Chapter 6 – Case Study 1 Mr. E.‚ age 53‚ has a history of alcoholism and came to his physician because of recent anorexia‚ nausea‚ and diarrhea‚ as well as heart palpitations and fatigue. He has been taking his diuretic tablet‚ but not his vitamin and mineral supplement. An ECG and blood tests indicate hypokalemia. Discussion Questions 1. Discuss the possible factors contributing to his electrolyte imbalance and the rationale for his signs and symptoms. 2. What are the signs of hypokalemia and
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into the renal pelvis. [4]The glomerular filtration barrier consists of endothelial cells‚ the glomerular basement membrane and visceral epithelial cells. Figure 1 shows the basic anatomy of the kidney. [4] All molecules below the molecular size of albumin pass the filter and enter the tubule. An intricate counter current system forms a high osmotic gradient in the renal medulla that concentrates the filtrate.[4] The tubular epithelial cells reabsorb water‚ small proteins‚ amino acids‚ carbohydrates
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Childhood Malnutrition in Haiti Laura McConeghy Nursing in Health and Illness 332 Eldon Walker‚ MS‚ RN Fall 2012 Childhood Malnutrition in Haiti Most of the 10 million deaths among children worldwide age 5 years and younger are preventable. Childhood malnutrition is the underlying factor of 3.5 million deaths or 35% of the disease burden in children less than 5 years old. Children in Haiti are born into some of the harshest conditions on the planet‚ and are “left at a disadvantage in terms
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Business name: mercury drugs Logo Product: pharmacy‚ drug BagumbayanStreet‚ Sta. Cruz‚ Manila‚ Philippines (1945) The company began in 1945 with a single drugstore owned by Mariano Que. He named it after Mercury‚ the messenger of the gods in Roman mythology‚ whose caduceus is sometimes used as a symbol of medicine. The store began cutting packaged‚ bulk items into single pieces and selling them individually; this practise is colloquially called tingí-tingì in Filipino. Upon the invitation
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Running Head: NURSING CASE STUDY. AS‚ is a 74 year old male. He is married and has 3 children‚ and a few grand children. He lives in south bend with his wife and his youngest daughter. He seemed to be a family man. His family was in and out of the hospital while he was there. He is a very outspoken person; his family was very supportive.AS‚ formally worked for the city but is now retired. He is a full code with no known drug allergies. He presented to the emergency room with a fever
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The Great Metabolic Race Organisms are constantly undergoing various chemical reactions and pathways that enable for them to maintain life. These pathways are part of metabolism‚ involving catabolism (break down of organic nutrients for extraction of useful) and anabolism (energy dependent conversion of small precursor molecules in complex molecules); some of which are energy coupled to provide energy efficiency. This intermediate coupling is due to the “energy currency” within the body‚ known as
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91% Water * 7% Protein * 2% Others (Ions‚nutrients) Plasma contains dissolved proteins. * Albumin – makes of 58% of the plasma protein. Important contribution in Osmotic Pressure. * Globulin – 38%. These are antibodies; has clotting factors. * Fibrinogen – 4%. Activation of clotting factors converts fibrinogen to fibrin‚ a threadlike protein that forms blood clots. Serum is plasma w/o clotting factors. Formed Elements * Red blood cells or erythrocytes constitute 95% of
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ordinary d) exertion. e) Class IV. Degree of effort necessary to elicit CHF symptoms occurs while at rest. Substances That May Exacerbate Heart Failure; Promote Sodium Retention Produce Osmotic Effect Decrease Contractility Androgens Albumin Antiarrhythmic agents (e.g.‚
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Materials and Methods Growing the G Strain and Preparing the GCE (rGFP Crude Extract): To grow the bacterial culture‚ use 10 ml of liquid LB growth media for incubation. 500 ml of the bacterial culture is allowed to grow overnight at 37°C. It is later shaken vigorously to increase the OD600 to 0.5‚ which means that time equals zero. At time zero‚ 1 mL of the culture is transferred into a 1.5 mL centrifuge tube and centrifuged for 5-10 minutes to obtain a pellet. The supernatant should be discarded
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ACUTE-ON-CHRONIC LIVER FAILURE: APPLYING THE PIRO CONCEPT Danielle Adebayo‚ Vincenzo Morabito‚ Rajiv Jalan Liver Failure Group‚ UCL Institute for Liver and Digestive Health‚ UCL Medical School‚ Royal Free Hospital‚ London‚ UK Disclosure: No potential conflict of interest Citation: EMJ Hepatol. 2013;1:38-43. ABSTRACT Acute-on-chronic liver failure (ACLF)‚ a clinical syndrome associated with a dismal prognosis‚ occurs acutely in previously stable cirrhotic patients. An important feature
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