Mexican rice and beans, or a piece of smoked halibut with mashed potatoes to go with it. Since lunch is usually at the office, John decides he needs to start bringing lunch instead of ordering…John is a 35-year-old advertising executive. He is fairly active, has a BMI of 23, and is in generally good health. However, at his yearly physical his doctor discovers that John has high blood pressure. John assures his doctor that he eats well, and can't understand why the numbers are so high. John's doctor tells him that he probably is salt sensitive, and needs to cut back on the sodium in his diet. When John returns home he immediately puts the saltshaker in the back of the cupboard, so he is not tempted to add salt to his foods. He also replaces his usual snack of salted peanuts with dry cereal, his favorite being cornflakes. He has heard about packaged foods being high in sodium, so he swears off his usual frozen dinners and takes the time to prepare some of his favorite meals. John eats Mexican rice and beans, or a piece of smoked halibut with mashed potatoes to go with it. Since lunch is usually at the office, John decides he needs to start bringing lunch instead of ordering…
