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- A 65-year-old m a n with a 5-year history of alcoholic cirrhosis comes to the physician for a follow-up examination. Physical examination shows palmar erythema, gynecomastia and moderate ascites. Laboratory studies show an increased prothrombin time. Replacement of which of the following coagulation factors is most likely to improve this patient’s prothrombin time ?A) Factor VII (proconvertin)B) Factor VIII (antihemophilic factor)C) Factor IX (plasma thromboplastin component) D) Factor X (Stuart factor)E) Factor XI (plasma thromboplastin antecedent) F) Factor XII (Hageman factor)A nurse is administering a blood transfusion for a patient following surgery. During the transfusion, the patient dis-plays signs of dyspnea, dry cough, and pulmonary edema. What would be the nurse’s priority actions related to thesesymptoms?a. Slow or stop the infusion; monitor vital signs, notify thephysician, place the patient in upright position with feetdependent.b. Stop the transfusion immediately and keep the vein openwith normal saline, notify the physician stat, administerantihistamine parenterally as needed.c. Stop the transfusion immediately and keep the veinopen with normal saline, notify the physician, andtreat symptoms.d. Stop the infusion immediately, obtain a culture of thepatient’s blood, monitor vital signs, notify the physician,administer antibiotics stat.A male patients who is 83-year-old , was admitted to a local hospital with recurrent urinary tract bleeding and an infection associated with prostatitis ( inflammation of the prostate) . He had a CBC upon admission. The results were: RBC: 4.15 X1012/ L Hb: 81 g/L Hct: 26% Platelets: 174 X109/L WBC: 2.8 X109/L Reticulocyte count: 2.6% Serum iron: 18 μg/dL TIBC: 425 μg/dL a. How would you describe his anemia morphologically? b Calculate % saturation. ( normal to be more than 15%) c. Is this value normal, decreased,o r increased?
- A patient came to the clinic with a complaint of malaise. She said she’s been feeling week since the start of the online class and she feels stressed about the piles of deadlines, on top of that, she’s also experiencing dysmenorrhea and abnormally high flow of menstruation. Her CBC revealed decreased RBC and hemoglobin. What is the type of anemia is most likely being experienced by the patient? a. G6PD deficiency b.Sickle cell anemia c.pernicious anemia d.Iron deficiency anemiaExplain each: Why observe the following when doing ETS blood collection? a. Expiry date of blood collection tube b. Proper assembly of adapter, needle, and collection tubes Cleaning of puncture site in an inward to outward circular motion c. Puncture site after antiseptic has air dried d. Mixing blood and no pre-labelling of collection tubes e. Removal of tourniquet prior to needle drawing from vein f. Applying pressure to the site after blood collectionThe patient complains about intense pain in the right iliac region, vomiting, and a fever of 38.5° C. In the analysis of blood: neutrophilic leukocytosis, an increase in the rate of erythrocyte sedimentation. The patient is operated on. In the area of the operating wound, an appendix of dark red color was found, in the lumen of which there was yellow-green liquid. ins: 6. What are the components of this TPP? Give their definition. 7. Indicate the type of TPP in the patient, according to its predominant component.