Answer: The next most appropriate step would be a LUMBAR PUNCTURE.
Explanation:
A LUMBAR PUNCTURE is a medical procedure that is usually carried out by a trained health personnel. It is a procedure that is carried out in the lumbar region of the spinal cord to access and obtain the cerebrospinal fluid which is used for further diagnosis of an underlying disease or illness.
A LUMBAR PUNCTURE is often adviced when the symptoms of a disease is related to the central nervous system. From the symptoms observed from the 19-year-old woman at the emergency department which includes:
--> generalized headache which is increasing in intensity,
--> blurred vision,
--> intermittent diplopia,
--> vague dizziness.
--> bilateral papilledema and
--> normal MRI of the brain.
Since the MRI of the brain is normal, the most appropriate step to be taken by the health care provider is a lumbar puncture which enables a direct access to the cerebrospinal fluid. This would help to rule out an elevated intracranial pressure which may be the cause of the generalized headache which is increasing in intensity.
The blood used in the first transfusion contained Rh antigens, which caused the patient to produce anti-Rh antibodies and attack the blood from the second transfusion causing agglutination.
what is agglutination and why does it occur ?
A clumping of particles is called agglutination.
the clustering of cells, like bacteria or red blood cells, when an antibody or complement is involved. An extensive complex formed when an antibody or other molecule binds several particles and binds them altogether. Due to its ability to phagocytose large clusters of bacteria increase the effectiveness of microbial elimination through phagocytosis.
When the incorrect blood group is transfused into a person, the antibodies react with the transfused blood group, that causes the erythrocytes to clump and cling to one another, causing them to agglutinate.
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Answer: D. Maintain an open airway
Explanation:
Facial trauma is the physical trauma to the face this is caused due to injuries like lacerations, burns, bruises, fractures and others. The airway management such injuries is crucial for the patient's survival. It is a complex process. This ensures sufficient breathing and ventillation while treatment.
Evaluate at least 200 spermatozoa, tally the numbers of live and dead spermatozoa using a laboratory counter, and calculate the percentage of live spermatozoa (see Note 10). The lower reference limit for vitality assessed by eosin–nigrosin stain (membrane-intact spermatozoa) is 58% (5th percentile, 95% CI 55–63) (1).
From what we know, we can confirm that Dietary Guidelines recommend limiting saturated fat intake to less than 10% of total calories.
<h3>Why only 10% at most?</h3>
Saturated fats are not healthy for humans. They are recommended to be consumed as less than 10% of the total calorie intake in order to prevent health problems caused by bad cholesterol.
Therefore, we can confirm that Dietary Guidelines recommend limiting saturated fat intake to less than 10% of total calories.
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