A patient 65 years old after a subtotal resection of the thyroid gland complained of weight gain, muscle weakness, fatigue, memory impairment, swelling of the face and extremities. At inspection: the face is pale and edematic, the skin is dry. Patient's speech is indistinct. Body temperature - 35.4° C, the pulse is very slow, arterial pressure is 95/60 mm Hg. Questions: 1. List the hormones that are synthesized in the thyroid gland. 2. What endocrine pathology does the patient have? 3. What is the cause of this endocrine pathology?
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- EXAMINATION PAPER ON PATHOLOGY № 6 TASK N 1 A patient, 50 years old, complains of sharp pains in the region of the heart and legs during a quick waking. He works as the director of a large plant, the work is associated with a constant psychoemotional overstrain. The patient smokes a lot. On examination: height - 180 cm, weight - 110 kg. The arterial pressure is 180/100 mm Hg, the heart rate is 130 beats / min. Skin of feet cold, pale. Angiography of the vessels of the heart and legs detected a narrowing of the lumen of the arterial vessels and ulceration of their walls as well. Questions: 5. List the stages of development of this disease, briefly describe each stage. 6. What stage of the disease is observed in the patient? 7. What are the possible complications of this disease?TASK N 2 A 45-year-old patient suffers from arterial hypertension. There are complaints about progressive obesity, weakness, fatigue, headaches. On examination: height - 170 cm, body weight - 96 kg. There are dyspnea at rest, edema of feet and calves. Arterial blood pressure is 190/95 mm Hg. A blood test for iodine-containing thyroid hormones and glucocorticoids is normal. General blood and urine tests are normal. Questions: 1. What types of typical pathological processes should the patient have? 2. List the patient's heart failure symptoms. 3. Describe heart failure by its origin, the mechanism of development, mainly affected part of the heart, the severity of the clinical course. 4. Explain the pathogenesis of edema in this patient. 5. Indicate the most likely morphological changes in the myocardium and coronary vessels of the patient. 6. Why hypertension is a risk factor for heart failure? 7. Why is obesity a risk factor for heart failure?TASK No 4 At a patient of 40 years old after a trauma of the right arm there was a pain, delicacy and difficulties of any movements. On examination: the skin is dry and thinned; there is atrophy and a decrease in the tone of skeletal muscles, weakening of tendon reflexes. Questions: 4. Describe the patient's hypokinesia for the prevalence of the lesion. 5. Explain the occurrence of muscle atrophy in the patient. 6. Explain the weakening of tendon reflexes in the patient. 7. What kind of sensitivity disorders are typical for this lesion?
- TASK No 4 At a patient of 40 years old after a trauma of the right arm there was a pain, delicacy and difficulties of any movements. On examination: the skin is dry and thinned; there is atrophy and a decrease in the tone of skeletal muscles, weakening of tendon reflexes. Questions: 1. Indicate the cause of hypokinesia in the patient. 2. Describe the level of damage that initiates the patient's hypokinesia. Justify the answer. 3. Describe the patient's hypokinesia by severity of lesions. Give the definition of this type of hypokinesia.Ordered; Nozinan 1'/2ounces subcut daily divided Into do ses for delirium lagitation• 3. Av ailable: NOzinan 2mg /ml Admiristered datly dose is Administered darly dose isGive me a rationale about this case scenario CASE SCENARIO #2 – The Client with Cognitive Disorder (Delirium) Meredith, who is 75 years old, and frail is admitted to the hospital with a fractured hip. She undergoes surgery to repair the hip and subsequently is sent to a general surgical unit. She appears alert and oriented, although she is in pain. She is receiving intravenous fluids and has an indwelling urinary catheter, both of which are to be discontinued in the morning. The evening of the first postoperative day, Meredith tells the nurse that bugs are on the walls and that she wants to leave this place. The nurse questions her and records that Meredith is no longer oriented to place or time: she also is having visual hallucinations. During the questioning, Meredith becomes mildly agitated and tells the nurse to get out. The nurse notifies the physician of the change in Meredith’s mental status. The physician orders CT Scanning to rule out a possible injury sustained in the…
- Question 3 Which of these orders would the nurse question? A Haldol 2mg IM STAT B Carbidopa/Levadopa 25/100 orally tid (C) ASA EC 81 mg daily by mouth D Morphine 10mg sublingually now, May repeat x 1 if neededTASK No 2 A 44-year-old patient, suffering from varicose veins for a long time, complains of calf muscle cramps and leg swelling, which increase with physical activity. On examination: skin is thin, cyanotic, edematous, cold to the touch. In the area of the inner ankle of the right leg, a painless ulcer is found. Questions: 1. Name the disorder of regional circulation that has led to the development of edema on the legs. 2. Give the definition of edema. 3. Name the initial pathogenetic factor of edema development in this case. 4. What other reasons can lead to the inclusion of this factor of edema development?PHARMACOLOGY IN PRACTICE MANAGING NEEDS A client has developed a headache following the use of prazosin for hypertension. Which of the following instructions should the nurse provide the client receiving prazosin? Select all that apply. 1. Lie down and elevate legs above head level. 2. Withhold administration of prazosin. 3. Apply a cool cloth over the forehead. 4. Engage in progressive body relaxation. 5. Take an analgesic drug for the pain.
- TASK №o 1 A patient of 19 years old felt weak, dizzy, pain in the neck, nausea after four hours spending in a hot bath. On examination: the skin is moist, strongly hyperemic. Body temperature is 39° C. Questions: 1. What pathological process has been developing in the patient? Give its definition. 2. Indicate the cause of this pathological process. 3. List the stages of development of this pathological condition. 4. Indicate its possible complications 5. Indicate changes in metabolism, typical for the pathological condition that has developed in the patient. 6. What type of typical pathological process (TPP) is needed to be differentiated in the patient? Give its definition. 7. Conduct a comparative analysis of this TPP and pathological process in the patient.Cerritos College Health Occupations Division PHAR 64 – Pharmacy Operations II Name: 1400 Medication Order Date/Time: Digorin 15 mcg/kg total dose – 50% of dose to be given stat; follow with 25% of dose in 6 hours and repeat in 12 hours. Infuse over 60 minutes. Start infusion stat. Candice Garcia 78 yrs female Wt:133 lb Pharmacy carries: Digoxin 0.5 mg/2 mL (250 mcg/ mL), 2 mL ampule. 1. Perform Calculations: Amount of medication to be added to 50 mL NS IVPB: Stat dose mL 2nd dose mL 2. Prepare IV & label for one dose; BUD is 24 3. Perform hand washing 4. Garb 5. Retrieve necessary materials 6. Clean the hood urs. 7. Prepare IV using sterile techniqueAssessment NURSING drug; mpg insulin 100 units per vial Dose orders; 10 units dose on hand; 100 units/ per vial. Give ( use insulin syringe) - _ units. If there is no insulin syringe, use 1 cc syringe. how many cc of insulin would you give..