Make a conclusion on the analysis Analysis of urine: Diuresis daily - 5,51 Specific gravity - 1,040 Protein - no Glucose - 4% Acetone - positive Blood test: Glucose - 12 mmol / 1 The residual nitrogen - 55 mmol / 1 (norm: 14-28 mmol / 1)
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- KIDNEY PATHOLOGY TASK No 2 Make a conclusion on the analyses. Analysis of urine: Daily diuresis - 30 ml Specific gravity Protein Glucose Acetone Erythrocytes - 5-15 in the field of view - 10-15 in the field of view Leukocytes Granular and waxy cylinders in large quantities Blood test: The residual nitrogen is 210 mmol / L (norm: 14-28) Creatinine 140 µmol / L (norm: 60-120 µmol/ 1) - - 1,003 - 0.5 g/L - no no Microscopy of urine sediment:TASK No 4 Make a conclusion on the analysis Analysis of urine: Daily diuresis - 1500 ml Specific gravity Protein Glucose Acetone Erythrocytes - 15 in the field of view Leukocytes - 10-15 in the field of view Erythrocyte and hyaline cylinders - 10-15 in the field of view Blood test: - 115 g/L Hemoglobin Albumins - 30 g/L (norm: 35-50 g/L) Creatinine -150 µmol/L (norm: 60-120 µmol/L) Hemoglobin - 100 g / L KIDNEY PATHOLOGY - 1.008 - 4 g/L - no - no Microscopy of urine sediment:TASK: INTAKE AND OUTPUT Instructions strCtIoinSח RECORD THE HOURLY INTAKE AND OUTPUT USING THE TABLE PROVIDED. SHOW YOUR COMPUTATION IN THE TABLE- LABEL/ NAME ALL THE INATAKE PER You admitted a patient with hypotensive crisis; with the following data and doctor's order Patient Juan Dela Cruz, 45 y/o, the patient • NGT for gavage feeding every 4 hours. • With Indwelling Foley Catheter for urine output monitoring • 6:30am Clients VS BP=70/40 RR=15 PR=59 02 Sat=98% • monitor I &0 every hour • Doctor's Order: Fluid Regimen: • (R hand) Start IVF of D5LRS 1L to run for 8 hours using macroset with Side drip of Levophed: 2 ampules + 96 cc of PNSS x 15 ugtts/mi stock dose of levophed • (2ndline) L start IVF PNSS 1Lx 10 gtts/min; To Start Blood transfusion of 2-unit PRBC once available properly typed and crossmatched You received the patient at exactly 7:00 AM and started the fluid regimen 8:00 AM - started gavage feeding of 1 glass osteorized feeding with 1/2 glass of plain water to dilute the…
- Homework Assignment Patient Iu Ip Vu 1 25 2 10 2 31 1.5 A. Calculate each patient's GFR. B. Calculate a patient's rate of urine production, given that his inulin clearance is 125ml./min and his urine and plasma concentrations of inulin are 300mg/lit. and 3mg/lit respectively. Abbreviations: I - inulin, u - urine, p - plasma, vũ - volume of urineSHOU WORIAINES nurse is administering 300mL of Ringer s The Lactate at 75 mL /hr . The bag of. fluid is st arted at 1300 hourso using the 24 hour clouk, at what time should the Infusium be finished?PatientAge: 72 Gender: Male Height: 172 cm Weight: 78 kgThe doctor's order is Potassium Chloride 40meq in 1L to run for 8 hours for the patient. Based on the Renal Drug Handbook 3rd Edition, the right rate of administration of potassium chloride is the following. ● Infusion up to 20mmol potassium per hour except in an extreme hypokalaemic emergency where some units give up to 40mmol/hour with cardiac monitoring● Give IV solution well diluted (not exceeding 40mmol/500mL) for peripheral administration.● Mix IV solutions thoroughly to avoid the layering effect● Some units give more concentrated solution centrally: 100–200mmol/100mL sodium chloride 0.9% or glucose 5%, but at a rate not more than 20mmol/hour Does the doctor's order comply with the renal drug handbook?
- 1. Dr order 1000 mL D5W to run for 8 hrs. drip factor 15 gtt/mL. caculate driprateDetermine which reason/substance IS NOT directly related to the given urine analysis result. 1. Orange urine RBC Bilirubin Azo-gantrisin Pyridium 2. Black urine Melanin Homogentisic acid Melanogen Metabolite of phenylalanine 3. Strongly positive on Glucose (Reagent strip) D-Penicillamine Cecon Glycosuria Pregnancy 4. Weakly positive on blood (Reagent strip) Zonrox Chlorpromazine Hydrogen peroxide Hematuria 5. Pathologic milky urine Squamous epithelial cells RBC WBC Bacteria 6. Strongly positive for bilirubin (Reagent strip) Pyridium Chlorpromazine Chlorhexidine Phenazopyridine2L N/Saline 0.9% has been running for 45 minutes at a 6 hourly rate. How many ml have been administered already? 9 1200mL N/Saline 0.9% has been running for 20 minutes at a 2 hourly rate. How many mL have been administered already? 10 1300mL N/Saline 0.9% is running at a 6 hourly rate, which commenced at 1500hrs. At 1630hrs the doctor requests for the remaining volume to be run over 3 hours. Calculate the ml per hour for the remaining volume. 11 1.5L N/Saline 0.9% is running at a 12 hourly rate, which commenced at 0800hrs. At 1200hrs the doctor requests for the remaining volume to be run over 4 hours. Calculate the mL per hour for the remaining volume. 12 13 A child who weighs 14kg is ordered 55MICROG/kg IV, 2 hours before surgery. The solution strength is 2mg/mL. How many ml do you administer? A child who weighs 5kg is ordered 0.5g/kg IV, 4 hours before surgery. The solution strength is 1mg/mL. How many ml do you administer? 14
- Patient WY 58 y/o weighs 130 lbs is diagnosed with pneumonia. Her physician requested for serum creatinine test and the result is 8.5mg/dL. Because of her current condition, her attending physician prescribed Amoxicillin 500mg PO Q12. Is the order correct based on the renal function of the patient? If incorrect, what is your recommended regimen? CrCl 10 to 30 mL/min: 250 to 500 mg orally every 12 hours CrCl 9 mL/min or less: 250 to 500 mg orally every 24 hours The 875 mg tablets and the 775 mg extended-release tablets should not be given to patients with CrCl less than 30 mL/minVasopressin 0.1 unit/mL Vasopressin Sodium Chloride 0.9% CONTINUOUS INFUSION Tech: Made: Rx0 NDC 0517-1020-01 Vasopressin Injection, USP 20 Units per m For Intravenous Inf Must be diluted prior 1 mL Dis Single Pors sell RPh: Expires: 250 mL 25 units 250 mL RATE: 18 mL/hr 1. After running for 2 hours at the current rate, the infusion is increased to 0.04 units/minute. If the drip was started at 0900, when will the nurse need a new bag?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 Gravity