Chapter 1, Problem 1CS

On the occasion of World Health Day, Dr. Satpal organized a ‘health camp’ for the poor farmers living in a nearby village. After check-up, he was shocked to see that most of the farmers suffered from cancer due to regular exposure to pesticides and many were diabetic. They distributed free medicines to them. Dr. Satpal immediately reported the matter to the National Human Rights Commission (NHRC). On the suggestions of NHRC, the government decided to provide medical care, financial assistance, setting up of superspeciality hospitals for treatment and prevention of the deadly disease in the affected villages all over India. (i) Write the values shown by (a) Dr. Satpal (b) NHRC. (ii) What type of analgesics are chiefly used for the relief of pain of terminal cancer? (iii) Give an example of artificial sweetener that could have been recommended to diabetic patients.

Temperature 4 °C 21 °C 30 °C 37 °C 90 °C Absorbance at zero min 1.300 0.952 0.876 0.914 0.903 Absorbance after 10 min of incubation 1.160 0.743 0.042 0.016 0.758 Aomin – A10min 0.140 0.209 0.834 0.898 0.145 Enzyme activity in 10 min (umoles) Enzyme activity (umoles pyruvate/min) CALCULATIONS: show calculations Where extinction coefficient is 6.22 x 103

A 23-year-old woman with a history of asthma was brought to the emergency department by ambulance. She was extremely short of breath. Her level of consciousness was diminished greatly, and she was only able to respond to questions with nods or one-word responses. She had a weak cough, with nearly inaudible breath sounds. After drawing blood gases, she was placed on supplemental oxygen. Vital signs: heart rate, 160 bpm; blood pressure, 120/84 mm Hg; temperature, 37°C; and respiratory rate, 36/min. Her initial blood gas and total hemoglobin results were as follows: pH = 7.330 pCO2 = 25 mm Hg pO2 = 58 mm Hg HCO3 = 13 mmol/L tHb = 12.4 g/L QUESTIONS: 4. What clinical findings are most indicative of this patient’s impending failure?