Paul Wheat (PW) is a 23 y/o male who suffered a hit-and-run auto-pedestrian accident and sustained multiple abrasions, a concussion, and a deep laceration of his left thigh. He was discovered approximately 2 hours after the incident and is now in the emergency room [ER]. Paul’s initial diagnostic workup, vital signs and lab work reveal a 2500 mL blood loss. A urinary catheter is inserted to monitor urine output. Currently, Paul’s urine output is 15 mL/hr and is clear but dark amber in color. In addition to urine output, what laboratory data should be monitored to assess potential changes in PW’s renal function?
Q: A 73-year-old male complain with severe chest pain, irradiating to the left arm and jaw. The patient…
A: According to the question, the patient is presented with symptoms of severe chest pain which is…
Q: Scenario Client, Mary Smith, DOB 4/27/1976, was admitted to your unit yesterday with a bladder…
A: Urinary catherization: In this procedure tube is used to drain urine and for various etiological…
Q: John, age 24, is involved in an automobile accident. Ken, a paramedic, arrives on the scene and does…
A: When a person of a certain blood type is transfused with an incompatible blood type, hemolytic…
Q: Madre-Cacao, a 69-year-old patient with arteriosclerotic heart disease and diabetes mellitus…
A: The clinical abbreviation CPR stands for cardiopulmonary resuscitation. It is a life-saving…
Q: Document a brief neurologic exam on this patient.
A: Brief neurologic examination includes proper history , level of consciousness, orientation , speech…
Q: A 56 year old man with history of diabetes, stroke, and hypertension presents to the Emergency Room…
A: When a blood vessel in the brain is blocked or breaks, a stroke develops. A stroke disrupts the flow…
Q: Earnest, a 50-year-old man, has been very tired and irritable lately, and visits his healthcare…
A: Question is related to medical surgical Solution given below
Q: A 75-year-old male is brought to the emergency department by their spouse at 8 pm. The spouse…
A: The hospital emergency department delivers the medical services of those in need of urgent care as…
Q: Which response would the nurse expect to find in a patient with a phenytoin (Dilantin) level of 35…
A: Phenytoin is an anti-seizure medication sold under the brand name of Dilantin. It used for the…
Q: 8 year old male, brought in by ambulance following an alleged altercation where patient struck head…
A: Cushings reflex also known as vassopressor response occurs as a result of acute rise in the ICP…
Q: John, age 24, is involved in an automobile accident. Ken, a paramedic, arrives on the scene and does…
A: The contusion is a kind of injury that is mostly caused due to an automobile accident which takes…
Q: While downhill skiing, Jerry lost control and appeared to hit a tree, chest first. The ski patrol…
A: On assessment, it is found that: The patient has a chest injury. The patient is cyanotic and apneic…
Q: What class of antihyperlipidemic medication is pravastatin and what should Mrs. Smith be told about…
A: When there are high amounts of cholesterol in the blood Cholesterol builds up on the walls of…
Q: A 74-year-old man presents to the hospital after falling down a flight of stairs. EMS found him on…
A: Valproic acid is an epileptic drug , which is available only by prescription. It is available in…
Q: Mrs. Reyes, 71 yearsold, while doing household chores has fallen her front steps. She had a large…
A: Condition of the patient:- HR 125 which is above the normal limits (between 60-100 beats per min.)…
Q: A 55-year-old female was transported to the floor after recovering from a surgical procedure. An…
A: Opioids are major respiratory depressants that need to be handled with extreme caution. Over dosage…
Q: John, age 24, is involved in an automobile accident. Ken, a paramedic, arrives on the scene and does…
A: Contusion also known as hematoma, bruise, or ecchymosis is a condition of skin discoloration as a…
Q: John, age 24, is involved in an automobile accident. Ken, a paramedic, arrives on the scene and does…
A: About seven percent of the bodyweight is made up of blood. Severe loss of blood from the body can…
Q: A 39-year-old man, who previously considered himself to be practically healthy, felt severe pain in…
A: Acute left ventricular infarction develops in patients with hypertensive diseases, defects in heart…
Q: 18 year old male, brought in by ambulance following an alleged altercation where patient struck head…
A: The value of the nursing care provided to the patient is determined through evaluation. Evaluation…
Q: 3. Is 3% Sodium Chloride infusion recommended to be infused via peripheral line? Please provide…
A: 3% sodium chloride is a hypertonic solution which has omolarity of 900 mOsm/L. It is a life saving…
Q: increasing difficulty because she experiences severe pain
A: Peripheral artery disease results in poor circulation in the extremities and causes constriction of…
Q: A 62-year driver presented to you at the OPD with bilateral pedal swelling of 2 weeks duration. Your…
A: The accumulation or build-up of fluid in the lower legs and feet is known as pedal edema. It leads…
Q: 18 year old male, brought in by ambulance following an alleged altercation where patient struck head…
A: In the given scenario, Zach sustained a head injury as a result of his head been struck on the road…
Q: Description Mr. Santos , a 52 year old overweight smoker and IT consultant suddenly felt intense…
A: Myocardial infarction is also known as heart attack, it occurs when there is a blockage in the…
Q: John, age 24, is involved in an automobile accident. Ken, a paramedic, arrives on the scene and does…
A: Ans: Medical technologist: A highly skilled and technical person who is responsible for carrying out…
Q: Which nursing diagnosis is possible for a patient who is now recovering after having been under…
A: General anesthesia can be defined as the medication that is given to the patient before performing…
Q: The patient was said to have possible BPH.Describe this condition
A: Prostate gland It is a small accessory gland located between bladder and penis. Common disorder…
Q: 18 year old male, brought in by ambulance following an alleged altercation where patient struck head…
A: The number of breaths per minute could be a clinical marker of breath, as is the entry of air in and…
Q: What should be done with the needle and the needle holder that have become contaminated by piercing…
A: Contamination refers to the impairment of sterile environment that might lead to infection or…
Q: While downhill skiing, Jerry lost control and appeared to hit a tree, chest first. The ski patrol…
A: The top of the cervical spine consists of 2 vertebrae C1 and C2 that facilitates head rotational…
Q: John, age 24, is involved in an automobile accident. Ken, a paramedic, arrives on the scene and does…
A: A condition is when small blood vessels break open and leak blood into nearby tissues, it is a type…
Q: A 26-year-old male was returning from a neighborhood store with a six-pack of beer. He attempted to…
A: Immobility It is a modified state of mobility characterized by restricted movement due to loss of…
Q: Vital signs monitors give medical personnel an indication about the patient's condition and enable…
A: Nursing care is the field of clinical practice of administration of drug ,patient counselling and…
Q: Ms Young, a 68-year-old COPD patient exhibits dyspnea with minimal exertion. What specific…
A: Nutrition is a process in which an organism uses food to support its life as food provides energy…
Q: A 55-year-old army captain was admitted to the ward for a general checkup. History revealed that…
A: Pulse is the rhythmic and regular expansion of the whistle wall that is caused due to the…
Q: Nick Vastolla is a senior on his lacrosse team. He is running down the field, with the ball in the…
A: 1. Based on this scenario, what do you know about Mr. Vastolla injury
Q: After John completes his morning assessments, he reviews the MAR and sees he has several medications…
A: Nursing prioritization is an action based on the urgency and importance of order, it can affect the…
Q: Paul Wheat (PW) is a 23 y/o male who suffered a hit-and-run auto-pedestrian accident and sustained…
A: Following an accident or infection, acute kidney failure may be seen. This could be due to the…
Q: Mr. D Mr. D is a 90-year-old man who was admitted to the hospital with complaints of nausea,…
A: Myocardial infarction (MI) also called heart failure. It occurs due to insufficient supply of…
Q: 18 year old male, brought in by ambulance following an alleged altercation where patient struck head…
A: In Zach's case he underwent an accident with head hit on the road. The GCS score may be seen…
Q: Q1.Besides vital signs, list two (2) priority nursing assessments you would include for this patient…
A: Q 1 . Priority assessment after return from surgery 1 . First assessment or checking for any…
Q: Any sudden change in vital signs can be extremely important. Hector Garcia has been given an…
A: Medical conditions are the associated medical illness in patient .They are also associated with…
Q: Paul Wheat (PW) is a 23 y/o male who suffered a hit-and-run auto-pedestrian accident and sustained…
A: The ability of the loss of the filtering capacity of the kidney can lead to kidney failure. Based on…
Q: John, an overweight 49-year-old man with history of diabetes and hypertension is playing soccer.…
A: Some risk factors in this patient are : Diabetes Hypertension Overweight Clinical presentation:…
Q: 18 year old male, brought in by ambulance following an alleged altercation where patient struck head…
A: Zac was admitted for observation due to a possible history of head trauma. His blood pressure is…
phathophysiology
Paul Wheat (PW) is a 23 y/o male who suffered a hit-and-run auto-pedestrian accident and sustained multiple abrasions, a concussion, and a deep laceration of his left thigh. He was discovered approximately 2 hours after the incident and is now in the emergency room [ER]. Paul’s initial diagnostic workup, vital signs and lab work reveal a 2500 mL blood loss. A urinary catheter is inserted to monitor urine output. Currently, Paul’s urine output is 15 mL/hr and is clear but dark amber in color.
In addition to urine output, what laboratory data should be monitored to assess potential changes in PW’s renal function?
Trending now
This is a popular solution!
Step by step
Solved in 2 steps
- phathophysiology Paul Wheat (PW) is a 23 y/o male who suffered a hit-and-run auto-pedestrian accident and sustained multiple abrasions, a concussion, and a deep laceration of his left thigh. He was discovered approximately 2 hours after the incident and is now in the emergency room [ER]. Paul’s initial diagnostic workup, vital signs and lab work reveal a 2500 mL blood loss. A urinary catheter is inserted to monitor urine output. Currently, Paul’s urine output is 15 mL/hr and is clear but dark amber in color. Identify 3 other clinical problems (adverse outcomes) that may develop if PW’s renal function does not return to normal but continues to deteriorate?Pathophysiology Ron Strauss has smoked for many years and has developed chronic bronchitis. He also has a history of pulmonary hypertension and secondary polycythemia vera. His arterial blood gas (ABG) reveals respiratory acidosis with a PaO2, at 50 mm Hg and a PaCO2, at 60 mm Hg; At this clinic visit, it is noted on his chest x-ray, RS has an enlarged heart and diaphragm flattening. What clinical effects would RS’s respiratory disease have on his cardiovascular function?Pathophysiology Ron Strauss has smoked for many years and has developed chronic bronchitis. He also has a history of pulmonary hypertension and secondary polycythemia vera. His arterial blood gas (ABG) reveals respiratory acidosis with a PaO2, at 50 mm Hg and a PaCO2, at 60 mm Hg; At this clinic visit, it is noted on his chest x-ray, RS has an enlarged heart and diaphragm flattening. Why has RS developed secondary polycythemia vera?
- Pathophysiology Ron Strauss has smoked for many years and has developed chronic bronchitis. He also has a history of pulmonary hypertension and secondary polycythemia vera. His arterial blood gas (ABG) reveals respiratory acidosis with a PaO2, at 50 mm Hg and a PaCO2, at 60 mm Hg; At this clinic visit, it is noted on his chest x-ray, RS has an enlarged heart and diaphragm flattening. What pulmonary clinical signs and symptoms is RS exhibiting from chronic bronchitis?Patient D: 38 y/o male vegetarian. Complains of mild irritation during urination. Urine volume 1.1 liters/24 hours. Microscopic examination of urine revealed many small pyramid shaped crystals. 1) List the abnormal findings. 2) What is your diagnosis? 3) What might have caused this disease? 4) How does diet affect urine? 5) Have you ever tried drinking 12 large glasses of water in a day? Why would drinking water be helpful to this individual?Mr. B is a 57-year-old man who was admitted yesterday after starting to pass black stools. He has a two-day history of severe stomach pains and has suffered on and off with indigestion for some months. He is a life-long smoker, with mild chronic heart failure (CHF) for which he has been taking enalapril 5 mg twice daily for 2 years. He also recently started taking naproxen 500 mg twice daily for arthritis. He works a stressful job and drinks large amounts of caffeinated coffee daily. Yesterday his hemoglobin was reported as 9.3 g/dL, hematoocrit 30%, RBC's 3.2, platelets 162, INR 1.1 with Liver Function Test normal. He was mildly tachycardic (110 bpm) and had a slightly low blood pressure of 100/77 mmHg and was given 1.5 L of saline. He has just returned from an endoscopy this morning and has been newly diagnosed as having a bleeding duodenal ulcer. They took a biopsy to determine if he is positive for H-pylori. He has been written up for his usual medication for tomorrow if he is…
- Perfusion Case Scenario: Mrs Gloria reports that she is having increasing difficulty because she experiences severe pain in her calf muscles after walking for more than a city block. The pain subsides if she rests for a few minutes, but returns with activity. Her feet are cool and pale; pedal and posterior tibial pulses are not palpable, and femoral pulses are difficult to palpate. She lives in a downtown apartment and uses public transportation to travel across town to visit her husband’s grave weekly. Guide questions:a. What are the circulatory causes of her leg pain? Which risk factors would you expect to find in her history to support this conclusion?b. The doctor suggests that Mrs Gloria cease her visits to the cemetery since she has to walk a long way there to reach the grave site. Would you agree with this plan? Why or why not? What considerations or viewpoints influence your choice?c. Mrs Gloria says that she wears support stockings because her friend told her they help the…Patient presented to the emergency department with a chief complaint of feeling weak, tired, and lethargic. The patient states, "I've just been feeling run down and I don't know why." She also states that she is currently on diuretics and has a history of type I DM, HTN, and stage 3 chronic kidney disease. According to her caregiver and family, she has had difficulty breathing on minimal exertion and constantly appears "winded" even at rest. She reports that she is currently unable to ambulate and has been feeling lethargic for three days. According to her family, since her discharge from the hospital one month ago her respiratory status has not returned to normal. She also reports having a history of muscle cramping in her lower leg, but currently there is none present. She has been using 2L of oxygen via nasal cannula and just a few days ago her Lasix dose was doubled to help manage her CHF symptoms. She reports her quality of life has significantly declined in the last month and she…CASE HISTORY 2 The patient was a 19-year-old male who was brought to the emergency room by his sister. He gave a 24-hour history of dysuria and noted some “pus-like” drainage in his underwear and on the tip of his penis. Urine appeared clear, and urine culture was negative although urinalysis was positive for leukocyte esterase and multiple white cells were seen on microscopic examination of urine. He gave a history of being sexually active with five or six partners in the past 6 months. He claimed that he and his partners had not had any sexually transmitted diseases. His physical exam was significant for a yellow urethral discharge and tenderness at the tip of the penis. (A Gram stain done in the emergency room is shown in Fig. 1). He was given antimicrobial agents and scheduled for a follow-up visit 1 week later. He did not return. QUESTIONS: What pathogen caused the disease? Briefly describe the epidemiology and pathogenesis of this disease. What is the morphology and staining…
- Patient presented to the emergency department with a chief complaint of feeling weak, tired, and lethargic. The patient states, "I've just been feeling run down and I don't know why." She also states that she is currently on diuretics and has a history of type I DM, HTN, and stage 3 chronic kidney disease. According to her caregiver and family, she has had difficulty breathing on minimal exertion and constantly appears "winded" even at rest. She reports that she is currently unable to ambulate and has been feeling lethargic for three days. According to her family, since her discharge from the hospital one month ago her respiratory status has not returned to normal. She also reports having a history of muscle cramping in her lower leg, but currently there is none present. She has been using 2L of oxygen via nasal cannula and just a few days ago her Lasix dose was doubled to help manage her CHF symptoms. She reports her quality of life has significantly declined in the last month and she…Patient M., 36 y/o, was found in the street unconscious. The patient has a medical history of diabetes. There is a smell of alcohol from the mouth. The skin is moist, warm, arterial pressure -145/90 mm column of mercury, convulsive twitching of muscles. Breathing is shallow, eye ball tone is retained, pupils are dilated, hyperflexion. How would you treat this patients?A. Intravenous introduction of 40-80-100 ml 40% glucose solution B. Injecting 20 units of insulin subcutaneouslyC. Injecting 20 units of insulin intravenouslyD. Injecting 500 ml 5% glucose solution intravenouslyE. Injecting 500 ml 0.9% sodium chloride intravenouslyA 24-year-old male presented with confusion, shortness of breath, and painful calves. It was reported by a friend that he had been lying on the floor for several hours. He was a known intravenous heroin and alcohol abuser. On examination he appeared dehydrated and cold (tem- perature 35°C); his pulse was 75/minute and blood pres- sure 110/70 mmHg. Intravenous injection sites were apparent. His urine was dark coloured. His chest was clear. Arterial blood gases were done in the casualty department and a blood sample was sent to the pathology department and gave the following results (reference ranges are given in brackets): Arterial blood pH PCO₂ PO₂ HCO3- Serum Sodium Potassium Creatinine Calcium Albumin Phosphate Creatine kinase C-reactive protein 7.276 4.82 KPa 12.7 kPa 18.0 mmol/L 138 mmol/L 7.6 mmol/L 236 μmol/L 1.66 mmol/L 32 g/L 2.43 mmol/L >140,000 U/L 73 mg/L (7.35-7.45) (4.7-6.0) (12.0-14.6) (24-29) (135-145) (3.8-5.0) (71-133) (2.10-2.55) (35-50) (0.87-1.45) (55-170) (<10) The…