f a young man has these symptoms: •feeling flushed, hot, and can’t stop sweating •blurred vision and has been getting into vitamin supplementation more lately and is taking a variety of high dose supplements What vitamin is he deficient on?
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- A 35 year old man has a diet of processed boxed dinners and soups and has these symptoms: • faint tingling sensation •irritability •calf pain •trouble walking even though conscious and sober which is unusual because he is a heavy alcoholic •memory issues •eyes move in erratic movements •trouble focusing on objects Which vitamin or mineral is he deficient on? What is the toxic level?If a woman has these symptoms: • depressed •tired and irritable •frequent headaches •numbness •tingling in hands and feet •muscle weakness that makes walking difficult •odd lesion And has been taking high dose supplements of B-vitamins because she was told they help with PMS What vitamin is she deficient in? What is the toxic level?A patient of 48 years old complains of irritability, fatigue, weight loss with increased appetite, sweating, sleep disturbance. At inspection: body temperature - 37,6 C, the skin is wet and hot to the touch. There is a tremor of the fingers. The border of the heart is widened to the left, the pulse is 130 beats per minute, arterial pressure is 150/70 mm Hg. Thyroid gland is diffusely enlarged, soft and elastic, with palpation. Exophthalmos is noted. Pathological immunoglobulins (LATS - factors) were found in the patient's blood. Questions: 4. How must be changed the metabolism of lipids, proteins and fats change in this pathology? 5. Describe the mechanism of development of arterial hypertension in the patient. 6. Describe the mechanism of exophthalmos development in the patient. 7. Name the most dangerous complication of the patient's disease.
- Elderly experience these, except: A) increase in liver metabolic enzymes B) slower absorption of medications C) decline in kidney function D) higher incidence of drug interactionsMr Nguyen is an overweight 40 year old who has recently been diagnosed with type 2 diabetes. He has been started on Metformin but has been complaining of diarrhoea, some abdominal pain and loss of appetite. He continues to work as a taxi driver and often works the night shift as he has young school aged children. His HbA1c is 8%. The medical staff are considering adding Exenatide to his medication regime. Outline the mode of action of Metformin and Exenatide and why these drugs may be prescribed together. Describe factors to be considered when administering each of these drugs.A client with Crohn’s disease asks about dietary restrictions. What do you advice as a nurse? Avoid food w gluten, such as wheat bread Avoid high calcium and iron Restrict fluid Describe the use of an elimination diet to find trigger foods
- A 30 year old woman presents 2 points with lethargy, fatigue and increasing weight over past few months (BMI 32Kg/m2). Which of the following is the best next step in management? * Recommend a very-low-calorie diet Measure triceps skinfold thickness Prescribe orlistat Encourage heavy exercise. Check thyroid function test2. Divide into three groups. Each group should take one of the following topics and prepare a comparative chart addressing the underlying pathophysiology, signs and symptoms, and care priorities: Hyperparathyroidism and hypoparathyroidism Type 1 and type 2 diabetes mellitus • Hyperglycemia and hypoglycemia Present the information to the rest of the class.A client is receiving parenteral nutrition. A nurse assessing the client for complications of the therapy will be looking for which of the following indicates hyperglycemia? Question 34 options: a) Coarse dry hair, weakness and fatigue b) Thirst, blurred vision, and diuresis c) Fatigue, increased sweating, and heat intolerance d) High-grade fever, chills, and decreased urine output A client is receiving parenteral nutrition. A nurse assessing the client for complications of the therapy will be looking for which of the following that indicates hyperglycemia? Question 34 options: a) Coarse dry hair, weakness and fatigue b) Thirst, blurred vision, and diuresis c) Fatigue, increased sweating, and heat intolerance d) High-grade fever, chills, and decreased urine output
- Discuss ways to increase food intake for clients with anorexia, nausea, vomiting, early satiety, or bloating reflecting on the readings you have done on diet with cancer, disease, and critical care.Many older adults are on multiple medications. Take for example Ms. Jones. She is on metformin 1 gram po twice a day, Lantus 20 units SQ daily, Lisinopril 10mg po daily, metoprolol 50mg po twice a day, simvastatin 20mg po qHS, Eliquis 5mg po BID, Calcium 600mg daily, Vitamin D 2000IU daily, baby aspirin 81mg po daily. Define polypharmacy and discuss important prescribing points for safety medication in aging adults. What are some ways to determine if the medications listed is safe for the patient to take? What tools are available to use for safe administration? What questions would be important to ask the patient about her medication?The main cause of death in relation to opioids poisoning is: Hypertension Severe dehydration O Brain hemorrhage Respiratory depression
