Mrs. Pringles 25 years from Barangay Sta Maria went to the health center due to amenorrhea. Her last menstral period October 14, 2019. Today is June 18, 2020. Use Naegeles's rule to compute for EDC and AOG.
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- Use the information provided to fill out the table ( Anesthesia surgery log ) 1- They will use the information from the attached case https://www.clinvetpeqanim.com/index.php?pag=articulo&art=230 2- HR data = 100 -110-120-100-127-122-127-127-120-110-120-127. 3- RR data = 14-14-12-8-12-14-18-18-18-12-14-18. 4- temperature data = 100-101-99-99. 5-Choose the start and end time of anesthesia 6- Set the start and end time of surgery. 7- Choose time for intubation and extubation. 8- Set the oxygenation data must be between 97% 98-99-100-100-96-97-97-99-95-100-100% in a period of one hour. 9- EtCO2 = 35-38-30-22-40-32-35-38-45-45-40-45 10- sitstolica :97, 117, 110, 121, 120, 120, 106, 120, 132, 154, 120, 110 11-diastolic :69, 77, 50, 75, 70, 80, 71, 80, 87, 93, 80, 80 12-MAP :79-97-89-89 -87 -92-87-93-96- 96-92-87Among the condition for donating blood the patient must take Aspirin before donating in blood A_worng B_rightThe healthcare provider orders erythromycin 20 mg/kg/day every 8 hours in equally divided dose.The child weighs 44 pounds. How many rilligrams per dose should the nurse administer?
- Mr. Reddy is a 62 yo presenting to ED at 1500hrs. He was preparing the gas cylinder for a Sunday BBQ when it suddenly exploded while he was trying to connect the hose. Family standing by tried to extinguish the fire with their hands and tried to remove his clothing. Burns 30% TBSA – Face, hands, bilateral lower limbs. Complaints of severe pain and burning 10/10. Past Medical History: Hypertension, Type II DM Regular medications – Candesartan 8mg, Glimepiride 4mg, Metformin 500mg and Pravastatin 20mg. Fully vaccinated against COVID. Airway. - Patent, superficial burns to right side of face Breathing. - Spontaneous, RR-22mt, SPO2-92% RA, air-entry equal Circulation- Lower limb odema, cap refill 3 seconds, bilateral dorsal pedis pulses weak. BP- 88/50 mmHg, HR- 127/mt, sinus tachycardia, Disability - GCS-15 E4V5M6, PEARL- 3mm, Exposure - Temperature 35.9 deg Celsius. Full thickness burns to right lower limb and right arm, partial thickness burns to left lower limb, bilateral hands.…Doctor order Cefazolin 35 mg IV every 4 hours. The child weighs 8 kg. The safe dosage range for this medication is 5-15 mg/kg/day. Is this a safe dose for this patient?Mrs. Enriquez, 43 years old seeks consult at the Consolacion Maternity Clinic. What is the complete obstetric score of Mrs. Enriquez given the following history? 1. 2000 FT via SVD male, alive 2. 2001 Spontaneous abortion 15 weeks AOG 3. 2012 M. mole 4. 2017 Preterm twin gestation via SVD, both females, I died after 1 yr, the other, alive 5. 2018 FT via SVD male, FDU 6. 2019 Ectopic pregnancy 7. 2021 Present pregnancy A. G7P3 (2133) B. G7P3 (1232) C. G7P3 (1232) D. G7P3 (2132)
- A 23-year-old-man is brought to the emergency department after he was stabbed in the right upper quadrant of the abdomen. He is taken for immediate laparotomy, and approximately 1 liter of blood is evacuated from the peritoneal cavity. Brisk, nonpulsatile bleeding is seen emanating from behind the liver. The surgeon occludes the hepatoduodenal ligament, but the patient continues to hemorrhage. Which of the following structures is the most likely source of this patient's bleeding? Cystic artery Hepatic artery Portal vein Common bile duct Inferior vena cavaA 24-year-old male presented with confusion, shortness of breath, and painful calves. It was reported by a friend that he had been lying on the floor for several hours. He was a known intravenous heroin and alcohol abuser. On examination he appeared dehydrated and cold (tem- perature 35°C); his pulse was 75/minute and blood pres- sure 110/70 mmHg. Intravenous injection sites were apparent. His urine was dark coloured. His chest was clear. Arterial blood gases were done in the casualty department and a blood sample was sent to the pathology department and gave the following results (reference ranges are given in brackets): Arterial blood pH PCO₂ PO₂ HCO3- Serum Sodium Potassium Creatinine Calcium Albumin Phosphate Creatine kinase C-reactive protein 7.276 4.82 KPa 12.7 kPa 18.0 mmol/L 138 mmol/L 7.6 mmol/L 236 μmol/L 1.66 mmol/L 32 g/L 2.43 mmol/L >140,000 U/L 73 mg/L (7.35-7.45) (4.7-6.0) (12.0-14.6) (24-29) (135-145) (3.8-5.0) (71-133) (2.10-2.55) (35-50) (0.87-1.45) (55-170) (<10) The…Answer both questions, don't tell me to keep resubmitting my question if you are not able to answer all. Skip if u will not answer both questions! The HCP orders MEDICATION 20mEq IVPB, pharmacy sends up four 5 mEq bags to infuse over 1 HR each. At change of shift the nurse reports that the first of the 5 mEq doses was hung at 0630. Calculate the completion time of the entire bolus replacement. (Use military time; include hrs and minutes) Dosing protocol is prescribed for a client weighing 60 kg. Per protocol, the loading dose is 10 units/kg IV. How many units should the nurse administer? (Enter the numeric value only. If rounding is required, round to the nearest 100 units)
- Mr. KB is a 56-year-old patient with 3 years history of diabetes mellitus. He is currently receiving glibenclamide. His BP during the present visit is 130/85 mm Hg and PR is 82 bpm. Clinician is planning of starting low dose aspirin in the patient. Junior specialist in Department of Medicine would like to know regarding the latest recommendation on the use of aspirin in patients with Diabetes Mellitus? Whether Mr. KB requires low dose aspirin?Mr. Cardia has been admitted to your ward and care is assigned to you. Information from the history you have taken includes reporting 4 days of anorexia, nausea, vomiting, and occasional diarrhoea before he sought medical attention. His wife says he'd started falling asleep frequently, looked pale, and mentioned seeing yellow spots. Current medications: 0.25 mg of digoxin once a day and 20 mg of frusemide twice a day for heart failure. Vital signs: BP 110/60 P 46 RR 26 T 36.5 What may the signs and symptoms indicate? (two words)A 57 year-old male patient who has a longstanding history of hypertension, type 2 diabetes and hyperlipidemia. He presents with a chief complaint of nausea, shortness of breath, lower extremity edema and abdominal swelling. He is 5 feet and 6 inches tall and weighs 77.7 kilograms (Body Surface Area: 1.90). His blood pressure is 165/92 mmHg, heart rate is 97 beats per minute. Blood has drawn and urine is collected for various clinical chemistry tests. Laboratory Data Urine Creatinine: 88 mg/dL Urine Volume: 3,777 mL/24 hrs Plasma Creatinine: 4.75 mg/dL Urea Nitrogen: 170 mg/dL Blood Uric Acid 11.7 mg/dL Questions: 1. Given these data, what is the Creatinine Clearance of this patient? What are the possibilities for his lower extremity edema? What is/are the probable cause/s for the elevated Creatinine and Urea N? 2. 3.
