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- Part G - Using the Clearance Equation Use the equation for renal clearance and the information below to calculate the clearance of creatinine. Substance Concentration in the urine Consentration in the plasma Urinary output Creatinine 15 mg/ml 0.5 L/min 10 mg/ml O 3 L/min 33 L/min 75 L/min 0.3 L/min 0.75 L/min Submit Request AnswerStudent A. Water (10 mL/kg bodyweight) Time of Urine Time between Urine Urine Solute excretion sample collections osmolarity (uosmol/mL) Vol. excretion rate rate collection (mL) (min) (mL/min) (uosmol/min) 1:10pm 80 277 1:40pm 91 110 2:10pm 177 49 2:40 pm 251 37 3:10 pm 125 66 3:40 pm 54 161Give typed explanation of all three otherwise leave it Answer the following questions: 1) The client for whom you are caring had the following for breakfast: 4 fluid ounces of milk, 6 fluid ounces of coffee, scrambled eggs, and one piece of toast. The client voided 4 fluid ounces of urine this morning. What is the person's fluid intake in millilitres? What is the person's fluid output in millilitres? 2) You are assisting with a 24-hour urine collection on a client assigned to your care. The client is in the dining room and chooses not to return to his room to collect the specimen; instead he voids in the nearest bathroom. Is it okay to just collect one extra sample and continue the collection? 3.You are caring for a client with Clostridium difficile.What precautions should you follow?
- Give the clinical significance of detecting the following_parameters in urine Parameter Clinical significance pH Protein Glucose Ketones Blood Bilirubin Urobilinogen Nitrite Leukocyte esterase Specific Gravity74- the maintenance fluid requirement for pts under 10kg 75- Minimum urine output for all ages is 76- Immature 77- Risk factor for dehydration - body fluid loss in excess of fluid 78- Risk factor for dehydration is that it is often associated with 79- Risk factor: Dehydration is to 80-Sodium is normally between function contributes to fluid and electrolyte risk factor imbalance Three classifications of dehydration areSex : maleAge : 76 yearsHeight : 5 feet 4 inchesWeight : 87 kgActivity : sedentarySymptoms : viral fever and is severely dehydrated.Clinical picture Urine output : NilBlood pressure : 200/100BUN : 27 mg/dlCreatinine levels: 8.7 mg/dlDiagnosis : acute renal failureOther symptoms: unable to eat since he feels nauseated Treatment : intravenous oral fluids and undergoing dialysis 1. What will be your strategy to improve his fluid and diet intake.2. Which foods will you recommend for more consumption? 3. Which foods will you ask him to avoid?
- Discuss why fluid intake is important for a patient diagnosed with a urinary tract infection.Question. A 52-year-old turbel man was brought into emergency department by his wife with main complaints of increasing fatigue and weakness. According to his wife his weakness has progressively worsened over the past month. He was so weak that he almost passed out when walking from the entrance of the ed to the registration desk. His wife reported that he has an increased fluid intake and an increase in urinary output. When asked patient reported that there was no pain on urination of history it urinary tract infection. Patient denied chest pain, vision problems, nausea, diarrhoea and syncope. His wife was concerned that the patient was wobbly when he walked. Past medical history Nephrolithiasis Hypertension Benign prostate hypertrophy Medical history Lisinopril Potassium chloride allopurinol diazepam Social history denies alcohol and tobacco use. Vital signs. Blood pressure 107/56 mmhg. Heart rate 115 respiration rate 22 bpm. Temperature 36.9 celcius Physical examination…Nursing diagnosis: Risk for imbalanced fluid volume what will be the inference?
- The nurse identifies which sign or symptom as an early indication of fluid volume deficit? weak pulse weakness hypotension thirstIn reviewing the patient’s current information, a concern exists that acute kidney injury has developed. Select to highlight the laboratory information that would support this concern.UrinalysisCasts - +++Cola-color to urineProteinuriaBlood ValuesRBC - 3.9 cells/L (4.0-4.9 cells/L)Hgb 10 g/dL (12-16 g/dL)Hct-40% (37%-48%)WBC 11.0 cells/L (4.0-10.0 cells/L)Platelets - 140 cells/L (150-450 cells/L)Sodium - 140 mEq/L (135-145 mEq/L)Potassium - 4.5 mEq/L (3.5-5.2 mEq/L)BUN - 32 mg/dL (5-20 mg/dL)Creatinine 1.8 mg/dL (0.5-1.5 mg/dL)Blood Glucose - 180 mg/dL (nonfasting) (<200 mg/dL)AST-40 Units/mL (5-40 Units/mL)ALT - 30 Units/mL (5-35 Units/mL)Bilirubin (total)- 0.8 mg/dL (<1.0 mg/dL)Albumin - 4.0 (3.5-5.5 g/dL)PT-22 (11.5-14 seconds)In evaluating nursing interventions for hypotonic fluid volume excess, the nurse knows that her interventions are effective if which of the following is present? normal level of consciousness hyponatremia dilute urine nonpittine edema