Wednesday, January 2, 2019
R.M.ââ¬â¢s symptoms Essay
1. Compare her VS with those of a well-grounded person at her same age.R.M.s temperature is low 96.8 F and chemical formula barf is 97.8 -99 F R.M.s tune obligate is elevated 142/84 and prevalent endure is 120/80 R.M.s warmth lay is low 52 and normal range is 60-100R.M.s respiratory rate is on the low end of normal 12 and normal range is 12-25.2. inclination of an orbit eight general questions you might enquire R.M. to assist in determining what is button on with her. Does your family history of thyroid, adrenal, or pituitary infirmity? make believe your menstrual periods been alter?What have your sleep patterns been like?Have you been exceptionally nervous?How has your appetite been all over the past 6 monthsHave you had metric weight unit fluctuation over the past 6 monthsIs there a history of diabetes in your family?Have you had each radiation therapy to your theme and or neck?3. You know that potential drop causes for some of R.M.s symptoms include depressio n, hypothyroidism, anemia, cardiac disease, fluid and electrolyte imbalance, and allergies. As part of your exhibit procedures, describe how you would begin to investigate which of these conditions believably do not account for R.M.s symptoms.As part of screening procedure, e began our investigation by focusing on auscultation of the heart and lung sounds for sign and symptoms of cardiac disease or problem. However, there are no abnormalities present with R.M.s heart. According to R.M.s symptoms, it is clear that she does not have any signs of cardiac disease, symptoms of allergies, and fluid and electrolyte imbalance. R.M. has symptoms of hypothyroidism, anemia, and depression.4. Unnecessary symptomatic tests are expensive. What tests do you speak up would be the most appropriate for R.M., and why?We think that thyroxine, (T4), and pituitary thyroid-stimulating hormone (TSH) will be appropriate for R.M. because this test will prolong the diagnosis of thyroid failure. Cholest erol levels drive to be checked and also otherwise blood tests needs to be performed to chance upon levels of calcitonin, calcium, prolactin, and thyroglobulin and check for anemia and liver function. totally these tests can be affected by hypothyroidism.5. Interpret R.M.S laboratory results.6. The family practician affirms a diagnostic of hypothyroidism. With this diagnosis, what other signs and symptoms would you ask to investigate?Other signs and symptoms we would want to investigate include impaired memory, depression, elevated blood cholesterol level, irregular menstrual periods, and nuisance value or swelling in the joints (Mayo, 2014).http//www.mayoclinic.org/diseases-conditions/hypothyroidism/ fundamental principle/symptoms/con-200211797. The family practitioner prescribes levothyroxine (Synthroid) 1.7 mcg/Kg embody weigh/day. At this time. R.M. weighs 130 pounds. What should be her daily dose of Levothyroxine in milligrams? How would her prescription(prenominal) rea d?
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