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Which of these patients has the highest risk for coronary artery disease?
Patient 1: 40 year old male with HDL 60, LDL 150, total cholesterol 200 and triglycerides 160.
Patient 2: 50 year old male. frequently runs 5K races, HDL 50.
Patient 3: 30 year old female with family history of heart disease, smokes, does not have time for exercise, HDL 25, total choesterol 250, triglycerides 300mg/dL
Patient 4: 60 year old female?
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- In rickets patients, typical findings include all of the following: 1) High alkaline phosphatase 2) High PTH 3) Low serum calcium 4) High serum phosphate no references, just homeworkchoose one option only A nurse is reviewing the laboratory results for a client with a history of atherosclerosis and notes elevated cholesterol levels. Which of the following statements by the client indicates the nurse should plan follow-up instructions on a low cholesterol diet? I eat two eggs for breakfast each morning I take an omega-3 supplement daily I flavor my meet with lemon juice I cook my food with canola oilMake a drug study study about cetirizine drug and fill up the corresponding details in the table. INFORMATION: Patient C Rm 203 Cetirizine Age: 18/F Occupation: Basketball player Weight and BMI: 50 KGS/22 Blood pressure: 100/70 Heart rate: 60 Respiratory rate: 15 Temperature: 36.2 Diagnosis: Allergic reaction with eating shrimp with facial angioedema Chief complaint: Swollen ears and mouth Prescription: Cetirizine PO 5 mg OD
- 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 chlorideIn this case, a 72-year-old man with a medical history that includes hypertension, type 2 diabetes, coronary artery disease with stent implantation, and congestive heart failure is hospitalized for dyspnea while at rest. Despite salt restriction and diuretics, he continued to have swelling in his legs for four weeks. His L ejection fraction (EF) is 40 percent, which is excellent. Humalog (75/25) 20 units QD, furosemide 40 mg BID, metolazone 2.5 mg QD, spironolactone 12.5 mg QD, carvedilol 12.5 mg BID, ramipril 10 mg QD, atorvastatin 40 mg QD, clopidogrel 75 mg QD, and aspirin 81 mg QD are among the medications prescribed. The patient's blood pressure was 100/60 mmHg, his pulse was 102 beats/min, he had JVD, crackles, an S3, a positive hepatojugular reflex, and pitting edema that reached his knees. Na+ concentrations were 134 mEq/L, K+ concentrations were 3.8 mEq/L, Cl concentrations were 90 mEq/L, HCO3 concentrations were 28 mEq/L, BUN concentrations were 46 mg/dL, creatinine…Mrs. Johnson, a 78-year-old woman with a history of hypertension and type 2 diabetes, was admitted to the hospital with symptoms of congestive heart failure. Her current medications include Metformin, Lisinopril, and Furosemide. As her primary nurse, you notice she has been increasingly short of breath and has a 3-pound weight gain since her last weigh-in two days ago. Her current vital signs are BP 160/90 mmHg, HR 88 bpm, RR 22 breaths/min, and SpO2 92% on room air. Options: a) Increase her dose of Furosemide. b) Administer supplemental oxygen and reassess her vital signs. c) Monitor her condition without intervention. d) Restrict her fluid and sodium intake immediately.
- A 57-year-old female stopped smoking 2 months ago and has recently decided to train with you for a 10-km run. She hasn’t exercised in years, but used to participate in sports when she was younger. Her father died of a heart attack at age 73 and her mother died of sudden cardiac arrest at the age of 62. Last year, she started taking a blood pressure medication for her blood pressure. Her BMI is 27. RHR = 82 bpm, resting BP = 124/74 mm Hg. Total serum cholesterol = 184 mg · dL−1, HDL = 44 mg · dL−1, FBG = 102 mg · dL−1. List her risk factors and the defining criteria/threshold for each: (REFER TO THE ACSM TABLE!!) Would you need medical clearance in order for her to begin an exercise program? Yes/NoA baby has been given Dentinox colic drops for 10 consecutive days. For the first 6 days she was given 5 doses per day and for the remaining days, she was given 4 doses a day. Each dose contains 21mg of simeticone, how many grams of simeticone was administered over the 10 days?A male patient having a BMI of 35 was brought to the emergency department because of excessive frequent urination , drowsiness, vomiting, and diarrhea. Was on insulin daily until several days ago when he developed excessive thirst and frothy polyuria. For the past 3 days, he has also had headaches, myalgia, and a low grade fever. Diarrhea and vomiting began 1 day ago. The patient was advised some tests and the results were as follows Specific Gravity 1.012, Sodium 132 mEq/l, potassium 6 mEq/l pH 4.0, Alkaline Phosphatase 310 U/L, urine glucose +ve, Calcium 11 mg/dl, urine Acetone +ve, urine Protein +ve, FBS 560 mg/dl, urinary Oxalate +ve , GFR 55 ml/min, urine Acetoacetate +ve, BUN 31 mg/dL, Creatinine 3.2 mg/dL, Serum Ketones High, bicarbonate 15 mEq/l, Anion gap 13 Q:- Which lab results made you diagnose the above condition/s
- Which of the following items is recommended for treating a low BG?a) 3 to 4 glucose tabletsb) 5 jelly beans or gum dropsc) 1/2 glass (4 oz) of juiced) A tablespoon of table sugare) All of the aboveA 2 yr old boy is underweight and apathetic. Examination shows generalized edema and patches of cutaneous depigmentation. Serum albumin concentration is decreased. Biopsy shows fatty liver. The most likely diagnosis is deficiency of Calories(marasmus) Iron Protein(kwashiorkor) Riboflavin Vitamin A Vitamin B1( thiamine) Vitamin b12(cobalamin) Vitamin G Vitamin D Vitamin KTwo twins with identical physiology, biochemistry, weight and height are exposed to a total of 5 mg/day of chemically identical airborne particulate matter (PM), containing PAHs and heavy metals. This exposure occurs for 2 years. Twin A is predominantly exposed to PM10 while Twin B is predominantly exposed to PM2.5. Both twins will experience identical chronic toxicity because both had the same total dose - True of False. Please type answer note write by hend.
