PHYSICAL EXAMINATION: VITAL SIGNS: Afebrile, blood pressure 155/98, heart rate 69. GENERAL: He is in no acute distress, alert and oriented x4. HEENT: mucous membranes moist no facial asymmetry. Left ear WNL, right ear with profound hearing loss. LUNGS: Clear to oscultation and percussion bilaterally, CV normal, S-1 S-2 without murmurs or rubs. GI: Soft, non-tender, non-distended no HSM. Positive bowel sounds. GENITALIA: deferred. EXTREMETIES: No edema. Has been admitted for left ankle surgery. UROLOGIC: Intact with the exception of cranial nerve ink on the right. LABS: CVC within normal range. Pre-op glucose 239, BUN 8, creatinine 0.5.…
The patient was placed initially on a sliding scale of insulin. The patient underwent incision and drainage of his right foot on July 17, had no complications and tolerated surgery well. One day post-op the patient spiked a temperature to 101 degrees Fahrenheit. The patient was placed on Unasyn. He defervesced quickly. At the time of discharge his vital signs were stable. He was afebrile. His antibiotics were changed to Augmentin and he was discharged to his daughter’s home.…
The purpose of this experiment is to see the anti-cow antibody bind to cow serum only, and we expect to see the anti-cow antibody bind to the spot that had the cow serum. The system we use in this experiment is the serum from Cow, Horse, Goat, Sheep, and Donkey, Chicken. In order to able to detect and analyze proteins based on their ability to bind to a specific antibody, the SDS-PAGE and Western Blot was performed.…
The pH balance was not always within the normal range it became higher, therefore it was considered to be in a state of respiratory alkalosis.…
Potential Causes: COPD plus DKA or renal failure, any combination of things that cause each one…
3. What two specific analytes would aid in the differential diagnosis of this patient’s condition?…
She became lethargic within one hour. She was immediately treated with “10mg activated charcoal, 3 h post ingestion”. The patient then went unconscious but did not need any tubes or extra ventilation. On arrival, her pulse was 110, blood pressure was 106/60, RR (melatonin level) was 20, body temperature 98.3, pOx 98 (RA). She had a disconjugated gaze. Her skin appeared dry, pink, and warm. Bowel sounds were decreasing. An ECG with 12-lead showed a sinus curve of 110. She was in stable condition with consistent vital signs and slowly awakened throughout a 24-hr period. On the second day, she slept for excessive periods at a time. She also suffered “truncal ataxia” while in the sitting position, which still existed during walking and standing up the next day. On the fourth day, she showed trouble with fine motor skills, but was discharged. The girl was monitored for seven days as symptoms receded and no abnormal condition resulted…
This patient was admitted for shortness of breath, fever and chills. He has a history of cystic fibrosis, with secondary diabetes.…
Beth is a 65 year old woman of African American heritage. She was admitted to the ER, 2 days ago with a serum blood sugar of 457. She states she is unaware that she has diabetes and this is a new diagnosis for her. Her daughter states this is not true, that her mother was diagnosed with “some sort of blood sugar problem” 2 years ago, but her mother did not follow up with her doctor. Beth c/o visual blurriness, thirst and frequent urination. She has snacks hidden in her bedside table because she is “always hungry.” She has been placed on oral medication, Metformin 500 mg BID and is currently on a corrective insulin regime utilizing Novolog insulin. Her blood sugar is still not stabilized, often in the 200’s. In addition, Beth has 2 black spots on her first and second toes of her left foot, has uncontrolled hypertension, an elevated Blood Urea Nitrogen (BUN) and Creatinine (Cr). VS: B/P 190/88, R 98.7°F, P 87, RR 22.…
His vital signs are as follows: BP 172/100, heart rate 92, and a temp of 102.2 F. The results from the lab results are as followed: RBC 3.1 million, WBC 22,000, K+ 5.4 mEq/L, Ca 6.8 mg/dL, phosphate is 4.3 mEq/L, urea is 37 mg/dL, creatinine 2.0 mg/dL, albumin is 2.9 mg/dL, and pH is 7.29 after these abnormal labs a Chemistry Panel was drawn. Labe results of the Chemistry Panel are as followed: Protein 1.7 gm/24 hours, GFR of less than 30 ml/minute, and urine sediment showed presence of gram negative bacilli, presence of white blood cells, presence of red blood cells, and granular and waxy casts.…
The decreased urine output suggests decreased renal perfusion, and monitoring of renal function is needed. There is no indication that infection is a concern, so antibiotic therapy and a WBC count are not needed. The IV rate may be increased because hypovolemia may be contributing to the patient’s decreased urinary output.…
Anemia is a disease state that is characterized by a reduction of hemoglobin (Hb) or volume of red blood cells (RBC’s). The reduction in Hb or RBC’s leads to diminished oxygen carrying ability of the blood. Many forms of anemia exist – the anemias discussed will be relevant to our patient, JJ, based on her signs/symptoms and past medical history (PMH). Anemia can be classified based on the appearance or size of the RBC. The size of the RBC can be determined by either calculating the mean corpuscular volume (MCV) of the RBC based on hematocrit and…
Before making a decision, I would look into the current pharmacy budget for medications and any additional amount of money left over from medication purchases in previous years. If previous records show that more than $500,000 is carried over each year, I would proceed to gather more information about the blood fraction from the surgeon. Why does he think the highly specialized blood fraction speeds healing time when there are no clinical studies that support his claim? I would also look at the recovery status and length of stay in hospitals for patients that have used the specialized blood fraction. If the results do not support the surgeon’s claim and there are no additional benefits for its use, I would carry out the director’s request and…
The patient’s chronic renal failure worsened steadily, with increasing creatinine and BUN and decreasing CO2. At the request of the family no hemodialysis was done. Her chronic renal failure worsened further, and eventually she died at 4:30 p.m., 3 days after admission.…
Optimization was performed using Excel to determine what production/distribution allocation would minimize the overall cost while accounting for fixed and variable cost of production, as well as transportation and import costs. My particular optimization determined that Japan should be idled on production of both chemicals while Germany (Europe) should be idled on production of Relax. The following shows the amount of each chemical that each region should make as well as plant capacity in millions of kg.…