Figure 6 shows measurements of body weight and urinary electrolyte excretion rates in a female before and after taking aldosterone supplements for 3 days. Electrolytes intake rates remained constant throughout. Based on the observed changes in electrolyte excretion and the roles of aldosterone, what could be the reason of the increased body weight during aldosterone treatment? Body weight (kg) ation (mmol 24 h-¹) 66.5 66.0 65.5 65.0 64.5 130 110 90 8 Na+
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- RECORD THE HOURLY INTAKE AND OUTPUT USING THE TABLE PROVIDED. SHOW COMPLETE 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 O2 Sat=98% monitor I &O 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/min stock dose of levophed (2ndline) L start IVF PNSS 1L x 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 feeding. 8: 30 AM -packed…Table 3. Serum creatinine values at admission and after 12h Admission +12h SCR(mg/dL) 1.55 1.42 Using the “MDRD” (Modification of Diet in Renal Disease) equation for estimating glomerularfiltration, provided below, and the data available in the above table, calculate the patient's (a 34 year old white male) estimated glomerularfiltration rate (eGFR) at admission and 12h after admission.MDRD GFR Equation (mL/min/1.73 m2)= 175 × (Scr)-1.154 × (Age)-0.203 × (0.742 if female) × (1.212 if African American)Based on your calculated values, state whether LF’s function is normal or abnormal?Previous research suggests that patients with asthma have an increased risk for chronic kidneydisease, but the mechanisms underlying this increased risk are poorly understood. Propose one potential mechanism by which asthma might impair kidney function, and discuss how this dysfunction may impair thebody’s ability to respond to respiratory alkalosisIn order to avoid increased risk of nephrotoxicity to gentamicin, the minimum concentration during the dosing interval should be allowed to decrease below: Group of answer choices 6 mcg/mL The minimum concentration does not matter, the maximum concentration needs to be greater than 20 mcg/mL to avoid increased risk of nephrotoxicity. 3 mcg/mL 2 mcg/mL
- 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 O2 Sat=98% monitor I &O 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/min stock dose of levophed (2ndline) L start IVF PNSS 1L x 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 feeding. 8: 30 AM -packed RBC…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 O2 Sat=98% monitor I &O 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/min stock dose of levophed (2ndline) L start IVF PNSS 1L x 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 feeding. 8: 30 AM -packed RBC…A laboratorian obtains a Urea N value of 61 mg/dL and a serum creatinine value of 2.5 mg/dL on a patient. Identify the condition impacting renal function? The patient's renal function is normal, Prerenal condition, Renal condition, or Postrenal condition?
- A 60-year-old woman with history of lung cancer is admitted for weakness and lethargy for 4 weeks. Her serum [Na*] is 120 mEq/L. She weighs 60 kg. Her serum osmolality is 250 mOsm/kg H2O with urine osmolality of 616 mOsm/kg H2O. The diagnosis of SIADH is made. What would be her serum [Na], if she receives 1 L of isotonic saline? A. 122 mEq/L B. 116 mEq/L C. 118 mEq/L D. 120 mEq/L E. 124 mEq/LA client with UTI is prescribed phenazopyridine (Pyridium) 100 mg ȚID x 2 weeks. Which statement in the nurses' notes would have you conclude that Pyridium has been effective? Select one: a. Urinary frequency continues b. Increase urinary output C. No further discomfort on urination d. Urinary stream decreasedJH was diagnosed with hyperkalemia and ordered IV fluids. The IV fluids she was given contained calcium gluconate and insulin. Her potassium levels were monitored over a 24-hour period and were as summarized in Table 2. Table 2. JH potassium concentrations post-IV fluids (blood). Time (hours) Measured plasma K+ (in mM) 0 8.0 3 7.1 6 6.4 9 5.9 12 5.6 15 5.3 18 5.1 21 5.0 24 5.0 Using Table 2, which shows the patient’s plasma K+ concentrations over a 24-hour period, graph the changes of K+ over time. Make sure to include an appropriate figure caption to explain what you have observed and follow scientific best practices for creating your graph. Based on the data provided to you within this case, postulate as to why JH experienced more cardiac vs neuronal symptoms.
- Urine creatinine: 190 mg/dL .Plasma creatinine: 2.5 mg/dL. 24-hour urine collection: 975 mL. C(ml/min)= (U(mg/dL)x V(mL/min) )/(P(mg/dL))Despite the administration of dobutamine, there was no substantial improvement in urine production after 24 hours. It is a phosphodiesterase, and it is called milrinone. The inhibitor was administered as a bolus dosage of 25 g/kg, followed by a continuous infusion of 0.1 g/kg/min to improve inotropy. Blood pressure, urine output, and The edema did not get any better. The blood pressure is 90/70 mmHg. The creatinine level in the blood was 3.2 mg/dL, according to the serum chemistry. Which one of them is your favorite? Following the recommended treatment methods will help him improve his condition. A. Start peritoneal dialysis as soon as possible (PD) B. Hemodialysis should be started. C. Activate continuous venovenous hemodiafiltration for the first time (CVVHDF) D. To begin, take tolvaptan. E. Begin the process of aquapheresis.Is the following table correct? Please explain further what will happen to urine concentration and volume when a person is exercising or has diabetes mellitus.