Werkblad Laboratoriumwaarden en elektrolyten met antwoorden
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Naam: ____________________ Datum: ____________
1.Makkelijk
How does active vitamin D (calcitriol) affect calcium?
AIt increases calcium absorption from the gut
BIt moves calcium out of the blood into cells
CIt increases calcium loss in the urine
DIt blocks calcium absorption from the gut
2.Makkelijk
What does normal cerebrospinal fluid (CSF) look like?
APink and bloody
BCloudy and yellow
CClear and colorless
DThick and green
3.Makkelijk
What does the term pancytopenia mean?
ALow red cells, white cells and platelets
BHigh red cells, white cells and platelets
CHigh white cells with low platelets
DLow red cells with normal platelets
4.Gemiddeld
A patient is on an IV insulin infusion protocol in the ICU. How often is the blood glucose usually checked?
AOnly if symptoms occur
BOnce a day before breakfast
COnce every 12 hours
DAbout every hour
5.Gemiddeld
A patient with diabetes is found unconscious with a blood glucose of 38 mg/dL (2,1 mmol/L). Which treatment is appropriate?
AGlucagon by injection, or IV dextrose as prescribed
BGlucose tablets placed between the patient's teeth
COrange juice poured slowly into the patient's mouth
DA dose of rapid-acting insulin to stabilize the glucose
6.Gemiddeld
A patient takes low-dose methotrexate weekly for rheumatoid arthritis. Which laboratory tests are monitored regularly?
ASerum lithium, sodium and urine specific gravity
BSerum amylase, lipase and blood ketones
CTroponin, creatine kinase and myoglobin
DComplete blood count, liver tests and kidney function
7.Moeilijk
A patient with C. difficile diarrhea has a white cell count of 24 × 10³/µL and a creatinine that has risen to 2,1 mg/dL (186 µmol/L). What does this indicate?
ASevere C. difficile infection
BUnrelated chronic kidney disease
CSuccessful response to treatment
DMild infection needing no treatment
8.Moeilijk
A patient on IV gentamicin has a trough level above the target, and the creatinine has risen since yesterday. The next dose is due. What is the best action?
AGive the dose with extra oral fluids to protect the kidneys
BGive the dose now and recheck the levels next week
CGive half of the dose and document the reason for it
DHold the dose and report the results to the prescriber
Antwoordenblad
1. A · It increases calcium absorption from the gut
2. C · Clear and colorless
3. A · Low red cells, white cells and platelets
4. D · About every hour
5. A · Glucagon by injection, or IV dextrose as prescribed
6. D · Complete blood count, liver tests and kidney function
7. A · Severe C. difficile infection
8. D · Hold the dose and report the results to the prescriber
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