Salvage trans jugular intrahepatic portosystemic shunt that is followed by early transplantation in patients with child c14-15 cirrhosis and refractory variceal bleeding:
<h3>What was the aim of this study?</h3>
Even though it's still unknown how trans jugular intrahepatic Porto-systemic shunt (TIPS) works to treat variceal hemorrhage that is resistant to sclerotherapy and medicinal intervention.
Research of the outcomes of early salvage TIPS for active, uncontrolled variceal hemorrhage and identification of the precise factors that contribute to mortality.
<h3>
What methods were used to perform this study?</h3>
When it was discovered that 58 individuals had variceal bleeding that had not responded to a combination of sclerotherapy and medicine, Salvage TIPS was given to them as soon as was practical.
23 characteristics were prospectively analyzed to find predictors of death within 60 days after the surgery.
<h3>What did the researchers conclude from the study?</h3>
Prompt recovery TIPS is an effective technique for stopping active variceal bleeding that is unresponsive to sclerotherapy and drug treatment.
It is impossible to predict the result in a given patient using pre-treatment prognostic indicators that correlate to death.
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Answer:
The correct answer to the question: When the pH of the extracellular fluid drops, the kidneys:____, would be: C: excrete fewer bicarbonate ions.
Explanation:
The pH of the human body, given by the extracellular fluid that flows and is contained in it, holds a narrow margin between 7.35 and 7.45. When hydrogens ions increase, and bicarbonate ions decrease, in any of these fluids, be it blood, CSF, or any other, then we known that a person´s body is going into acidosis because the pH level is dropping. However, when the scenario is the opposite, with more bicarbonate ions, than hydrogen ions, then we are talking of an alkalosis. In order for the body to restore its normal levels, it has a series of mechanisms that will ensure the reestablishment of balance. One such mechanism is the excretion of elements through the urine, by the kidneys. In a case of acidosis then, the correct procedure is that kidneys produce urine charged with the excess hydrogen atoms and re-uptakes bicarbonate ions that might have escaped while producing urine. The urine will become acidic then. This is why the answer is C.
I hope this helps! if you need anything else i can help ^^
In this situation, the best is to provide the patients with appropriate supplies and clear instructions to obtain the sample required.
<h3>What should be prioritize?</h3>
In this situation, both the need of the patient to urinate and the need to collect the sample are important.
<h3>What shoul be done?</h3>
Based on the priorities, you should let the patient go to a restroom but also provide him with appropriate supplies and instructions to collect the urine sample.
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