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.
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Sex : male
Age : 64 years
Height : 5 feet 4 inches
Weight : 67 kg
Activity : sedentary worker
Symptoms : diagnosed for angina pectoris, has difficulty in brisk walking or climbing stairs
Clinical picture : Blood pressure 190/90
His blood picture is ( values are in mg/dl):
Total cholesterol 195
Serum triglycerides 189
HDL cholesterol 38
VLDC cholesterol 37.8
LDL cholesterol 119.2
TC/HDL-C Ratio 5.13
LDL-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.
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- Sex : MaleAge : 45 yearsHeight : 5 feet 3 inchesWeight : 77kgActivity : sedentary workerSymptoms : undergone cardiac by-pass surgeryFood habits : moderate alcoholic consumption, smoker, predominantly nonvegetarianClinical picture: Blood pressure 180/90His blood picture is (values are in mg/dl):Total cholesterol 290Serum triglycerides 220HDL cholesterol 32VLDL cholesterol 43.7LDL cholesterol 137.2TC/HDL-C Ratio 9.06LDL-C/HDL-C Ratio 4.28 What will be your advice to him regarding the following:1. Post-operative recovery 2. Diet3. LifestyleSex : 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.Discuss and Explain briefly the following related terms. a. Pulse Rate b. Respiratory Rate c. Blood Pressure d. Pain e. Violence f. Culture g. Ethnicity h. Spiritual Health i. Religion j. Nutritional Status k. Temperature
- 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.Joana is receiving 5% dextrose in water (D5W). Which of the following statements is correct? a. The solution may cause hypoglycemia in the client who has diabetes. b. The solution may be used to dilute mixed intravenous drugs. c. The solution is considered a colloid solution. d. The solution is used to provide adequate calories for metabolic needs. Why letter b is the correct answer and why the remaining options are incorrectYou have to choose one option. 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
- Read the case and answer the questions below briefly. Santi is a three-year old healthy and active little boy. His family took a trip to the beach several hours from their home. His parents had booked a suite in a beautiful beach resort and the children were so eager to get there that they didn't even want to stop for lunch during the four-hour drive. The parents compromised and decided to pick up some hamburgers from a drive through fast food restaurant just off the highway. Initially Santi felt fine after eating his hamburger, but three days after their arrival at the resort, he started complaining of a stomach ache, and he was running a fever of 38 C. The next day he began to have diarrhea, and the following day his mother was alarmed to see blood in the diarrhea. Growing worried, she left her older daughter and her husband at the hotel and drove Santi to the nearest hospital emergency room. At the hospital, the physician then ordered blood tests and a stool culture and gave Santi…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 LJohn 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…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 coffee. Although I think everything’s okay, I still would like to be active, and do activities that…
