Mr. Gerome Fernando, a patient with hepatitis A, has elevate serum ammonium ion and glutamine levels. What type of diet and/or management will ou suggest?
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- 7. Identify three considerations for administration of TPN.1. How severe stress may lead to acute renal failure, stress ulcers, or infection.?6. The client has progressed to a regula diet and is ordered Humulin N 13 unit and Humulin R 6 units subcutaneous 30 minutes ac breakfast, and Humulin N 5 units and Humulin R 5 units subcuta- neous 30 minutes ac dinner. a. How many units will the client re- ceive before breakfast? b. Indicate on the appropriate syringe given the number of units of each insulin required before breakfast. SIINI
- 4. An 18-year-old girl lives in a mountain village, turned to an endocrinologist with complaints of general weakness, low body temperature, and mood deterioration. The patient was sent for a blood test for TTH and iodothyronine. The results of the analysis showed an increase in the concentration of TTH and a decrease in the concentration of T4. Explain: D. What diet should be followed in order to prevent this pathology; E. Describe the main stages of synthesis and draw a diagram of the regulation of thyroid hormone secretion. Why is it necessary to control the level of TSH in the blood when taking thyroxine?1. Rabina, who has crossed eyes has various other ailments. She is always complaining about something or the other. Two days ago she was having earache with fever in which she had to get antibiotics. She noticed the following: · Frequent urination · Bed-wetting in children who previously didn't wet the bed during the night · Extreme hunger · Unintended weight loss · Irritability and other mood changes · Fatigue and weakness Blurred vision Now she is having sudden weakness on one side of her face. She is also having benign tumors on her hands on feet. To top it off she also has chronic inflammation of the gastrointestinal tract which causes her to have diarrhea. She is feeling depressed and suicidal. Question Analyze the case study.1. Which abnormality was most strongly associated with TF?
- 2. A 46-year-old man presents to the OR. He is scheduled for a wound debridement of a right calcaneous foot ulceration. His glucose level is checked just prior to surgery and his daily insulin dose is reduced accordingly. What type of diabetes does he have? As an assisting circulator during the case, what considerations should you be aware of as he is positioned on the OR table?7) "Cefotaxime (Claforan) 1 g in 100 mL of 0.9% Normal Saline has been prescribed...over a period of 30 minutes." Delivery rate is 15 drops per ml. How many drops per minute? Answer:12. A 48-year-old woman with alcoholism comes to the physician because of a 6-month history of fatigue, yellowish skin, and swelling of the ankles. She has had an 8-kg (17.6-lb) weight gain during this period. She appears cachectic. Physical examination shows a jugular venous pressure of 5 cm. There is jaundice and ankle edema. Her serum albumin concentration is 2.5 g/dL. Which of the following is the most likely cause of the edema in this patient? A) Decreased capillary hydrostatic pressure in the ankles B) Decreased capillary permeability C) Decreased plasma colloid osmotic pressure D) Increased capillary hydrostatic pressure in the ankles E) Increased capillary permeability F) Increased plasma colloid osmotic pressure
- 8. Mrs K, a 45 year old woman, was diagnosed with type 2 diabetes mellitus 2 years ago and she has been stable on metformin 500mg at a dose of ONE tablet FOUR times DAILY. She is going on holiday to the Philippines tomorrow and is requiring a supply to cover her 2-month holiday and for 2 weeks after her return, she has attended the pharmacy to let you know that she currently has 45 tablets that she can use for the holiday. How many tablets do you need to provide Mrs K?Mr. Gerome Fermando, a patient with hepatitis A, has elevated serum ammonium ion and glutam ne levels. What type of diet and/or management will you suggest?Elderly experience these, except: A) increase in liver metabolic enzymes B) slower absorption of medications C) decline in kidney function D) higher incidence of drug interactions