Cardiopulmonary Anatomy & Physiology
7th Edition
ISBN: 9781337794909
Author: Des Jardins, Terry.
Publisher: Cengage Learning,
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Chapter 16, Problem 1CAQ1
Summary Introduction
To review:
The blank in the statement, “In this case, all of the clinical manifestations can be traced back to the patient’s ________”
Introduction:
In the given case, an old woman is admitted to hospital for renal failure and left ventricular heart failure. The patient shows swollen hands, ankles, and eyelids, pale and cold skin, and cough with white sputum. She has slow irregular sinus rhythms, white fluffy patches in lungs, enlarged left ventricle high blood pressure, and fast heart rate. Her blood urea nitrogen, potassium, and phosphate levels were higher. Her arterial blood pH (potential of hydrogen) was 7.29, carbon dioxide arterial pressure was 32 mm Hg, and arterial oxygen pressure was 64 mm Hg.
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Attach the following pictures them onto the flowchart. I have numbered the labels 1A - 1J also numbered pictures 2A - 2J
Case 1:
Case Scenario:
John Doe, 53y.o., has a history of Type I diabetes mellitus, cigarette smoking 40 pack years, CAD, and PVD. Six weeks ago, he developed a wound in his left heel which measured 4cm by 2cm when he discovered it. Despite IV antibiotics and chemical debridement, the wound developed a gangrene infection. He is scheduled for a BKA of the left lower extremity tomorrow at 10:00 am. His meds include daily insulin, aspirin 325mg/day, Pletaal 100mg BID.
When checking the medications for Mr. Doe the evening before surgery, which orders increase the nurse’s concern?
Insulin 6 units Regular with 15 units NPH subcutaneous q am.
Aspirin 325mg PO q d.
Pletaal 100mg PO BID
Ativan 0.5mg IVP on call to OR in AM.
physician writes the following IVPB order: Give CefTRIAXone 2 g IVPB q.12h. The pharmacy sends an IVPB of CefTRIAXone 2 g in 100 mL 0.9% NaCl with instructions to infuse at 200 mL/hr.
Chapter 16 Solutions
Cardiopulmonary Anatomy & Physiology
Ch. 16 - 1. The outer one-third of the kidney is called...Ch. 16 - 2. Glomerular filtration is directly proportional...Ch. 16 - Prob. 3RQCh. 16 - Prob. 4RQCh. 16 - Prob. 5RQCh. 16 - 6. Which of the following can be classified as a...Ch. 16 - Prob. 7RQCh. 16 - Prob. 8RQCh. 16 - Prob. 9RQCh. 16 - Prob. 10RQ
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- Options include: 1. A 2. B and D 3. B 4. D or 5. Carrow_forwardCase Scenario: John Doe, 53y.o., has a history of Type I diabetes mellitus, cigarette smoking 40 pack-years, CAD, and PVD. Six weeks ago, he developed a wound in his left heel which measured 4cm by 2cm when he discovered it. Despite IV antibiotics and chemical debridement, the wound developed a gangrene infection. He is scheduled for a BKA of the left lower extremity tomorrow at 10:00 am. His meds include daily insulin, aspirin 325mg/day, Pletaal 100mg BID. What preoperative testing is appropriate for Mr.Doe? (Give at least 4 priority examples) Note to Tutor: Thank you so much, Ma'am/Sirarrow_forwardCase Scenario: John Doe, 53y.o., has a history of Type I diabetes mellitus, cigarette smoking 40 pack-years, CAD, and PVD. Six weeks ago, he developed a wound in his left heel which measured 4cm by 2cm when he discovered it. Despite IV antibiotics and chemical debridement, the wound developed a gangrene infection. He is scheduled for a BKA of the left lower extremity tomorrow at 10:00 am. His meds include daily insulin, aspirin 325mg/day, Pletaal 100mg BID. Question: Mr. Doe was very restless the evening before. He verbalizes to his wife that he is “scared to death” and worried about losing his foot. She asks the nurse what can be done to help him. How will the nurse address the psychological comfort of Mr. Doe? (Discuss in 2-3 sentences only)arrow_forward
- Case Scenario John Doe, 53y.o., has a history of Type I diabetes mellitus, cigarette smoking 40 pack-years, CAD, and PVD. Six weeks ago, he developed a wound in his left heel which measured 4cm by 2cm when he discovered it. Despite IV antibiotics and chemical debridement, the wound developed a gangrene infection. He is scheduled for a BKA of the left lower extremity tomorrow at 10:00 am. His meds include daily insulin, aspirin 325mg/day, Pletaal 100mg BID. Question: Dr. Ramos is Mr. Doe’s surgeon and Dr. Reyes is Mr. Doe’s anesthesiologist. Both come to see him and discuss the surgery the evening before. How does the nurse ensure informed consent? What must the patient consent to for the procedure to be done? (Discuss in 5-6 sentences)arrow_forwardWhen teaching the patient about the signs and symptoms of cardiac glycoside toxicity, the nurse should alert the patient to watch fora) visual changes such as photophobia.b) flickering lights or halos around lights.c) dizziness when standing upd) increased urine output.arrow_forwardWhich of the following is not a condition the given drug structure is used for? a Bronchoconstriction b Hypertension c Hemorrhagic situation d Hypotensionarrow_forward
- The drug label reads 1000mcg in 2 ml. The order is 0.4 mg. Calculate the volume (mL) necessary to administer the desired dose and express the answer to the nearest tenth. Group of answer choices 0.8 mL 1.6 mL 0.6 mL 0.2 mLarrow_forward(CASE 3) Please refer to the patient's urinalysis result below: A patient is admitted following a vehicular accident causing massive crush injuries. Which of the following microscopic and chemical examinations show a clear discrepancy? Choose all that apply. a) RBC b) WBC c) Epithelial cell d) Bacteria e) Leukocytes (Urine strip) f) Protein (Urine strip) g) Blood (Urine strip) i) Nitrite (Urine strip)arrow_forwardCase Scenario John Doe, 53y.o., has a history of Type I diabetes mellitus, cigarette smoking 40 pack years, CAD, and PVD. Six weeks ago, he developed a wound in his left heel which measured 4cm by 2cm when he discovered it. Despite IV antibiotics and chemical debridement, the wound developed a gangrene infection. He is scheduled for a BKA of the left lower extremity tomorrow at 10:00am. His meds include daily insulin, aspirin 325mg/day, Pletaal 100mg BID. Summary: Given case: 53 years old, male History of Type-1 diabetes mellitus, CAD ( Coronary Artery Disease) PAD ( peripheral artery disease) Cigarette smoking 40 packs per year COMPLAINTS: 6 weeks ago, he developed a wound in his left heel. Despite antibiotics, patient developed a gangrene infection. ADVISE: To undergo BKA ( Below knee amputation) of left lower extremities MEDICATION: Daily insulin, aspirin 325 mg /day, pletaal 100 mg BD Post-operative Data: Post-operatively, Mr. Doe goes to the Post Anesthesia Care Unit…arrow_forward
- Case Scenario: John Doe, 53y.o., has a history of Type I diabetes mellitus, cigarette smoking 40 pack years, CAD, and PVD. Six weeks ago, he developed a wound in his left heel which measured 4cm by 2cm when he discovered it. Despite IV antibiotics and chemical debridement, the wound developed a gangrene infection. He is scheduled for a BKA of the left lower extremity tomorrow at 10:00am. His meds include daily insulin, aspirin 325mg/day, Pletaal 100mg BID. Please make 1 intraoperative NCP with 1 diagnosisarrow_forwardCase Scenario: John Doe, 53y.o., has a history of Type I diabetes mellitus, cigarette smoking 40 pack years, CAD, and PVD. Six weeks ago, he developed a wound in his left heel which measured 4cm by 2cm when he discovered it. Despite IV antibiotics and chemical debridement, the wound developed a gangrene infection. He is scheduled for a BKA of the left lower extremity tomorrow at 10:00am. His meds include daily insulin, aspirin 325mg/day, Pletaal 100mg BID. Question: During the admission assessment, the nurse questions Mr. Doe to determine if there is a latex allergy or sensitivity. Why is this essential to the patient’s safety? What symptoms would the nurse question Mr. Doe about in order to determine this? (Discuss in 3-5 sentences only)arrow_forwardAn IM injection is injected Question 4 options: A) into the muscle B) under the skin C) in the vein D) none of the abovearrow_forward
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