100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NR508 week 2 part 1 Discussion Part One (graded) $9.49   Add to cart

Other

NR508 week 2 part 1 Discussion Part One (graded)

 1 view  0 purchase
  • Course
  • Institution

Discussion Part One (graded) Cynthia is a 65-year-old African American female who presents to the clinic for a check-up. Her last examination was ~5 years ago. She has no specific, significant, or urgent complaint. She explains that her only issues are thirst, fatigue, and leg numbness and tingl...

[Show more]

Preview 2 out of 5  pages

  • July 6, 2021
  • 5
  • 2020/2021
  • Other
  • Unknown
avatar-seller
Discussion Part One (graded)
Cynthia is a 65-year-old African American female who presents to the clinic for a check-up. Her
last examination was ~5 years ago. She has no specific, significant, or urgent complaint. She
explains that her only issues are thirst, fatigue, and leg numbness and tingling, which is
beginning to occur more often. You decide to do a physical exam, as well as draw labs and
receive the following results:

Social history: no smoking or alcohol consumption.
Physical examination:
GEN: well nourished, slightly obese female
VS: BP 180/103 HR 73 RR 13 T 98.4 Weight 90 kg, Height 5’6”
HEENT: PERRLA
COR: RRR, NMRG
CHEST: CTA
NEURO: monofilament test shows decreased peripheral sensation
EXT: normal




m
er as
Laboratory (fasting):




co
Na 139 mEq/L




eH w
K 3.8 mEq/L




o.
ALT 34 U/L
Ca 9.1 mg/dL
rs e
ou urc
CL 102 mmol/L
HCO3 22 mEq/L
AST 39 U/L
o

TP 6 g/dL
aC s

BUN 33 mg/dL
vi y re


SCr 2.0 mg/dL
Alb 4.1 g/dL
Cholesterol 254 mg/dL
BG 300 mg/dL
ed d




TSH 0.12 U/mL
ar stu




UA: SG 1.013 mg/24h, pH 6.5, +++ protein

 What are the major problems in this patient, and what diagnoses do these values
is




indicate?
Th




 Additionally, what is your assessment and pharmacological plan for each of these
problems including the medication, dose, and mechanism of action?
sh




This study source was downloaded by 100000823516103 from CourseHero.com on 07-06-2021 06:49:36 GMT -05:00


https://www.coursehero.com/file/19557599/NR508-week-2-part-1/

, Subjective

Well nourished

Our patient states her issues include: thirst, fatigue, leg numbness and tingling

She does not smoke or drink alcohol

Objective

65 year old African American female

VS: BP 180/103 HR 73 RR 13 T 98.4 Weight 90 kg, Height 5’6”

BMI: 32.0 Obese

HEENT: PERRLA

COR: RRR, NMRG




m
er as
CHEST: CTA




co
NEURO: monofilament test shows decreased peripheral sensation




eH w
EXT: normal




o.
Laboratory (fasting): rs e
ou urc
Na 139 mEq/L

K 3.8 mEq/L
o
aC s


ALT 34 U/L (high)
vi y re



Ca 9.1 mg/dL (low)

CL 102 mmol/L
ed d




HCO3 22 mEq/L
ar stu




AST 39 U/L (high)

TP 6 g/dL
is




BUN 33 mg/dL (high)
Th




SCr 2.0 mg/dL (high)

Alb 4.1 g/dL
sh




Cholesterol 254 mg/dL (very high)

BG 300 mg/dL (very high)

TSH 0.12 mU/mL (low)

UA: SG 1.013 mg/24h, pH 6.5, +++ protein



This study source was downloaded by 100000823516103 from CourseHero.com on 07-06-2021 06:49:36 GMT -05:00


https://www.coursehero.com/file/19557599/NR508-week-2-part-1/

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Themanehoppe. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $9.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

81849 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$9.49
  • (0)
  Add to cart