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- 2. What will be the effect in prothrombin time if the patient is receiving therapeutic heparin? 3. Prothrombin Time is performed diagnostically when any coagulopathy is suspected. Explain the expected results of PT on the following coagulopathies: 3.1 Disseminated Intravascular Coagulation 3.2 Liver Disease SERUM PROTHROMBIN TIME 3.3 Vitamin K Deficiency 4. Illustrate and label the different steps of Serum Prothrombin Time.A 29 years old female, married, G1PO AOG 16 weeks, complained of vague abdaminal wall pain for 3 days, with slight fever and urgency. She took Paracetamol 500 mg and there was temporary relieved of symptoms. A few minutes prior to consultation, she noticed blood tinged urine. Husband is an overseas worker (Seaman). What is the probable clinical impression on consultation? Acute cystitis. hemorrhagic Acute pyclonephritis complicated Acute pyelonephritis uncomplicated Acute urethritis syndrome1. Enumerate the different factors that interfere with the validity of prothrombin time (PT) results. 2. What will be the effect in prothrombin time if the patient is receiving therapeutic heparin? 3. Prothrombin Time is performed diagnostically when any coagulopathy is suspected. Explain the expected results of PT on the following coagulopathies: 3.1 Disseminated Intravascular Coagulation 3.2 Liver Disease SERUM PROTHROMBIN TIME 3.3 Vitamin K Deficiency 4. Illustrate and label the different steps of Serum Prothrombin Time.
- SHOW WorisiNG A client with dehydr atiun has been ordered NS 2L over b hrs. 9) what 1s the rate In mL/ hr? b) what Imin using drop factUr of 109tt/mL? tubing that Is the rate In has a C) If the nurse starts the Infusiun with lo00mL bag of at 1030, when Should she escpect to hang the secomd l000 mL bag?1. Differentiate the 2 specific types of VDRL namely: 1.1 quantitative VDRL 1.2 qualitative VDRL 2. Describe the principle behind the RPR (Rapid Plasma Reagin) Test. 3. What precautionary measures should be observed in the collection and preparation of specimen for VDRL examination?35 year old white male presents to the ER with low back pain for two weeks with increasing severity. He had a normal Lumbar spine X-ray and had a normal CBC and blood chemistry. A urinalyisis was done to look for signs of nephrolithiasis and showed no white cells or red blood cells but large protein and no bacteria. He had a slight fever and was in such pain that IV morphine did not even touch it. Examination was difficult as he could not even get into a comfortable position to lessen his pain. Internet searches on the local state pain medication abuse systems did not show him to be drug seeking but the ER doctor considers him drug seeking and wants him out of his ER. You are called as the nurse practitioner helping the nighttime hospitalist admit new patients to the hospital and you are paged to consult as your physician is busy with another admission on the floor with an MI. You question this young man and find him to be in terrible pain and barely able to answer your…
- 1. An IV of Zofran 50 mg in 50 mL is to infuse in 1 hr using 15 gtt/mL set. Calculate gtt/min.＿gtt/min 2.1000 mL of 0.9% Normal Saline is ordered to infuse over 5 hours. Calculate the flow rate. ＿＿mL/hr 3. You must administer an infusion of 200 mL/hr of D5W to your hypoglycemic patient using a drop set of 15 gtt/ mL. Calculate the flow rate in gtt /min.＿gtt /min 4. Nurse is preparing to administer Dextrose 5% in water (D5W) 500mL IV bolus to infuse over 4hrs. How many mL/hr will the nurse set the IV pump to deliver?＿mL/hr 5. Administering LR 1 L over 12 hrs. Drop factor of manual IV tubing is 15 gtt/mL. What rate should nurses set IV infusion in gtt/min? (round to the nearest whole number)＿gtt/ min1. Cite 7 conditions wherein bleeding time would be prolonged. 2. Cite specific factors wherein the bleeding time wouldly falsely decreased 3. Cite specific factors wherein the bleeding time wouldly falsely increased.A 15-week, 15-pound patient has been admitted vomitingand diarrhea that have been present for 2 days. The patient is6% dehydrated that needs to be corrected in 24 hours.What fluids will be used initially for the patient and what drip ratewould it be used? The administration set administers 20 drops/mL.
- 1. Name at least five hematologic malignancies that are commonly diagnosed with the aid of flow cytometry. Provide the hematologic pattern seen in flow cytometry output of these malignancies/conditions. 2. Provide two advantages and two disadvantage of flow cytometry analysis. Briefly explain each.A 65-year-old m a n with a 5-year history of alcoholic cirrhosis comes to the physician for a follow-up examination. Physical examination shows palmar erythema, gynecomastia and moderate ascites. Laboratory studies show an increased prothrombin time. Replacement of which of the following coagulation factors is most likely to improve this patient’s prothrombin time ?A) Factor VII (proconvertin)B) Factor VIII (antihemophilic factor)C) Factor IX (plasma thromboplastin component) D) Factor X (Stuart factor)E) Factor XI (plasma thromboplastin antecedent) F) Factor XII (Hageman factor)A patient, 50 years old, suffering from chronic glomerulonephritis, developed massive proteinuria (excretion of protein in the urine). On examination: swelling on the legs and lower back was found. Questions: 1. What does the term edema mean? Give its definition. 2. Indicate the cause of the development of edema in this patient. 3. Indicate the initial pathogenetic factor of edema in this case. Justify the answer. 4. Name other reasons that can initiate this pathogenetic factor. 5. Make a scheme for the pathogenesis of this edema. 6. Which group of microcirculation disorders include edema? 7. Describe the lymphogenous factor of edema development.
