Receptors on the taste buds send their stimuli through three cranial nerves to the cerebral cortex for interpretation.
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What type of hearing loss results when the ear is blocked by…
What type of hearing loss results when the ear is blocked by ear wax?
The secretion of hormones operates on a negative feedback sy…
The secretion of hormones operates on a negative feedback system or under the control of the _________________________.
Excessive thirst is called _____.
Excessive thirst is called _____.
Which hormone is overproduced in pheochromocytoma, leading t…
Which hormone is overproduced in pheochromocytoma, leading to high blood pressure?
Which hormone is lacking in patients with Type 1 diabetes me…
Which hormone is lacking in patients with Type 1 diabetes mellitus?
The outer layer of the eye is the
The outer layer of the eye is the
Lipid-soluble hormones most commonly: (choose all correct an…
Lipid-soluble hormones most commonly: (choose all correct answers)
Which of the gut peptides is released in response to high fa…
Which of the gut peptides is released in response to high fat and protein meal and also promotes satiety?
Irene, a 68 year old female, is admitted to the hospital due…
Irene, a 68 year old female, is admitted to the hospital due to complaints of persistent vomiting and abdominal pain for the past 2 weeks. She was subsequently diagnosed with severe colitis and went to surgery to resect (take out) that portion of her bowel. Ht: 5’2” Wt. on admission: 94 lbs. Weight 2 weeks ago: 100 lbs. (has been stable for the past 3 years) Diet: has been NPO since admission – IV is currently running at 80 mL/hr with D5W & ½ normal saline + 20 mEq/L of K+Cl- (this is hospital day number 5) – the plan is to advance her diet today to clear liquids and see how she tolerates it. Physical Examination: no significant signs of fat or muscle loss noted on admission; no edema noted on admission but dry mucous membranes and poor skin turgor assessed. Clinical status: stable following surgery 4 days ago; 5” of her transverse colon was removed Past Medical History: early COPD (chronic obstructive pulmonary disease – she takes the corticosteroid prednisone at home to help with the airway inflammation); gastroesophageal reflux (take a proton-pump inhibitor for management) Current medications: solumedrol (I.V. form of prednisone), esomeprazole (proton-pump inhibitor to prevent gastrointestinal bleeding); starting on some Lasix today (loop-diuretic) – she will be going home on lasix Diet History (for the past 2 weeks): Breakfast: 1 piece of white toast w/small amount of butter & jelly; cup of tea Lunch: Campbell’s chicken noodle soup with 4 saltines & tea; OR Campbell’s vegetable soup with 4 saltines, tea and 1 small container of applesauce Dinner: frozen dinner such as Lean Cuisine (chicken teriyaki/broccoli/rice) or Weight Watchers’ frozen dinner (mini-rigatoni in cream sauce, chicken ranchero mini wraps, etc. – typically provides 220 calories and 12 g protein per frozen dinner; drinks tea with dinner – eats all the frozen meals. Intake and ouput (I/O) data since admission: Hospital Day #1 Fluid intake/output: 1800 mL (In)/1000 mL (out) Weight: 93 lbs. Hospital Day #2 Fluid I/Os: 2200 mL/1000 mL Weight: 95 lbs. Hospital Day #3 Fluid I/Os: 1800 mL/1200 mL Weight: 98.8 lbs. Hospital Day #4 Fluid I/Os: 1920 mL/1250 mL Weight: 102 lbs. List SMART goals for Irene to achieve at home (5 points):