An emergency room nurse is speaking with a patient who is exhibiting symptoms of an ischemic stroke that started two hours ago. The client mentions having had a cholecystectomy six weeks prior and using labetalol, digoxin, and warfarin. What element puts the patient's thrombolytic therapy at risk?
What is ischemic stroke?
An ischemic stroke is the loss of brain tissue (cerebral infarction) brought on by insufficient oxygen and blood flow to the brain as a result of an arterial blockage. An artery leading to the brain can get blocked, frequently by a blood clot or a fatty buildup brought on by atherosclerosis, leading to an ischemic stroke.
In patients with ischemic stroke, thrombolytic therapy must be started within three hours. If the patient underwent surgery within the last 14 days, she is not qualified for thrombolytic therapy. Labetalol and digoxin do not preclude thrombolytic treatment.
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Answer:
Cause of male infertility are:
- Abnormal sperm production or improper functioning because of undescended testicles
- Genetic conditions like Klinefelter syndrome
- Health problems such as diabetes or infections such as chlamydia, gonorrhea, mumps & HIV
- Enlargement of testes veins also result in low sperm count
Low sperm count symptoms are:
- Problem with sex activity - low sex drive or difficulty in maintaining the erection eg.Erectile dysfunction
- Pain or lump in the testicle area
- Decreased facial or body hair or other symptoms of chromosomal or hormonal disorders
<u>Klinefelter syndrome :</u>
It is a genetic problem in which a male is born with supplemental copy of X chromosome. It usually occurs as a consequence of genetic purposeless error after the conception.
Signs & symptoms include:
- Taller than average stature
- Absent, delayed or incomplete puberty
- Small & firm testicles
- Small penis
- Enlarge breasts ( gynecomastia)
- Long legs, short torso & broader hips in comparison with other teens
Treatment of low sperm count include:
- Surgery: A varicocele can be corrected surgically or vas deferens can be repaired
- Treatment for sexual intercourse problems
- Hormone therapy & medications
- Assisted reproductive technology
- Treating infections
Answer:
testes , testicular lobules , seminiferous
Explanation:
Gonads are the primary sex organs in the male which are the two testes.
Each testis is surrounded by the dense connective tissue capsule called tunica albuginea which is responsible for the thickening on the posterior side and forms mediastinum testis.
From this region, the septa penetrate and divide it into about 250 pyramidal compartments (testicular lobules) . Each lobule is containing the sparse connective tissue with the endocrine interstitial cells that secrets testosterone, and also contains one to four highly convoluted seminiferous tubules which is responsible for sperm production.
Flow rate needed to deliver the dose 250 ml bag of NS with 1g of Kefzol is 41.6gtt/min.
What is kefzol?
Cefazolin or kefzol is an antibiotic used to treat a wide variety of bacterial infections. It may also be used before and during certain surgeries to help prevent infection. This medication is known as a cephalosporin antibiotic. It works by stopping the growth of bacteria.
Given data:
Volume = 250ml
time = 60 mins
drop factor = 10gtt/min
Volume (mL)/ Time (min)x Drop Factor = Y (Flow Rate)
250ml/60 mins×10gtt/min = Y
Y = 41.6 gtts/min
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