Please use this patient case to answer the following two (2)…

Please use this patient case to answer the following two (2) questions Patricia is a 23 yo female presenting to UHS with complaints of N/V and diarrhea.  Her symptoms started two days ago on the plane trip home from a spring break cruise.  Her other complaints include dizziness, dry mouth, and decreased urination.  On physical exam, her tongue is furrowed and she has decreased skin turgor.  She remains nauseated and has vomited twice since presenting to the ED.  Today’s vital signs:  BP 98/58 mmHg and HR 104 bpm (previous vital signs from her physical last fall were BP 118/68 mmHg and HR 81 bpm) Today’s weight:  56 kg (previously recorded weight 59 kg) Today’s lab results:  Sodium 149 mEq/L (normal 137-144 mEq/L), serum osmolality 305 mOsm/kg (normal 278-298 mOsm/kg), and serum creatinine 1.3 (females 0.55-1.02 mg/dL) 

What therapy would you recommend for the following patient b…

What therapy would you recommend for the following patient based on guideline recommendations? CT is a 69-year-old white male with a 6-year history of hypertension that has traditionally been difficult to control.  He is taking the following medications (below).  At his visit today, his blood pressure is low, and he has been experiencing symptoms of hypotension (dizziness and lightheadedness).  His BP values are listed below.  The team physician wishes to discontinue one of his medications to relieve some of his low blood pressure and symptoms.  Based on the ACC/AHA guidelines, which medication is NOT a first-line therapy and should be the medication that is discontinued (following appropriate discontinuation guidance) today? Blood pressure today:  102/58, 96/54 mm Hg Heart rate:  89 bpm Medications: Amlodipine 10mg daily Lisinopril 40 mg daily Metoprolol tartrate 25mg twice daily Chlorthalidone 25 mg daily

TY is a 58-year-old female with a new diagnosis of hypertens…

TY is a 58-year-old female with a new diagnosis of hypertension. She has had two prior strokes and would like to prevent a third one.  She has an appointment in the family medicine clinic this morning where she reported the changes in lifestyle (increased exercise, lower sodium diet) she had been implementing over the past few months had not lowered her blood pressure significantly. Average blood pressure (home readings from past month):  138/80 mm Hg HR 60             Laboratory measurements (today):             Serum Sodium:  140 mEq/L (135-145)             Serum Potassium: 3.2 mEq/L (3.5-5.0 mEq/L)             Serum Creatinine:  0.9 mg/dL (0.6-1.1 mg/dL) Based on the ACC/AHA 2017 treatment guidelines, which (first-line) initial medication therapy would you recommend for her today?

While on a backpacking trip in Maine, Gemma and her friends…

While on a backpacking trip in Maine, Gemma and her friends obtained their drinking water from several different pristine streams, adding one or two drops of bleach to ensure its safety. Several days later Gemma began experiencing abdominal distress, specifically cramping, fatty diarrhea, and flatulence. When it didn’t clear up within several days, Gemma visited the doctor. Which of the following would be the most likely cause of Gemma’s symptoms?