3 year old child has been diagnosed with moderate dehydration. Describe the compensatory mechanisms that explain these signs and symptoms seen in the child: HR 140 and BP 100/60 RR 32 and SpO2 99% Include in your answer how these signs and symptoms compare to expected findings in a well 3-year-old child.
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3 year old child has been diagnosed with moderate dehydration. Describe the compensatory mechanisms that explain these signs and symptoms seen in the child:
- HR 140 and BP 100/60
- RR 32 and SpO2 99%
Include in your answer how these signs and symptoms compare to expected findings in a well 3-year-old child.
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- Please identify the 3 signs of pre-eclampsia (or Pregnancy Induced Hypertension) from the list below: Select one or more: O a. Severe Oedema Ob. Glycosuria Oc. Swollen ankles during hot weather O d. Larger than averge baby Oe. Proteinuria Of. Hypertension O g. Feeling dizzySex : 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.Pt is 69 years old male, complaining of dizziness, falls and getting up to use the bathroom at night. Recently dx with BPH and ED. Has SULFA allergies. Vitals - BP:112/66 TSA: 3.0 HTN - Lisinopril 10mg Hypothyroidism - Levothyroxine 50mcg BPH - Doxazosin 2mg Can I give Finastiride and Viagra to help with BPH and ED symptoms?
- Betty Cooper, 25-y/o-female, is admitted to the emergency department with decreasing level of consciousness. She is 98lbs and stands at 5ft. She has a history of diabetes mellitus since she was 9 years of age. A physical assessment and laboratory data reveal the following:➢ Dry skin, poor turgor > Serum glucose = 504mg/dl➢ RR = 40cpm, rapid and deep & labored > Serum Na = 130 mEq/L➢ HR = 118bpm, weak pulse > Serum K = 5 mEq/L➢ Temp = 98°F > Serum Cl = 108 mEq/L ➢ BP = 110/70 mmHg > BUN = 74.68 mg/dL➢ ABG: pH = 7.15; HCO3; 13mEq/L; pCO2 = 35 mEq/L1. Calculate Betty’s serum osmolality. 2. What type of diabetes mellitus does Betty possibly have? Why? 3. Which complication of diabetes mellitus does Xia possibly have, diabetic ketoacidosis or hyperglycemic hyperosmolar state? Why? 4. What is the 1st priority nursing management and medical management? Why?84. A 35-year-old man comes to the physician because of a 3-day history of tingling in his fingers and muscle cramps. Tapping over the facial nerve produces ipsilateral contraction of the facial muscles. His serum calcium concentration is 7.2 mg/dL. Serum concentrations of vitamin D and 25-hydroxycholecalciferol are within the reference range, serum 1,25-dihydroxycholecalciferol concentration is 5 pg/mL (N=18-65). Disease in which of the following is the most likely cause of this patient's findings? A) Bone B) Gut C) Kidney D) Liver E) Lungs F) SkinPathology results of a DKA diagnosed patient are as follows: Glucose 28 mmol/L Potassium 5.8 mEq/L Explain the above values and describe the pathophysiology associated with these results.
- Determine the following client's 24 hour total intake using the following data: 24 hr. Intake 100 ml/hr of IV fluid Give 6 oz. of water with 0900,1300, 1700, and 2100 meds 80 ml of "Boost Shake" BID (2 times a day) 4 oz. of milk with breakfast, lunch and dinner 2 teaspoons of cough syrup @ 1000 and 2200 X Liter of diet coke brought in by family @ 1900 Total Intake Determine the client's 24 hour total output using the following data: 24 hr. Output @0800 voided 400 ml @1300 voided 300 ml @1800voided350ml @2200voided 375 ml @0600voided 625 ml @ 1400 the client had an emesis of 200 ml @ 1800 the client had a liquid stool of 6 teaspoons @ 1800client had wound drainage from Jackson Pratt wound drain of 3 oz. Total Output.A patient of 48 years old complains of irritability, fatigue, weight loss with increased appetite, sweating, sleep disturbance. At inspection: body temperature - 37,6 C, the skin is wet and hot to the touch. There is a tremor of the fingers. The border of the heart is widened to the left, the pulse is 130 beats per minute, arterial pressure is 150/70 mm Hg. Thyroid gland is diffusely enlarged, soft and elastic, with palpation. Exophthalmos is noted. Pathological immunoglobulins (LATS - factors) were found in the patient's blood. Questions: 4. How must be changed the metabolism of lipids, proteins and fats change in this pathology? 5. Describe the mechanism of development of arterial hypertension in the patient. 6. Describe the mechanism of exophthalmos development in the patient. 7. Name the most dangerous complication of the patient's disease.A 56-year-old woman named Cranberry complained during her yearly physical examination of tiredness and difficulty concentrating. She attributed these symptoms to stress at work. She had gained weight over the last year and despite warm weather, she felt chilled without a sweater. Family history was significant for hypothyroidism in her mother and older sister. On physical examination she had a pulse of 58 bpm and a blood pressure of 138/88 mm Hg. Examination of her neck disclosed a small thyroid gland with a palpable pyramidal lobe and a firm, bosselated texture. Serum taken at this time demonstrated a total T4 of 7.0 mcg/dL and a TSH of 22.0 mcIU/ml. In addition, antithyroglobulin antibodies were positive at 1:640 and antimicrosomal antibodies were positive at 1:5120. These results supported the clinical impression of hypothyroidism; also, the texture of her thyroid gland and a positive family history suggested an autoimmune etiological factor. Create a Nursing Care Plan focusing…
- Determine the following client's 24 hour total intake using the following data: 24 hr. Intake 100 ml/hr of IV fluid Give 6 oz. of water with 0900,1300, 1700, and 2100 meds 80 ml of "Boost Shake" BID (2 times a day) 4 oz. of milk with breakfast, lunch and dinner 2 teaspoons of cough syrup @ 1000 and 2200 Pt drink 1/2 Liter of diet coke brought in by family @ 1900 Total Intake Determine the client's 24 hour total output using the following data: 24 hr. Output @0800 voided 400 ml @1300 voided 300 ml @1800voided350ml @2200voided 375 ml @0600voided 625 ml @1400 the client had an emesis of 200 ml @ 1800 the client had a liquid stool of 6 teaspoons@ @1800client had wound drainage from Jackson Pratt wound drain of 3 oz. Total Output.In addition to symptoms of diabetes, which of the following correctly identifies criteria used to diagnose diabetes (select all that apply) O Random plasma glucose concentration > 200 mg/dL. O Fasting plasma glucose > 100 mg/dL. O 2-Hour glucose > 180 mg/dL during a 2 hour post prandial glucose test O Hemoglobin A1C > 6.5%