A 5-week-old baby boy had a five-day
A 5-week-old baby boy had a five-day history of vomiting which occurred about 30 minutes after every feed. The vomit became projectile and was never bile stained. He was irritable and had dry nappies for the past 12 hours. Examination revealed a dehydrated infant who had lost weight and was just above his birth weight of 3.5 kg. He had a test feed which showed visible left-to-right peristalsis and a mass like an ‘olive’ could be palpated in the midline. 9-year-old boy had a 48-hour history of central colicky abdominal pain associated with anorexia nausea and vomiting of food stuff. The pain became more constant and settled in his lower abdomen and is associated with fever and persistent vomiting. Examination revealed a fit boy who was distressed, had low-grade pyrexia and localized tenderness and guarding in the right iliac fossa. A full blood count showed white blood cell count (WBC) 18 000/mm3 , raised C-reactive protein (CRP; 30 mg/L) and slightly elevated urea. 15-year-old Egyptian boy presented with haematuria which had been present for over a year. It was most prominent at the end of micturition (terminal haematuria). Blood pressure was 140/90 mmHg. Urine microscopy showed numerous RBCs. Abdominal ultrasound demonstrated bilateral dilated ureters from the level of the vesicoureteric junction with distension of renal pelvices. There was a rim of calcification in the bladder wall. A patient is taking a medication that is an ADP receptor blocker for the prevention of ischemic stroke. What might this medication be? The client is on an ADP receptor blocker for the prevention of recurrent myocardial infarction. What does the nurse expect when the client develops hemorrhaging and a low platelet count? Patiennt is taking Ticlid and is anticipating surgery. What does the nurse advice the patient about taking the Ticlid around the time of surgery? patient is taking a glycoprotein IIB/IIIA receptor antagonist for the prevention of stroke. What drug is the client likely taking? The client is taking a medication that digests the fibrin network in a blood clot. What medication is the client likely taking? The client is on streptokinase for a blood clot. What adverse reaction should the nurse be looking out for? The client is experiencing a drug-drug interaction with streptokinase and another drug. Which other drug can cause a drug-drug interaction with streptokinase? The client is taking tissue plasminogen activator (TPA). The nurse knows that the mechanism of action of this drug is what? The client is to start taking simvastatin for cholesterol reduction. What does the nurse say to educate the client about the drug? The client is on a statin medication. The nurse tells the client that the purpose of taking a statin drug is what?
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