This is the case study of Mr. Jones‚ a 65 year old male‚ who was admitted to the emergency department with persistent cough and episodes of chest pain over the last five days. He appeared to be experiencing worsening dyspnoea‚ fever and feeling unwell. It was also noted that he had a poor urine output over the last 24 hours. An indwelling catheter was inserted which only obtained 20 mLs of amber urine. Mr. Jones clinical assessment revealed that his Glasgow Coma Score was 11/15. He was opening
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Foundation of Professional Nursing Practice 1. The nurse In-charge in labor and delivery unit administered a dose of terbutaline to a client without checking the client’s pulse. The standard that would be used to determine if the nurse was negligent is: a. The physician’s orders. b. The action of a clinical nurse specialist who is recognized expert in the field. c. The statement in the drug literature about administration of terbutaline. d. The actions of a reasonably prudent nurse with similar
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The Car Accident: A Case Study in Acid-Base Balance Mr. Henderson‚ a 52-year-old male‚ was on his way to work during a heavy rainstorm when he lost control of his car and crossed into oncoming traffic where he collided head-on with a small delivery truck. Witnesses accessed the 911 emergency medical response system‚ and paramedics arrived quickly. The driver of the truck suffered only minor cuts and scrapes‚ but Mr. Henderson was having difficulty breathing and complaining of severe chest pain
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from skin and respiratory tract‚ sweat‚ water and electrolyte losses in urine and faeces: Skin 500‚ Lungs 400‚ Urine (0.5ml-1 ml /kg/ hr) 1500‚ Faeces 100. = 2500ml water lost. Usually balanced by an input of: ingested fluid 1500‚ solid food 800‚ metabolic water 400. Estimate usual daily fluid requirement as 1.5ml / kg /hr = 1.5 x 70 x 24 = 2520 i.e. approximately 1.5 to 2.5 l of fluid in per day for a 70kg person. Electrolytes Sodium: 1 mmol / kg / day Potassium 1 mmol / kg / day i.e. 50 to
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1) The functional unit of the kidney is the a- Calyx b- Nephron c- Collecting duct d- Pyramid 2) All of the following are components of the nephron except the: a- Loop of Henle b- Renal corpuscle c- Proximal tubule d- Renal pelvis 3) Plasma proteins are not commonly found in the urine because: a- All proteins are subsequently reabsorbed b- All of the plasma proteins are too large to fit through the filtration slits c- All proteins filtered
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Neoplastic diseases are the result of an uncontrolled growth of abnormal cells subsequently forming a tissue mass. Mammary gland tumors are neoplastic tumors of the mammary glands. These tumors are more common in canine and feline female animals and rarely occur in large domestic animals. Mice are also affected by mammary gland tumors. Although the incidence of mammary gland tumors are more often seen in female canines than female felines‚ the malignancy rate is higher in felines. The cause of mammary
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of 4 questions correctly. 1. Hyperventilation results in You correctly answered: b. respiratory alkalosis. 2. With hyperventilation‚ the higher peaks on the tracing indicate You correctly answered: a. a larger volume of air. 3. Which of the following is not a potential cause of respiratory alkalosis? You correctly answered: d. emphysema 4. The kidneys can compensate for respiratory alkalosis by You correctly answered: b. retaining H+ and excreting bicarbonate ion. 09/06/14 page 4
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RAK MEDICAL & HEALTH SCIENCES UNIVERSITY RAK COLLEGE OF NURSING- RNBSN YEAR 1 ADVANCED NURSING CONCEPT -3&4 PROBLEM BASED LEARNING-NO.1 GROUP 3 Name of the Faculty: Vimala Edwin Date: 15-01-2013 Group Leader: Jayanthi Scriber: Joncy Kutty Samuel Group 3 Roll No: From (31-40) Group Members: 1. 12090531 Elizabeth Thomas 2. 12090532 Susan 3. 12090533 Joncy kutty Samuel 4. 12090534 Amble 5. 12090535 Amina
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include hypovolemia‚ acidosis‚ organ injury and multiorgan dysfunction. Intravenous fluid replacement such as Lactated Ringers are necessary to restore the circulating blood volume. Hypermetabolic phase occurs when fluid resuscitation (into the vascular system) is effective. This response causes a massive shift in catecholamines and corticosteroids causing increased cardiac oxygen consumption and cardiac work. Proteins and amino acids are mobilized to meet the metabolic and energy demands. Lean
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CARDIOVASCULAR Dsyrhythmias * Etiology * Disturbances in automaticity – initiation of impulse is altered * Disturbances in conduction – alteration in the speed the impulse travels * Reentry of impulses – cardiac tissue is depolarized multiple times by the same impulse * Speed‚ distance and location can be changed or affected (blockages cause change in heart rhythm) * Risk factors * Cardiovascular disease‚ MI * MI – death of tissue – no electricity
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