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Hello,
Can you help me with this question please?
Give this ABG interpretation a try: Which A/B imbalance is it? It is it Compensated, Uncompensated, or Partially Compensated and why?
pH: 7.26
PaCO2 - 32 mmHg
HCO3 - 18 mmHg
Thank you in advance!
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- A 30-year-old female patient with uncontrolled hypertension is suspected by an investi- gating endocrinologist of having Conn's syndrome. Results of routine biochemistry were (reference ranges are given in brackets): Sodium Potassium Urea Creatinine Alkaline phosphatase Alanine aminotransferase Albumin Bilirubin Calcium 146 mmol/L 2.1 mmol/L 7.2 mmol/L 146 μmol/L 290 IU/L 20 IU/L 49 g/L 8 μmol/L 2.19 mmol/L (135-145) (3.5-5.0) (3.5-6.6) (70-150) (95-320) (5-42) (35-50) (<17) (2.12-2.62) (a) Are any of the electrolyte concentrations abnormal, and if so what condition is suggested? (b) What further biochemistry investigations would you undertake? Explain your reasoning.pathophysiology Lisa Smith (LS) is brought to the emergency department [ER] for management of accidental acute poisoning. She is nonresponsive and admitted to the critical care unit [CCU] to be closely monitored. LS has no urinary output, and her laboratory values are serum K+ = 6.7 mEq/L; serum Na+ = 177 mEq/L; arterial blood gases [ABGs]: pH = 7.13, PaCO2 = 35 mmHg, HCO3- = 16 mEq/L, PaO2 = 89 mmHg, and oxygen saturation = 94%. Identify LS’s current acid-base disorder. What is the most likely underlying cause of the acid-base disorder LS is experiencing?Lisa Smith (LS) is brought to the emergency department [ER] for management of accidental acute poisoning. She is nonresponsive and admitted to the critical care unit [CCU] to be closely monitored. LS has no urinary output, and her laboratory values are serum K+ = 6.7 mEq/L; serum Na+ = 177 mEq/L; arterial blood gases [ABGs]: pH = 7.13, PaCO2 = 35 mmHg, HCO3- = 16 mEq/L, PaO2 = 89 mmHg, and oxygen saturation = 94%. What electrolyte disturbances need to be monitored at this time? What clinical signs & symptoms should the nurse be assessing LP, at this time, for the electrolyte disturbances?
- A 26 year old female with hypokalaemia is prescribed an intravenous infusion of 0.15% potassium chloride (KCl) to correct this imbalance. She is to receive 50 mL 0.15% KCl over 6 hours. (0.15% KCl contains 20 mmol KCl per litre) How much potassium (in mmol/hour) is the patient receiving? units -mmol/hrA 1 mL vial containing 2 mg/mL of scopolamine hydrobromide is available, and the order is for 800 mcg Sc. How many mililiters should you administer?Karen is bulimic, a condition where she induces vomiting to avoid weight gain. When the doctor sees her, her weight is 89 pounds and her respiratory rate is 6 breaths/min. (Normal = 12/min.). Her blood HCO 3 - is 62 meq/L (normal 24-29). Her arterial blood pH is 7.61 (normal = 7.4) Her PCO 2 is 61 mm Hg (normal = 40mm). Why is she hypoventilating? A) Her PCO 2 is high, and the body monitors PCO 2 to control ventilation. B) Her O 2 must be low, because the body monitors O 2 to control ventilation. C) Her blood pH is basic, and the body monitors pH to control ventilation. D) Her blood bicarbonate is high, and the body monitors HCO3- to control ventilation.
- this patient suffers from Parkinson’s disease and has been admitted with nausea, confusion and a fall. The most recent blood results and observations are shown below:Sodium – 136mmol/LPotassium – 4.0mmol/LCreatinine – 110micromol/LCRP – 25mg/LBp – 110/78mmHgWhich tests would you expect to be conducted in this patient? List below up to 4 patient issues that you have identified, think about who you would speak to about each of these: What are the typical issues associated with the administration of medication for Parkinson’s disease.The nurse practitioner prescribed 500 micrograms of Risperidone. The stock solution available in a concentration of 1 mg/mL. What volume of the solution would you administer? I just wanted to make sure my answer of 0.5 ml was correct with the conversion of MCG to MLYou are teaching new parents proper administration for acetaminophen. Their child is ordered for 320mg every four hours as needed for pain. The standard concentration is 160mg/5mL. a. How many teaspoons do you instruct the patient to take? Show your calculations.
- Mrs. Johnson came into your clinic complaining of fatigue, feeling cold all the time, and unexplained weight gain. A blood test gives the following results (normal ranges given for comparison): T3: 0.03ng/dl (normal: 0.2-0.5 ng/dl) T4: 1.1 ug/dl (normal: 4-7 ug/dl) TSH: 86 mU/l (normal: 0.3-4.0 mU/l) A) Explain how you know the problem is with Mrs. Johnson’s thyroid and not her pituitary gland. B) Is Mrs. Johnson suffering from primary or secondary hypothyroidism? Explain your answer. you must explain the distinction between primary and secondary endocrine disorders and relate to this specific scenarioThe nurse administered a dopamine (Intropine) infusion to a 70-kg patient, as ordered. The solution, which consist of 500 mg of dopamine added to 250 ml of dextrose 5% in water, (D5W), is administered at a flow rate of 21 mcgtt/min using a micro drop setup (60 mcgtt = 1 ml). How many micrograms per kilogram per minute is the patient receiving?Colin who is 78 years old has been admitted to a ward where you are working, with acute bacterial meningitis. The duty doctor wants to treat with meropenem and she would like to know what dose to treat with. In Colin’s notes you see that he has a history of kidney injury, you have his weight which is 49kg and his serum creatinine is 157micromol/L. What is Colin’s estimated creatinine clearance? 2. What is the maximum daily dose (in grams) of meropenem that Colin will receive?