Monday, April 7, 2014

Task, yeah. Traditionally - surgical. That is - with podkovykoy. Comments are screened. Correct ans


Task, yeah. Traditionally - surgical. That is - with podkovykoy. Comments are screened. Correct answer - tomorrow. 25-year-old patient three days ago held appendectomy. At the moment, there are mental disorders. The postoperative course frank zane was generally uneventful, except that the patient suffered from severe pain, for which relief was appointed pethidine within 24 hours. On this therapy the patient had a strong nausea, which was appointed frank zane for the relief metokloparamid. Due to complaints frank zane of severe nausea patient eats, thereby frank zane further assigned infusion therapy - polufiziologichesky sodium chloride solution with a 5% glucose. On examination: T - 37.0, blood pressure - 116/76, BH - 14/min, heart rate - 84/min. The patient is disoriented, confused mind, "lethargic" (yyy, the direct translation, do not know how to explain it in another way). Not currently oriented in time and space. Abdomen soft, minimal pain in the surgical wound, the wound is clean, dry and intact. Survey systems and organs frank zane - without features. The patient does not look dehydrated, no peripheral frank zane edema. Pulse oximetry - 98%. Analyses: GB - 150 Leyotsity - 8.1 Sodium - 122 mmol / l Potassium - 3.4 mmol / l Chlorine - 99 mmol / l, Urea - 6 mg / dL, Creatinine - 0.6 mg / l, glucose - 84 mg / dl, uric acid - 2 mg / dl total protein frank zane - 5.8 g / dL. Urinalysis, blood, protein, glucose, bacteria, leukocytes - negatively. High concentrations frank zane of sodium and urine osmolality. When unravel what it is, please tell us also about the pathophysiology of this condition, diagnosis and therapy. With love, your La.


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