TASK No 4 KIDNEY PATHOLOGY Make a conclusion on the analysis Analysis of urine: Daily diuresis - 1500 ml Specific gravity Protein Glucose Acetone Erythrocytes - 15 in the field of view Leukocytes - 10-15 in the field of view Erythrocyte and hyaline cylinders 10-15 in the field of - view Blood test: Hemoglobin - 115 g/L Albumins - 30 g/L (norm: 35-50 g/L) Creatinine -150 µmol/L (norm: 60-120 µmol/L) Hemoglobin 100 g/L - 1.008 - 4 g/L - no - no Microscopy of urine sediment:
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- at 10:30 a.m. on Fridaythere are 250ml LIB when the physician reduces the drip rate to 20gtt/min. the drop factor is 15gtt/ml. at what time and day will the infusion be completed?use miitary time and round to the nearest minute.order 100 ml IV to run at 100 ml/hr. what is the drops/ min (gtt/min) for a) macrodrip tube (20 gtt/ml) b) microdrip (60 gtt/ min)Order Amikin (amikacin sulfate) 350 mg IVPB in 100 mL DW stat, infuse in 1 hour. Calculate the rate of flow in drops per minute. The drop factor is 10 gtt/mL. Round final answer to nearest gtt/min.
- Patient C: An 18 y/o healthy female presents for a routine physical examination. Patient has great difficulty producing a very small volume of urine despite not having urinated since early morning. During discussion with physician it is revealed that she has had only 2 cups of coffee and a donut to eat all day 1) What are the abnormal findings? 2) What is your diagnosis? 3)What suggestions might you have for this patient? 4) Why does the body form concentrated urine? and where in the kidney does urine concentration occur? 5) Why is an extended water fast a bad idea?The provider ordered lactated Ringers (LR) to infuse at 50 mL/hr for the next 24 hours. How many liters of LR will infuse? (Record answer to the tenth, or one decimal place. Do not use a trailing zero.)ASSESSMENT EXERCISES: IDENTIFYING OBJECTIVE AND SUBJECTIVE DATA Scenario: Cherisha Martin, a 56-year-old African American woman, was seen at the clinic with multiple urinary system complaints. She reports that her urine is cloudy, is amber-colored, and has a pungent odor. She has an urge to urinate more frequently; however, she voids small amounts. Two days ago, she saw blood in her urine. Her vital signs are blood pressure, 142/92 mm Hg; pulse rate, 78 beats/min and regular; respirations, 20 breathes/min; temperature, 100.4°F. List abnormal subjective data from the case scenario above. List abnormal objective data from the case scenario above.
- Patient WY 58 y/o weighs 130 lbs is diagnosed with pneumonia. Her physician requested for serum creatinine test and the result is 8.5mg/dL. Because of her current condition, her attending physician prescribed Amoxicillin 500mg PO Q12. Is the order correct based on the renal function of the patient? If incorrect, what is your recommended regimen? CrCl 10 to 30 mL/min: 250 to 500 mg orally every 12 hours CrCl 9 mL/min or less: 250 to 500 mg orally every 24 hours The 875 mg tablets and the 775 mg extended-release tablets should not be given to patients with CrCl less than 30 mL/minNEED SUPER ASAP THANKS Doctor's order says infuse 500 ml of D5 ½ Normal saline over 5 hours Drop factor 10 gtts/ml. Calculate the flow rate in drops per minutes. Show the computation Final answer to the nearest whole number.1. Dr order 1000 mL D5W to run for 8 hrs. drip factor 15 gtt/mL. caculate driprate
- LAB ACTIVITY 5.1 1. What might happen if the tourniquet is left for more than two minutes? How about if the tourniquet is tied too tight or too close to venipuncture site? 2. Why is collecting blood in the foot prohibited for patients with diabetes mellitus LABORATORY ACTIVITY 5.2 1. Give the advantages and disadvantages of using the “open system” and “closed system” in venipuncture. 2. Why are specimens for bilirubin testing protected from light? Discuss handling procedures for bilirubin samples. LABORATORY ACTIVITY 5.3 1. What are the consequences if an EDTA tube is filled first before a red top tube? 2. What must be done if an admitted patient refuses to blood extraction? LABORATORY ACTIVITY 5.4 1. Why should we not label tubes prior to blood collection? 2. Compare and contrast “NPO” from “fasting”. LABORATORY ACTIVITY 5.5 1. Why must a discard tube should be collected first before an anticoagulated tube when using a “butterfly” to collect blood? 2. What is “EMLA”? Give its purpose.Give typed explanation of all three otherwise leave it Answer the following questions: 1) The client for whom you are caring had the following for breakfast: 4 fluid ounces of milk, 6 fluid ounces of coffee, scrambled eggs, and one piece of toast. The client voided 4 fluid ounces of urine this morning. What is the person's fluid intake in millilitres? What is the person's fluid output in millilitres? 2) You are assisting with a 24-hour urine collection on a client assigned to your care. The client is in the dining room and chooses not to return to his room to collect the specimen; instead he voids in the nearest bathroom. Is it okay to just collect one extra sample and continue the collection? 3.You are caring for a client with Clostridium difficile.What precautions should you follow?Give Vancomycin 1g Q 12hr. Available is vancomycin inject 1g in 0.9% NaCl 250mL to infuse over 60 min. How many mL/hr should a nurse set an IV pump at? (round to nearest whole number)