Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN: 9780134807355
Author: Marieb
Publisher: PEARSON
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Chapter 28, Problem 3CCS
Summary Introduction
Introduction:
Ms. Johansen, a 38-year-old lady, is 26 weeks pregnant. Three weeks ago, she was diagnosed with preeclampsia and antihypertensive drugs were administered. She complains about a constant headache and exhibits edema. Moreover, her blood pressure rises continuously and is noted as 162/109 mmHg (millimeter of mercury). Her urinalysis has been analyzed to be positive for protein. Blood tests to determine platelet levels, as well as liver function, has been ordered by the doctor. The doctor advised her to put off the delivery if possible as the premature babies are highly prone to various health problems. Nonclosure of ductus arteriosus is one such problem.
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Patient B., 56 y/o, is complaining of weakness, muscle ache, paresthesia in the facial zone, lower extremities, tonic-clonic seizures, breathing difficulty. Anamnesis contains a record of previous subtotal resection of thyroid gland. Objectively: her consciousness is clouded, the skin is dry, cyanotic, “main d’accoucheur”(obstetrician’s hand) convulsions in the upper extremities swallowing function is disturbed, shortness of breath. Heart sounds are dull, rhythmical, arterial pressure – 115/55, pulse – 56 beats/minute. Positive Chvostek’s and Trusso’s symptoms. The level of calcium in the blood – 1.3mmol/l; hyperphosphatemia, hypocalciuria; glycemia –5.6mmol/l. What is your diagnosis?A. Hypocalcemic crisisB. Hypothyroid comaC. Kidney failureD. Hyperthyroid coma E. Brain coma
Mr. H is a 52-year-old male who presents to the emergency department. His left leg is in a cast, and he states that 1 week ago he was in an automobile crash and broke his upper leg. Since that time, he has had difficulty “getting around” and has mostly been lying on the couch watching television. On the evening of admission he noticed a sudden onset of dyspnea and chest pain. He denies having orthopnea, cough, hemoptysis, or wheezing. He smoked two packs of cigarettes a day for 19 years but quit 3 years ago.
The ABG analysis of Mr. H suggests uncompensated respiratory alkalosis with mild hypoxemia, with base excess of -1 in her arterial side, whereas -4 in her venous side.
Part 1: Her actual arterial-venous oxygen content difference (Ca-vO2) is 5.31 mL/dL. (Normal range considered here is 3.5 to 5 mL/dL)
Part 2: Patient's actual oxygen extraction ratio (O2ER) was 29%. (Say normal range is 20-28%)
What is clinically happening to the patient?
N.H. is a 76-year-old male admitted to the hospital through the emergency department. He fell outside his home. It appears that he may have sustained a fracture to his left hip. He has a history of type 2 diabetes mellitus and has a 40 pack-year smoking history that is now complicated by chronic obstructive pulmonary disease.
Data Collected (use only those that apply)
Complains of excruciating pain and tenderness in left hip
Pain not relieved with morphine
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Respiratory rate 36; crackles, expiratory wheeze
X-ray of left hip reveals extracapsular fracture
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Discussion Questions:
Considering the nursing process, list in order the steps in transferring patient from bed to chair post operatively.
Chapter 28 Solutions
Human Anatomy & Physiology (11th Edition)
Ch. 28 - Prob. 1RQCh. 28 - 2. Most systems are operational in the fetus by...Ch. 28 - Prob. 3RQCh. 28 - Match each adult structure in column B with the...Ch. 28 - Prob. 5RQCh. 28 - Prob. 6RQCh. 28 - Prob. 7RQCh. 28 - 11. The germ layer from which the epidermis and...Ch. 28 - Prob. 9RQCh. 28 - Prob. 10RQ
Ch. 28 - Prob. 14RQCh. 28 - Prob. 22RQCh. 28 - Prob. 15RQCh. 28 - Prob. 16RQCh. 28 - 19. The placenta is a marvelous, but temporary,...Ch. 28 - Prob. 17RQCh. 28 - 21. What is the function of gastrulation?
Ch. 28 - Prob. 11RQCh. 28 - Prob. 12RQCh. 28 - Prob. 19RQCh. 28 - Prob. 20RQCh. 28 - Prob. 13RQCh. 28 - Prob. 24RQCh. 28 - Prob. 25RQCh. 28 - Prob. 21RQCh. 28 - 38-Year-Old Female with Preeclampsia Ms. Johansen,...Ch. 28 - 38-Year-Old Female with Preeclampsia Ms. Johansen,...Ch. 28 - Prob. 3CCSCh. 28 - 38-Year-Old Female with Preeclampsia Ms. Johansen,...Ch. 28 - 38-Year-Old Female with Preeclampsia Ms. Johansen,...
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