concentration of uric acid in serum. 2) Pathologic changes in serum concentration of uric acid A) Increased values of uric acid in: • athetoid cerebral palsy with mental deficiency and self-mutilation‚ • coronary artery disease‚ • diabetic keto-acidosis following intravenous fructose‚ • Down’s syndrome (some cases)‚ • excessive ethyl alcohol intake‚ • gout‚ • gross tissue destruction‚ • heavy chain disease‚ • hemolytic anemias‚ • hyperlipoproteinemia type iii‚ • lead
Premium Renal physiology Nephrology Kidney
3: implications with rational for the following (related to Adi) - pain - dehydration - temperature Practise exam Case study 1 Adi: Adi is a 22 year old woman who was on holiday camping when she noticed a blister on her right ankle. She covered it with waterproof plaster so that she was able to swim in the lake. Over a two day period the blister became increasingly reddened and swollen. After becoming increasingly unwell Adi presents at the emergency department distressed‚ pale‚ shivering
Premium Hospital Patient Blood
M Hunter‚ M. & King‚ D. (2001). COPD; Management of Acute Exacerbations and Chronic Stable Disease. American Journal of Family Physicians. Aug 15;64(4):603-613. Ignatavicius‚ D. & Workman‚ M. L. (2010)‚ Care of Patients with Noninfectious Lower Respiratory Problems. Medical-Surgical Nursing‚ 6th Edition‚ (pp. 621-637). St. Louis‚ Missouri:Saunders Elsevier. Lange‚ P. (2009). Chronic Obstructive Pulmonary Disease and Risk of Infection. Pneumonologia i Alergologia Polska‚ Jul ;77(3):284-8. Shorr‚ A
Premium Management Risk Strategic management
Janine‚ is a 19-year-old single mother of Andrew a 4-month-old baby. Andrew was born at 37 weeks gestation and was admitted into the neonatal intensive care unit for four days due to mild respiratory distress and poor feedings. Today the Janine came into the clinic for Andrews well child checkup and is concerned about his feedings. Andrew was diagnosed with gastroesophageal reflux and is currently taking omeprazole daily. Andrew is able to raise his head at 45 degrees when prone‚ his weight is at
Premium Childbirth Symptoms Medicine
3(3):75–81. 34. Robert R‚ Touchard G‚ Meurice JC‚ Pourrat O‚ Yver L. Severe Goodpasture’s syndrome after glue sniffing. Nephrol Dial Transplant. 1988;3(4):483–4. 35. Taher SM‚ Anderson RJ‚ Mc Cartney R‚ Poportzer MM‚ Schrier RW. Renal Tubular Acidosis associated with Toluene “sniffing”. N Engl J Med. 1974; 290:765–8. 36. Kaneko T‚ Koizumi T‚ Takezaki T‚ Sato A. Urinary calculi associated with solvent abuse. J Urol. 1992; 147(5):1365–6. Proceedings of Singapore Healthcare Volume 19
Premium Smoking Tobacco smoking Drug addiction
collected in the pleural space to cause the mediastinum to shift twoard the right. The collapsed left lung‚ increased intrapleural pressure‚ and rightward shift make it difficult to ventilate A.W. 2. Interpret A.W.’s ABG’s • Significant respiratory acidosis with profound hypoxemia. A.W. is near death. 3. What is the reason for A.W.’s ABG results? • 70% of her right lung is collapsed and is not taking part in gas exchange 4. The physician needs to insert a chest tube. What are your responsibilities
Premium Pneumothorax
Introduction: A tracheostomy is placed when the upper airway is compromised‚ and the patient cannot breathe on his or her own. A common reason for needing this in the pediatric population is due to a subglottic stenosis (SGS) (Deutsch‚ 2010). Although an SGS can be congenital‚ most are the result of intubation‚ as the subglottis cannot stretch to accommodate the endotracheal tube (ETT). While many acquired SGS happen from 2 weeks to 10 years old‚ the majority of these are before the age of 1
Premium Respiratory system Respiratory physiology
1. The nurse checks for placement of a nasogastric tube before beginning tube feeding for a client. Which of the following results would indicate to the RN that the tube feeding can begin? The PH of the contents removed from the NG tube is 3 (stomach acid contents are acidic) 2. The nurse in an outpatient clinic teaches a client with right-sided weakness to walk down stairs using a cane. What behavior would indicate by the client that teaching was successful? The client leads with the cane
Premium Nursing Blood pressure Force-feeding
ventillatory requirements as opposed to a person of normal weight‚ due to an “increase in chemostimulation that arises from the combination of increased metabolic loading‚ high fixed physiological dead space and possibly earlier earlier metabolic acidosis due to impairement of oxygen uptake from deconditiong or cardiac dysfunction” (1). Patients with central obesity have an increase in expiratory flow rates due to an increase in recoil to the lung and chest wall as compared with COPD non obese patients
Premium Obesity Nutrition Hypertension
This paper will cover my experience while in the cardiac catheterization lab during clinical rotations. A 67 year old Caucasian male was emitted for emergent angioplasty with intracoronary stent placement for occlusive myocardial infarction resulting in cardiogenic shock. My paper will detail the medical diagnosis and nursing management of cardiogenic shock. Medical Diagnosis Cardiogenic shock is a term used to describe the heart’s inability to supply enough blood to the organs of the body.
Premium Myocardial infarction Cardiology Heart