Question

5. A patient enters a hospital after a motorcycle accident. He complains of mid-back pain. X-rays reveal both rib and pelvic fractures. His emergency room examination includes urinalysis. Which of the following findings from the urinalysis would most likely suggest trauma to the kidneys from the accident, but not to the urinary bladder? A. pyuria B. hematuria C.albuminuria D. uremia E. phenylketonuria 6. Kimberly, a 35 year old female client presents with nausea, dysuria, and lower abdominal pain. Medical history is positive for hypertension. Kimberly's vital signs are 98.9'F, heart rate 105bpm, 22 respiratory rate, and blood pressure 150/90 mmHg. She has significant pitting edema in her ankles. She doesn't remember urinating much in the past 12 hours. Her metabolic panel is seen below (NOTE: SC baseline is 1 mg/dL). Doctor orders a urinalysis, results also seen below.. Metabolic Panel (Blood) Urinalysis Results Patient 3 g/dl 1.007 Normal None 1.005-1.030 Lab Value Sodium Potassium Chloride Glucose Calcium CO2 Phosphorus Blood pH BUN Creatinine Patient 150 5.9 111 137 7.1 14.0 10.4 7.32 59 4.0 Normal 135-145 mEq/L 3.5-5.0 mEq/L 97-102 mEq/L 60-110 mg/dL 8.5-10.5 mg/dL 20-30 mEq/L 2.3-4.3 mg/dL 7.38-7.42 7-24 mg/dL 0.6-1.2 mg/dL Urinalysis Protein Specific Gravity рн Glucose Blood Casts 5.2 Present (2) 3+ 3 Granular. epithelial 5-15 /field 6-15 /field 30-50 /field 5.5-6.5 None None Absent rare 0-1 per field Rare 0-3 per field WBCS RBCS Epithelial cells 7. What do the values above indicate? Give some pathophysiological words you have learned to describe her lab values, hint: hypocalcemia) The pasiento lob VOLURS ON Crowing blamia, huperchloremia, huperglycemia hyperphosonatemia, protein blood & suodir present in urine 8. Blood urea nitrogen (BUN) and creatinine can be used to describe what condition that you suspect in Kimberly's case? Bun & Dine can be used to suspect Kidney disease, damoge, or failure 9. The RIFLE classification system may indicate (circle one): Risk, Injury, Failure, Loss, ESRD 10. Related to blood pH, what type of disorder is this? Metabolic acidosis disease

Answer #6 and #9

Answer 1

•Patient is having / demonstrating 0 Hypernatremia ③ Hyperkalemia 6 Hyper chlorensa в нее не еmia 6 Hyperphosphatemia High creatinine and BUN RIFLE indicates kidney classificiation Risk, Injury , disease Failure of