Mrs. ramirez was admitted to the hospital for wrist surgery secondary to rheumatoid arthritis. postoperatively, she is stabilized and transferred to the general surgery unit. mrs. ramirez's medications include digoxin, lasix, captopril, synthroid, aspirin, protonix, and prednisone. when administering morning medications, mrs. ramirez refuses her aspirin and prednisone, and the nurse holds the medications. over the next 3 days, mrs. ramirez continues to refuse the prednisone, and the medication is not administered. on the third postoperative day, mrs. ramirez becomes hypotensive, tachycardic, and has a decrease in level of consciousness. stat labs are sent for a complete blood cell count and chemistry panel, and the physician is notified of the change in patient status. on review of the patient's record, the physician notes that mrs. ramirez has not received her prednisone for 4 days. mrs. ramirez has been on prednisone for the past 5 years for her rheumatoid arthritis, and the physician begins to treat the patient for acute adrenal insufficiency.
a. what other clinical manifestations should the nurse monitor for with suspected adrenal insufficiency?
b. the physician orders a stat dose of iv hydrocortisone. what is the rationale for this medication in this situation?

Answers

Answer 1
(a) This is a case of iatrogenic cause of acute adrenal insufficiency and can present will signs and symptoms related to glucocorticoid insufficiency. Other clinical manifestations to be monitored are fatigue, weight loss, myalgia, fever, anemia, lymphocytosis, hypotension, and hyponatremia. 

(b) The first step in managing a case of acute adrenal insufficiency is immediate rehydration therapy with PNSS. The doctor gave a stat dose of IV hydrocortisone for replacing the lack of glucocorticoids to achieve physiologic levels of glucocorticoids in the body.
Answer 2

Answer:

a. The physician should also monitor the symtoms of tachycardic from the pacient

b. because the pation has been taken prednisone for the past 5 years and she has suspend it for 5 day that give the patient a reaccion

Explanation:


Related Questions

The principal hormone secreted by the corpus luteum, which prepares the uterus for pregnancy,

Answers

The answer progesterone 
Final answer:

The corpus luteum, a temporary endocrine structure in females, produces the hormone progesterone which is crucial for maintaining pregnancy.

Explanation:

The principal hormone secreted by the corpus luteum, which prepares the uterus for pregnancy, is progesterone. The corpus luteum is a temporary endocrine structure in female ovaries and is involved in the production of relatively high levels of progesterone, necessary to maintain a healthy pregnancy. Once the egg has been released from the follicle during ovulation, the remaining follicular structure is transformed into the corpus luteum. If a pregnancy occurs, the corpus luteum continues to produce progesterone, which helps maintain the pregnancy until the placenta is able to take over this function.

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are foxes asexual or sexual?

Answers

a fox can have either genders from male to female. they are not asexual.


Hope this helps!


-Payshence xoxo

They would be sexual of course. The gay gene does not exist for animals or asexual behavior. If all foxes where asexual non would repopulate.

Maya's father told her that hummingbirds like to drink the nectar from red flowers. Maya noticed that most of the hummingbird feeders in the store were made of red plastic. She wondered if this were really true. She decided to conduct an experiment to see if hummingbirds really preferred red flowers to other colors. Maya hung three bottles, upside-down, in her garden. One was red, one was green, and the last one was clear. She filled the bottles with the same sugar solution and screwed a drip nozzle into each one. Then she waited and watched. What is the independent variable in this experiment? A) the color of the feeder B) the location of the bottles C) the amount of sugar solution D) how much the hummingbirds ate

Answers

Answer:

The color of the birdfeeders

Explanation:

Independent variable is the variable in the experiment that is changed, so the only thing changed in this experiment is the colors of the bird feeders

Answer:

B

Explanation:

the location of the bottles and the sugar solution

Insulin is needed to regulate sugar levels in the blood. while every cell in the body contains genes for the production of insulin, it is only produced by a specialized subset of cells in the pancreas. therefore:

Answers

Therefore; there should be mechanism of gene regulation that promote insulin expression in the specialized pancreatic cells and prevent insulin expression in all other cells. Regulation of gene expression includes a wide range of mechanism that are used by cells to increase or decrease the production of specific gene products and is informally termed gene regulation.

Rendon has been using xanax for a period of over six months. alex, his friend, asks him to stop using the drug as it adversely affects the body. brendon listens to alex and discontinues taking the drug. however, upon withdrawal, he experiences immense physical pain accompanied by increased craving for the drug. this is most likely due to

Answers

The reason of why Brendon experience immense physical pain and increased craving upon withdrawal because of physical dependence. Physical dependence is a physical condition that occurs after a gradual drug withdrawal in which the drug is being chronically used that upon withdrawal, it causes unpleasant symptoms, mainly, physical.

Which of the following best describes succession? A. The changes in species composition in a community over time as species colonize and area. B. The evolution of species through natural selection to becomes different species over time. C. All of these are good descriptions of succession. D. The reduction of biodiversity of an ecosystem over time.

Answers

Succession is a process which brings change in the composition of species in a community over a period of time. In this process a community undergoes change for the initial colonization of a new habitat. Succession begins with colonization of an area that has not been previously occupied by an ecological community. Succession continues till the climax community occupies that area.

Final answer:

Succession refers to the changes in species composition in a community over time. It can be primary or secondary, commencing with pioneer species in primary succession. The community eventually reaches an equilibrium state.

Explanation:

The term 'succession' best describes option A, that is, the changes in species composition in a community over time as species colonize an area. Succession describes the sequential appearance and disappearance of species in a community over time. Two types of succession namely are primary succession and secondary succession. In primary succession, newly exposed or newly formed land is colonized by living things, often starting with pioneer species who have few soil requirements. Secondary succession occurs when part of an ecosystem is disturbed yet remnants of the previous community remain. As succession progresses, communities will gradually reach an equilibrium state, the composition of species within these communities changing over time until a more or less permanent community is established.

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Describe the characteristics of two hybrid seeds of the green revolution

Answers

The  two  hybrid  seeds  of  the  green  revolution  include  the   miracle   wheat  and   the  miracle  rice
the  miracle  wheat  has   the  following   characteristics
was   shorter  and   stiffer,less  sensitive  to  variation  in  day  length  and  it   respond   better   to  fertilizer  and  matured faster

the  miracle  rice  has   the   following  features

they   where  hardier
in  addition  they  have  high  yields

What would happen if a cell underwent mitosis, but did not go fully complete cytokinesis?

Answers

The cell would end up with multiple nuclei so would not be able to function

A culture medium on which only gram-positive organisms grow and a yellow halo surrounds staphylococcus aureus colonies is called a(n)

Answers

I believe the most appropriate is a selective medium and differential medium. Selective medium types are formulated to support the growth of one group of organism, but inhibit the growth of another. Blood agar is a differential medium that distinguishes bacterial species by their ability to break down the red blood cells included in the media. Blood agar is often used to distinguish between the different species of pathogenic streptococcus bacteria.

Which of these is a behavioral response determined by past experience?

A. sleeping

B. eating

C. hunting in packs

D. All behaviors are learned from past experiences.

Answers

It is C: hunting in packs

like that other person said its c i am totaly not copying you

How does changing the proteins produced in a cell alter what an organism does?

Answers

If you change the cells it alters what it goes in a way where its routine changes

Final answer:

Changing the proteins produced in a cell can alter what an organism does through modifications to the RNA or protein, as well as mutations in the DNA or RNA.

Explanation:

Changing the proteins produced in a cell can alter what an organism does through various mechanisms. For example, modifications to the RNA or protein can affect the amount, function, and stability of the protein. Mutations in the DNA or RNA can also cause a protein to be made incorrectly, resulting in a loss of protein function. This can be detrimental to the organism as proteins are responsible for orchestrating almost every cell function and influencing most of the traits displayed by multicellular organisms.

Women who wish to become pregnant should have sexual intercourse after a surge in: women who wish to become pregnant should have sexual intercourse after a surge in: luteinizing hormone (lh). progesterone. follicle-stimulating hormone (fsh). androgens.

Answers

I believe the answer is luteinizing hormone. Luteinizing hormone also known as lutropin is a hormone produced by the anterior pituitary gland. The hormone is considered a gonadotrophic hormone because of its role in controlling the function of ovaries in females and testes in males which are known as the gonads. In females it controls the length and sequence of the female menstrual cycle, including ovulation, preparation of the uterus for implantation of a fertilized egg, and ovarian production of both estrogen and progesterone.

What are the similarities and differences between fungi and plants?

Answers

Plants and fungi both have cell walls, which provide them with support and structure. But one main difference is that plants, unlike fungi, have the ability to photosynthesize.

Which of the following is a structure in some plants that produces male sex cells?

Phloem
Tracheophyte
Antheridium
Archeogonium


What is a life cycle that alternates between sexual and asexual reproduction called?

Archegonium
Antheridium
Alternation of Generations
Metamorphosis

Answers

Which of the following is a structure in some plants that produces male sex cells? 
Answer: antheridium


What is a life cycle that alternates between sexual and asexual reproduction called?
Answer: alternation of generations

Answer:

If this is the seedless plants practice, here is the answers.

1.b

2.c

3.d

4.c

5.c

Explanation:

the answers for this question are on 4 and 5.

When atp releases some energy, it also releases inorganic phosphate. what happens to the inorganic phosphate in the cell?

Answers

It starts to die and the cell starts to die.

Final answer:

When ATP releases energy, inorganic phosphate can be used in various cellular processes such as phosphorylation of other compounds or stored as glycogen.

Explanation:

When ATP is broken down, usually by the removal of its terminal phosphate group, energy is released. The energy is used to do work by the cell, usually by the released phosphate binding to another molecule, activating it. For example, in the mechanical work of muscle contraction, ATP supplies the energy to move the contractile muscle proteins. In the case of inorganic phosphate, it can be used in various cellular processes such as phosphorylation of other compounds or stored as glycogen.

Where does most seismic activity occur?

in the center of tectonic plates
along tectonic plate boundaries
in mountains
deep within the earth

Answers

The answer would be Boundaries
it would be tectonic plate boundaries 
hope that help you

Which human body system includes the lungs, liver, skin and kidneys?

Answers

The excretory system consists of the lung liver skin and kidney

A patient with visual agnosia will probably show an inability to

Answers

A patient who suffer visual agnosia will probably show an inability to identify or recognize common objects in a plain view and they cannot interpret visual information. This is due to the damage in anterior cortex like the temporal lobes and posterior occipital of the brain. Additionally, visual agnosia is diagnosed by assessing the patient’s ability to name and describe the use of visually presented objects

I need help on this question

Answers

i think the answer is b. trees and shrubs
Think the answer is C. Weeds and grasses.

The human body contains roughly 100 trillion cells. approximately what percentage of those cells are independent microorganisms?

Answers

Approximately 90% of the cells in the human body are estimated to be independent microorganisms.

These microorganisms, collectively known as the human microbiota, include bacteria, viruses, fungi, and other microbes that reside in and on our bodies. They are primarily found in areas such as the skin, mouth, gastrointestinal tract, and reproductive organs.

The human microbiota plays important roles in digestion, immune function, metabolism, and overall health. It is worth noting that estimates of the exact percentage may vary slightly in different studies, but the general range is around 90%.

More recent research indicates that the number of human cells and microbial cells in the body may be roughly similar, although there is still some variability among individuals it is still challenging to provide an exact percentage.

Hence, we can say that almost 90% of cells are independent microorganism.

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Final answer:

Approximately 50% of the cells in the human body are independent microorganisms, particularly those in the gut. These microorganisms are vital for digestion, metabolism, and the immune system.

Explanation:

The human body contains over 100 trillion cells, and it is estimated that these cells are outnumbered by bacteria and other microbes by a ratio of approximately 1:1. This means that roughly half of the cells in the human body are independent microorganisms. These microbes, particularly those in the gut, play a crucial role in digestion, metabolism, and the immune system. They have a significant impact on our overall health and well-being.

Kersten, a 40-year-old woman, found it impossible to stop smoking and using alcohol during her pregnancy. these behaviors increase risk for:

Answers

Alcohol and smoking are risks factors for intrauterine growth restriction or IUGR. When the fetus is affected by IUGR because of these behaviors, the baby will be unusually small despite being born term; in other words, the infant will be classified as low birth weight infant or small for gestational age infant.

These are also risk factors for preterm delivery. Alcohol consumption is linked to developing fetal alcohol syndrome.

Which bathymetric technique differentiates between multiple layers of the ocean bottom?

Answers

The answer would be Seismic reflection

The bathymetric technique that differentiates between multiple layers of the ocean bottom is seismic reflection.

The seismic reflection can be described as the reflection of elastic waves between the bodies of rock at boundaries. These possess different physical properties. This study or technique is mainly used for research purposes.

Compare and contrast the characteristics of vascular and nonvascular plants

Answers

Non-vascular plants are plants grouped as bryophytes which includes hornworth, liverworth and mosses while vascular plants are plants grouped as tracheophytes which includes angiosperms, ferns and gymnosperms. In vascular plants, there is presence of Pholem and xylem (vascular tissues) which are used to transport food, water and mineral throughout their bodies while it is absent in non-vascular plants.

The primary distinction between vascular and nonvascular plants is that vascular arteries transport water and food to all areas of the plant.

What is the name for the process by which the cells of all organisms release the stored energy of nutrients?

Answers

Cells need oxygen to release energy from food. This process is called aerobic respiration.Metabolism is a word for all the chemical reactions in a living organism. The energy released from food by respiration is important to the metabolism of all cells.

Part a - bacterial cell wall peptidoglycan is a polymer of millions of n-acetylglucosamine (nag) and n-acetylmuramic acid (nam) sugars based on glucose molecules linked together in long chains cross-braced with four amino acids that link individual polymer chains together in a chain-link fence pattern. layers of cross-braced nag and nam sheets are stacked vertically and held together by proteins with lipid anchors attached to the cell's cytoplasmic membrane to form a scaffold of sugars and proteins that is able to hold the bacterial cell's shape, even in response to extreme osmotic pressures. how would you expect a microbiology student to be able to describe the composition of peptidoglycan? what is the composition of the peptidoglycan layers found in the cell wall of bacteria?

Answers

I believe the appropriate answer is, short amino acid chains, NAG, NAM, and some lipid proteins.
Peptidoglycan is also known as Murein, it is a polymer consisting of sugars and amino acids that form a mesh-like layer outside the plasma membrane of most bacteria, forming the cell wall. The sugar component consist of alternating residues of β-(1,4) linked N-acetylglucosamine (NAG) and N-acetylmuramic acid (NAM),

A client with a history of opiate abuse asks the nurse, "why do i crave this stuff so much?" the nurse responds, knowing that the client's craving is a result of which factor?

Answers

Final answer:

The craving the client experiences is likely a result of psychological dependence on opiates, where the brain's reward system has been altered to create intense cravings. The development of tolerance and the use of rehabilitation methods including psychotherapy and medication can assist in overcoming addiction.

Explanation:

The client's craving for opiates is likely due to psychological dependence, which is an emotional, rather than physical, need for a drug. Clients with a history of opiate abuse develop this dependence because these drugs alter the brain's reward system, leading to intense drug cravings. To answer the client's question, the nurse should explain that craving opioids is a common effect of the psychological dependence that can develop after repeated use, and even after the physical withdrawal symptoms have resolved.

Over time, a person who uses opioids may develop tolerance, meaning they need higher doses of the drug to achieve the same effect, which further exacerbates the cycle of dependence and addiction. Withdrawal symptoms from opioids can include not only physical discomfort but also psychological distress like anxiety and depression. To treat addiction, rehabilitation may involve psychotherapy, support groups, and sometimes medications like methadone to help manage cravings and withdrawal symptoms.

Starting with the smallest level of ecological organization and moving toward the highest, the order should go organism, __________. view available hint(s) starting with the smallest level of ecological organization and moving toward the highest, the order should go organism, __________.

Answers

organism, population, community, ecosystem, biosphere

Answer:

The correct answer will be option-organism→population→community→ecosystem→biosphere

Explanation:

Ecologists have tried to organize the ecosystem into levels which gave rise to the concept of ecological level of organization.

In an ecosystem, the ecological organisation move from simplicity to complexity in which the lowest level is an organism or species. When these similar organisms live together they form a population.  A group of these population form a community of organism which forms an ecosystem in the biosphere.

Thus, the ecological organization will be organism→population→community→ecosystem→biosphere

A radioactive tracer has a half life of 2 hours. How much of a 2500 g sample will be available after 24 hours?

A) 2.44 g
B) 1.22 g
C) 0.610 g
D) 0.31 g

Answers

hello
the best answer would be c

Final answer:

Using the concept of half-life, we find that after 24 hours, which is 12 half-lives for a substance with a half-life of 2 hours, a 2500 g sample of a radioactive tracer will decay to 0.610 g.

Explanation:

The student is asking about the amount of a radioactive tracer remaining after a certain period, given its half-life. To calculate this, we apply the concept of half-life, which is the time required for half of the radioactive substance to decay. In this case, the half-life is 2 hours.

After 24 hours, which is 12 half-lives (24 hours ÷ 2 hours per half-life), the amount of substance remaining can be calculated as follows:

After 1 half-life (2 hours): 2500 g ÷ 2 = 1250 g

After 2 half-lives (4 hours): 1250 g ÷ 2 = 625 g

...

After 12 half-lives (24 hours): 2500 g ÷ (2^12) = 2500 g ÷ 4096 = 0.610 g

Therefore, the correct answer to the student's question is C) 0.610 g.

The duodenum of the small intestine being squirted by bile how it works

Answers

The duodenum of the small intestine contains the ampulla of vater. The ampulla of vater is the opening of both the bile ducts and the pancreatic ducts. In the liver, there is production of bile and bile is stored in the gall bladder. In response to a full stomach (mediated by the hormone cholecystokinin), the gall bladder contracts and releases bile (along with pancreatic enzymes) through the ampulla of vater to the duodenum. This is to aid the digestion of carbohydrates, protein, and emulsification of fats.

What is the minimum pulse ox reading the emt wants to maintain in the patient with spontaneous​ breathing?

Answers

I believe it should be 94%.Normal arterial oxygen is approximately 75 to 100 millimeters of mercury. Values under 60 mmHg usually indicate the need for supplemental oxygen. Low blood oxygen is known as hypoxemia. Normal pulse oximeter readings usually range from 95 to 100 percent. Values under 90 percent are considered to be low.
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