__________________________________________________ 1.1 Case Study Overview Jim‚ a 57 year old male‚ currently on the post surgery ward 8 days following a total right hip replacement began to deteriorate displaying signs of respiratory distress. Upon a review by the medical team Jim was diagnosed as having exacerbated COPD and prescribed prednisolone [refer to appendix A for details of Jim’s situation and presentation]. 1.2 Prednisolone Overview
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Fluid and Electrolytes Homeostasis t State of equilibrium in internal environment of body‚ naturally maintained by adaptive responses that promote healthy survival t Body fluids and electrolytes play an important role Water Content of the Body t Accounts for 60% of body weight in adult t 70-80% of body weight in infant t Varies with gender‚ body mass‚ and age Compartments t Intracellular fluid (ICF) t Extracellular fluid (ECF) l Intravascular (plasma) l Interstitial t Transcellular
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Bladen has alkalosis. For whatever reason her bicarbonate amounts are much too high which could be the reason why her blood is alkaline. She has been vomiting which could be why the amount of hydrogen ions in her body have decreased in number. The vomiting can also cause
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NS 3205 Study Guide for Final Exam Chapter 42 Care of Patients with Hematologic Problems 1. Identify the etiologies and clinical manifestations common to all types of anemia. (See Table 42-1 p 870 and Chart 42-1 p 871) Common Cause Sickle cell disease: autosomal recessive inheritance of two defective gene alleles for hemoglobin synthesis Glucose-6-phosphate dehydrogenase (G6PD) deficiency anemia: X-linked recessive deficiency of enzyme G6PD Autoimmune hemolytic anemia: abnormal
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Pathophysiology of shock Therapy Systemic Inflammatory Response Syndrome (SIRS) ● ● ● ● ● Systemic inflammatory response to a variety of severe clinical insults manifested by ≥ 2 of the following conditions Temperature >38ºC or 90 beats/min Respiratory rate >20 breaths/min or PaCO2 ‚100 beats/min) Increased cardiac output (hyperdynamic)‚ although contractility is depressed; hypodynamic in late shock Ventricular dilation; decreased ejection fraction Loss of sympathetic responsiveness ● ●
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fluids (IVF) immediately B) Oral replacement fluids in small sips C) Prochlorperazine (Chlorpazine®) 12.5 mg IM D) Ciprofloxacin (Cipro®) 500 mg PO Category: Respiratory (4) An obese 33-year-old female presents with sudden onset of left-sided chest pain and shortness of breath. She is diaphoretic‚ pale‚ and in acute respiratory distress. There is no history of trauma‚ fever‚ nausea or vomiting. Medical Hx is unremarkable. Current Meds: Birth Control Pills. VS: BP = 100/60‚ HR = 118‚ RR = 36
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Her pulse is normal. Her respiratory rate is elevated. Lab Values: see table in learning module 1. List the abnormal symptoms or conditions the patient is exhibiting a. Fatigue‚ malaise‚ dizziness‚ blurred vision‚ numbness in the right foot‚ weight loss‚ respiratory rate elevated 2. List any abnormal lab values the patient has Acidosis‚ glucose in uring‚ ketones in urine‚ and slightly higher specificity gravity 3. Explain the cause of each abnormal lab value Acidosis is from excess production
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investigation in the emergency department‚ Mr. Jones was commenced on Normal Saline at 125 mls/hr and he was given oxygen via non rebreather mask at 10L/min. He was then transferred to the intensive care unit for respiratory and circulatory support and a provisional diagnosis of sepsis due to a respiratory source. Sepsis is a condition characterized by a systemic inflammation response syndrome (SIRS) and the presence of infection (Steen 2009:48). This is the cascade of inflammatory events that are part
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confirmed ketonuria or for the abnormal amount of ketones. As a result‚ she was sent to the intensive care unit for metabolic acidosis or when the body makes too much acid or when the kidneys are not sufficient when removing acid from the body. There are four things that are when ingested‚ are known to cause metabolic acidosis: methanol‚ ethylene glycol‚ L- or D-lactate acidosis‚ or ketoacidosis (from diabetes mellitus‚ alcohol‚ or starvation). Doctors found that she did not ingest any of these things
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Ch 14‚ 15‚ 18 1. Fluid surrounding the cells is called ______________ fluid. 2. The largest portion of a person’s body weight is contributed by: a. water b. fat c. bone d. muscle 3. Which of the following electrolytes are anions? (select all that apply) a. sodium b. calcium c. chloride d. bicarbonate 4. The movement of water across a membrane from a less concentrated solution to a more concentrated solution
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