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CC Case 2 pg101 mokelikeli o tletse ka ho hloleha ho hoholo ha renal

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Moprofesa Johanna Ramirez

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Liselaete (31)

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Ketso ea pele ea mooki e lokela ho ba efe kamora ho beha Alfred ka seaparo sa sepetlele? 

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TLHOKOMELISO EA TRIAGE: Temp 97.2, HR 110, BP 122/75 MAP (91) O2 e lutse moea oa kamore ea 91%. Glucose 240 A&Ox3 Matšoafo a qhekella ka mahlakoreng a mabeli, ka har'a lobes tse ka morao tse ka morao 'me a bonoa ka har'a lobes tse ka morao tse ka morao, khohlela e mongobo, 3+ pitting edema. Bolela lintlha tse 3 tsa bohlokoa ka ho fetisisa? 

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Ketso ea booki e tlang pele ho baoki e ne e tla ba efe?

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Beha liodara tsena ka tatellano e nepahetseng. 

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Mooki o lekola bocha 'malo oa ho tlala ha oksijene kamora metsotso e 15 mme ke 89%. Mooki o lokela ho etsa eng kamora moo?

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X-ray ea sefuba e phethiloe. Setsebi sa radiology se bitsa mooki ho re "matšoafo a kopane ka bobeli" Mooki o lokela ho hlalosa tlaleho ee joang? 

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Mooki o lekola karabelo ea bareki ho furosemide. Ke sephetho sefe se bontšang hore lethal dose le ne le sebetsa? 

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Ke maikutlo afe ao mooki a ka a etsang ho tsoa ho boleng ba lab le tlalehong ea x-ray ea sefuba? Labs: HGB 8.5, Potassium 6.0, BUN 32, Creatinine 3, WBC 6.2

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Mooki o lokela ho kenyelletsa eng morerong oa Alfredo oa tlhokomelo? Khetha tsohle tse sebetsang! 

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Alfredo o amoheloa setsing sa bongaka bakeng sa dypnea le ho hloleha ha renal 'me ho laeloa ho ntša moroto oa lihora tse 24. Mooki o lokela ho kenyelletsa eng thutong ea hae? Khetha tsohle tse sebetsang

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Boemo ba Alfredo bo ntse bo mpefala ke mathata afe ao mooki a lokelang ho a behela leihlo? Khetha tsohle tse sebetsang.

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Ho ile ha etsoa qeto ea hore Alfredo o tla qalisoa ka hemodialysis ka catheter ea nakoana ea dialysis ka har'a jugular ea hae e ka hare. Mooki o lokela ho hlahloba eng ka mofuta oa phihlello? Khetha likarabo tse 2.

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Ke meriana efe eo mooki a lokelang ho e tšoara pele ho dialysis? Khetha tsohle tse sebetsang. 

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Alfredo o khutla ho tsoa ho dialysis empa o robetse, A&O4 vitals 89/45 (60), glucose 65, HR 115 O2 Sat 96%. U ka nka mehato efe ha u le mooki? Khetha likhetho tse 2.

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Alfredo o qala ho ntlafala mme mooki o ntse a lokisa litaelo tsa ho tsoa mali tseo mooki a lokelang ho li etelletsa pele?

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