In: Nursing
2-A man with heart failure comes to the hospital with shortness of breath. He has edema in his ankles as well. Examination confirms the existance of pulmonary edema. The patient was then given IV furosemide to eliminate the excess fluid. In which of the nephron does furosemide act?
Proximal convoluted tubule
Ascending loop of Henle
Collecting tubule
Descending loop of Henle
Distal convoluted tubule
3-A 60-year-old male patient came to the hospital in the morning with intensive gastric bleeding. After discussing his situation with his family, you discovered that he has dementia (he forgets things) and took his dose of heparin four times and his aPTT is 5 times higher than the required value. The practice that should be undertaken to this man is:
Give 12 units of protamine sulfate
Give vitamin K with an amount of 1 mg for every 10 units of heparin
Give aspirin 100 mg as soon as possible
Watch the man until the effect of heparin vanishes because there’s no antidote that can offset heparin’s mechanism
2.Proximal Convoluted tubules.
Also act on distal tubules
3.protamine sulphate ,
it should be given very slowly
As he is having gastric bleeding, aspirin to be avoided