There are two possible causes of metabolic alkalosis such as ,firstly loss of stomach acids which is most common cause of metabolic alkalosis ,secondly reduced volume of blood in the arteries.
Metabolic alkaloiss is developed by body when it loses too much acid or gains too much base then excess vomiting which causes electrolyte loss, adrenal disease ,loss of potassium or sodium in a short amount of time.
Concomitant NH4+ losses in the diarrhea fluid may also contribute to development of metabolic alkalosis when hyperchloremic acidosis caused by the loss of too much sodium bicarbonate from the body which can happen with severe diarrhea.
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The nurse should set a plastic cup on the orbital rim, gently place it there, and secure it with tape to stabilize the area.
<h3>What are the duties of nurse?</h3>
- Do physical examinations.
- Consider thorough medical histories.
- Consider the patient's emotional and physical demands while you listen to them.
- Give patients guidance and health care education.
- Work with experts and other medical professionals to coordinate care.
- Record your symptoms and medical background.
- Plan patient care in conjunction with teams.
- Promote the patient's well-being and health.
- Track the patient's health and note any changes.
- administering treatments and drugs.
- Utilize medical apparatus.
- Run diagnostic procedures.
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Answer:
The missing options are:
a. "It's due to insufficient production of vitamin B12 in the colon."
b. "Increased production of intrinsic factor in the stomach leads to this type of anemia."
c. "Overproduction of vitamin B12 in the large intestine can result in pernicious anemia."
d. "Decreased production of intrinsic factor by the stomach affects the absorption of vitamin B12 in the small intestine."
The correct answer is d. "Decreased production of intrinsic factor by the stomach affects the absorption of vitamin B12 in the small intestine."
Explanation:
Intrinsic factor is a protein that is produced by cells in the stomach, this protein is essential for the absorption of vitamin B12 in the small intestine. Without intrinsic factor, the absorption of vitamin B12 would be really low, causing pernicious anemia since vitamin B12 is necessary for the production of healthy red blood cells. If there is not a good production of healthy red blood cells that can distribute O₂ and CO₂, the body suffers from pernicious anemia.
