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- A 40yo male presents to the emergency department with the chief complaint of shortness of breath (SOB). His past medical history (MHx) is remarkable for hypertension (HTN) and diabetes mellitus II (DMII). On examination, his oxygen saturation on room air is 87%, blood pressure 160/100 mmHg, and pulse rate is 93/min. His arterial blood gas on room air shows pH 7.44, PCO2 35 mmHg, PO2 55 mmHg. Assume that the RQ is 0.8. Given arterial pO2 and alveolar pO2, the following disease states are plausible... Group of answer choices Hypoxic hypoxia Ischemic/Stagnant hypoxia Histotoxic hypoxia Normal ventilation/perfusionA 40yo male presents to the emergency department with the chief complaint of shortness of breath (SOB). His past medical history (MHx) is remarkable for hypertension (HTN) and diabetes mellitus II (DMII). On examination, his oxygen saturation on room air is 87%, blood pressure 160/100 mmHg, and pulse rate is 93/min. His arterial blood gas on room air shows pH 7.44, PCO2 35 mmHg, PO2 55 mmHg. Determine the alveolar gas pressure. Assume that the RQ is 0.8. A. 52 B. 22 C. 107 D. 200Case Scenario: John Doe, 53y.o., has a history of Type I diabetes mellitus, cigarette smoking 40 pack-years, CAD, and PVD. Six weeks ago, he developed a wound in his left heel which measured 4cm by 2cm when he discovered it. Despite IV antibiotics and chemical debridement, the wound developed a gangrene infection. He is scheduled for a BKA of the left lower extremity tomorrow at 10:00 am. His meds include daily insulin, aspirin 325mg/day, Pletaal 100mg BID. What preoperative testing is appropriate for Mr.Doe? (Give at least 4 priority examples) Note to Tutor: Thank you so much, Ma'am/Sir
- Case Scenario: John Doe, 53y.o., has a history of Type I diabetes mellitus, cigarette smoking 40 pack-years, CAD, and PVD. Six weeks ago, he developed a wound in his left heel which measured 4cm by 2cm when he discovered it. Despite IV antibiotics and chemical debridement, the wound developed a gangrene infection. He is scheduled for a BKA of the left lower extremity tomorrow at 10:00 am. His meds include daily insulin, aspirin 325mg/day, Pletaal 100mg BID. Question: Mr. Doe was very restless the evening before. He verbalizes to his wife that he is “scared to death” and worried about losing his foot. She asks the nurse what can be done to help him. How will the nurse address the psychological comfort of Mr. Doe? (Discuss in 2-3 sentences only)Clinical case 2: -e An experimental drug was administered as an oral dose of 500 mg to nine patients with hypertenion. The following pharmacokinetic parameters were reported: Absorption rate constant = 2.10 h* yu/mL Elimination rate constant =0.110 h Apparent volume of distribution = 20 L Absolute bioavailability = 0.95. The maximum amount of this anti-hypertension drug desired in the body (minimum toxic amount) is 800 mg; while 15 mg/L is the minimum plasma concentration required for therapeutic effect (MEC). I/ka Xof OCka-k Calculate a regimen for 250 mg, 500 mg, and 75omg tablets of this drug.Case Scenario: John Doe, 53y.o., has a history of Type I diabetes mellitus, cigarette smoking 40 pack years, CAD, and PVD. Six weeks ago, he developed a wound in his left heel which measured 4cm by 2cm when he discovered it. Despite IV antibiotics and chemical debridement, the wound developed a gangrene infection. He is scheduled for a BKA of the left lower extremity tomorrow at 10:00am. His meds include daily insulin, aspirin 325mg/day, Pletaal 100mg BID. Question: During the admission assessment, the nurse questions Mr. Doe to determine if there is a latex allergy or sensitivity. Why is this essential to the patient’s safety? What symptoms would the nurse question Mr. Doe about in order to determine this? (Discuss in 3-5 sentences only)
- 8a. Garamycn 3 mg/kg/24 hr, divided into three doses, is the rec- ommended dose for a child. How much would a child weighing 20 kg receive? mg 8b. The drug is available labeled Garamycin 40 mg/ml. Based on the dose computed above, how much would you give? ml -A 49-year-old male was brought to the Emergency Department for evaluation of nausea, fatigue, and weakness for 24 h. His wife says that he had been having binge drinking without any food intake. He is not taking any medications. On physical examination, he was euvolemic. His weight is 70 kg. BP is 100/60 mmHg with a pulse rate of 82 beats/min. Serum [Na] is 120 mEq/L; [K] 3.8 mEq/L; BUN 8 mg/dL; creatinine 0.6 mg/dL; and osmolality 230 mOsm/kg H,O. Urine studies are: Osmolality 75 mOsm/kg H,O; Na* 10 mEq/L; and K* 20 mEq/L. The diagnosis of beer potomania was made. Assuming no urine output in 2-3 h, which one of the following is the MOST appropriate therapy for this patient? A. D5W B. 0.9 % NaCI C. 3% NaCl D. 0.45 % NaCl E. Fluid restriction and NaCl tabletsPt is 69 years old male, complaining of dizziness, falls and getting up to use the bathroom at night. Recently dx with BPH and ED. Has SULFA allergies. Vitals - BP:112/66 TSA: 3.0 HTN - Lisinopril 10mg Hypothyroidism - Levothyroxine 50mcg BPH - Doxazosin 2mg Can I give Finastiride and Viagra to help with BPH and ED symptoms?
- 7 Ordered: atropine sulfate 1 mg bolus IV push, for a patient with bradyar- rhythmia. Directions: Dilute to 10 mL SW for injection (total amount) and give over 1 minute. NDC 0002-1675-01 20 ml VIAL No. 419 POISON A TROPINE SULFATE INJECTION, USP 0.4 mg per ml CAUTION-Federal (U.SA.J low prohibits dispensing without prescription. a. How many mL of atropine will the nurse prepare? DA equation: Evaluation: b. After dilution, how many seconds/ mL. will the atropine be injected? DA equation: Store 5" io BF (15" te 30°C) Usuel Adult Dose-0.75 to 14 ml injected subcutareously, intramusculerly, e dowly introvenousiy. See iterature. Eech mi contains Atropine Suliate, CA mg with Chlorebutanel (Chloroform Derivalve) 05 percent. wV6731 AMX Bly Cedionela, N425, USA APPROXIMATE EQUIVALENTS 04 mi-0.16 mg 0.5 mi-0.2 mg 0.6 mi-024 mg OE ml-0.32 mg 1 mi-04 mg 1.25 ml-0.5 mg 1.6 ml-0.65 mg 25 ml-1.0 mg 2.1 ml-1.25 mg Exp. Date/Control No. 6- 10ml BDMr. Jackson was hospitalized today for heart failure. The physician orders a loading dose of digoxin 0.75 mg to be given intravenously. The digoxin is available in a solution of 0.5 mg/mL. (Learning Objectives 2, 4, 6) 1. How many milliliters should the nurse prepare? 2. What should the nurse do before administering the IV dose? 3. If digoxin toxicity develops, what signs or symptoms might Mr. Jackson have? 4. How often should Mr. Jackson be monitored for signs of digoxin toxicity? 5. What conditions might increase Mr. Jackson’s likelihood of exhibiting digoxin toxicity?1. The nurse is caring for Mr. Adrian, an 82-year-old man with CHF who has a past medical history of diabetes and renal insufficiency. He is prescribed digoxin (Lanoxin) 0.125 mg IV and then 0.125 mg PO daily.a. What are the therapeutic effects of cardiac glycosides?b. Is this patient at risk for digoxin toxicity? Explain.c. What are the adverse effects of digoxin?Discuss the nursing considerations for digoxin administration.