A 35-year-old woman is in the intensive care unit with sepsis following a cesarean section.

Manual differential:

WBC 4.3 Band neutrophils 25

RBC 3.20 Seg neutrophils 45

Hgb 10.0 Lymphs 10

Hct 29.8 Monos

MCV 93.2 Eos

MCH 31.5 Basos

MCHC 34.5 Metamyelocytes 15

RDW 17.9 Myelocytes 5

PLT 10.0 Promyelocytes

Marked toxic granulation

NRBCs 9/100 WBCs

PT: 42.4 sec

APTT: 78.3 sec

The results of the proposed additional studies were as follows:

FBG 193 mg/dL

D-dimer 1.5 μg/mL

3. Based on all the data provided, what condition is most likely?

4. What information is most diagnostic?


5. Why is the fibrinogen not decreased in this case?

Answers

Answer 1

Based on the manual differential, the patient has a low white blood cell count (4.3), with a high percentage of band neutrophils (25) and metamyelocytes (15), indicating a left shift in the differential, which is commonly seen in sepsis.

The patient also has a low platelet count (10.0) and marked toxic granulation. The PT and APTT are prolonged, which can be indicative of disseminated intravascular coagulation (DIC), a condition that can occur in sepsis.

The elevated FBG (193 mg/dL) and D-dimer (1.5 μg/mL) levels also support a diagnosis of DIC, as does the presence of NRBCs (9/100 WBCs), which can be a sign of bone marrow stress. Therefore, the most likely condition is DIC secondary to sepsis. The information most diagnostic in this case is the presence of a left shift in the manual differential, low platelet count, and prolonged PT and APTT.

Fibrinogen is not decreased in this case because it is an acute phase reactant, meaning that its levels can increase in response to inflammation and infection, which are present in sepsis. However, in later stages of DIC, fibrinogen levels can decrease as clotting factors are consumed.

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Related Questions

Which story is the best example of a satire? A. a story in which a character refuses to throw away a broken pen and uses it despite its limitations, where the pen stands for the love of his father B. a cruel ruler who is obsessed with fashion one day finds that his clothes have been replaced with potato sacks C. a story in which a selfish, ornery fox realizes, with the help of a bumblebee, that he can gain more from being kind than from being forceful D. a story in which a silly dog constantly gets into compromising circumstances, such as getting stuck in the back of a truck with a pair of cats

Answers

Hi,

Answer:

This is an example of satire because satire is the use of humor to ridicule others.

B. a cruel ruler who is obsessed with fashion one day finds that his clothes have been replaced with potato sacks

The statement that express an example of satire is B:a cruel ruler who is obsessed with fashion one day finds that his clothes have been replaced with potato sacks.

Satire can be regarded as a genre of the visual as well as literary, and performing arts. It is usually comes as a fiction and sometimes non-fiction.

In this genre follies as well as abuses are been help up., In option B, this is expressed very well.

Therefore, option B is correct.

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when do you are is cool to be a wow?\(hi\)

Answers

Answer:

\( \bino}{?} log_{ \\ \\ \\ }(?) \sec( \binom{ \beta \alpha \gamma \infty }{?} ) \)

when do you are is cool to be a wow?[tex]hi[/tex]

When training, it's important to have periods of rest and only exercise in ___________ to avoid injury.

Answers

Answer:

recover

Explanation:

PSYCHOLOGY


It’s just 3 fill in the blank

PSYCHOLOGYIts just 3 fill in the blank

Answers

Axon , neurotransmitter , postsynaptic neurons are the answer .

How can electrical impulses move from one neuron to the next?

A neurotransmitter, which binds to a receptor on the surface of the receiving (i.e., postsynaptic) neuron, is released by the presynaptic neuron, the neuron that is delivering the signal. Presynaptic terminals, which may branch to communicate with numerous postsynaptic neurons, discharge neurotransmitters into the environment.

From one neuron to the next, how does an electrical impulse move?

The connection between each axon tip and the next structure is known as a synapses. These two structures are separated by a tiny space. A nerve impulse must pass through the space between the axon and the following structure at a synapse in order to continue moving forward. To move the impulse over the gap, the axon tips release chemicals.

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It is recommended that you consume foods with 5 grams or more of ____ as it is beneficial for weight control, diabetes and even forms of cancer. Vitamin C Protein Fiber Calcium

Answers

Answer:

The most effective ways of weight control, diabetes,and even forms of cancer. are FIBRES AND PROTEINS.

Answer: Fiber

Explanation: I took the test

I've thought a lot about this and I want to know what other people think. What is the reason for living and if you have no-one, how do you involve yourself in society. How do you develop genuine feelings for others? I don't have anyone special and I hate people so I don know how to do it anymore. I need help.

Answers

Answer:

I think when you have nobody it's honestly a time to work for yourself, you arent always gonna be with someone but obviously you arent always going to be alone, once you find that one person doesn't have to be one person you'll be really effeicient i suggest getting a pet or something but don't be so attached to it for yourself in the future ive found cats helpfull and calming

also i dont suggest finding someone relationship wise would help you have to love yourself to love someone else but obviously if you do find that special someone you should stay with them a lot. I hope I did something.

Explain how developing personal competence (for example, using the athletic stance in a variety of physical activities) can increase confidence and success in those activities, and possibly encourage lifelong participation. State your answer, explain it and then provide an example.

Answers

If you develop the confidence for completeness you will actually feel boosts of confidence in public places and you won’t be afraid to be yourself. During sports you will feel better about yourself and it also prevents diseases.

Neurotherapy is different from other types of biofeedback in that it focuses on the central nervous
system.
TRUE OR FALSE

Answers

Answer:

True.

Explanation:

Neurotherapy focuses on the brain, and the brain is a part of the central nervous system.

I think it’s true I’m not sure

A car factory produced 3400 in June,3300 in July,and 3800 in Augut. What wa the average monthly production of thi factory during thi 3 month period?

Answers

3,500 is the average sold per month

What might happen if your bladder lacked sphincter muscles?

a
urine could not enter the bladder
b
you would not be able to expel urine from the bladder
c
urine might leak out of the bladder
d
your kidneys would shut down

Answers

Answer:

urine might leak out of the bladder

Explanation:

The nutrition fact sheet at a fast food restaurant says a small portion of chicken nuggets has 175 calories, and 105 calorles are from fat. What percent of the total calonies is from fa \[ \times \% \

Answers

The small portion of chicken nuggets at a fast food restaurant contains 60% of its total calories from fat (105 out of 175 calories).



To find the percentage of calories from fat, divide the calories from fat (105) by the total calories (175) and multiply by 100. So, (105 / 175) * 100 = 60%. This means that 60% of the total calories in the small portion of chicken nuggets come from fat. It's important to note that this percentage refers to the proportion of fat calories out of the total calories and not the proportion of fat content by weight. Keep in mind that consuming a high percentage of calories from fat may not be ideal for a healthy diet, as it can contribute to weight gain and other health issues. It's recommended to balance fat intake with other macronutrients like carbohydrates and proteins for a well-rounded diet.

Therefore, The small portion of chicken nuggets at a fast food restaurant contains 60% of its total calories from fat (105 out of 175 calories).

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A person always feels hungry, even a short time after eating. This person could have a disorder with which glands?

Answers

Answer:

Overactive Thyroid or you can just say thyroid i'm sure that works too

Explanation:

this is known as an overactive Appetite

Christine is in a relationship with Connor, who is a naturally shy individual. Because he doesn’t speak up for himself in social situations, Christine makes fun of his intelligence around their friends and teases him about living with his grandparents. She has also told him that if he breaks up with her, he will never find another relationship. What types of abuse are overlapping in this situation?

Answers

Answer:

Verbal abuse and Trauma

Christine is in a relationship with Connor, who is a naturally shy individual and because he doesn’t speak up for himself in social situations, Christine makes fun of his intelligence around their friends and teases him about living with his grandparents while she has also told him that if he breaks up with her, he will never find another relationship so the types of abuse are overlapping in this situation are verbal and mental.

Mental abuse is that the use of threats, verbal insults, and different additional delicate techniques to regulate a human means of thinking. This type of abuse is particularly distressful as a result of it's tailored to destroy shallowness and confidence and undermine a private sense of reality or ability.

Verbal abuse involves victimization words decision} call, bully, demean, frighten, intimidate, or management another person. This will embody verbal abuse like yelling, screaming, or swearing.

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A person beats a man in the park to steal his wallet. Unfortunately, the victim dies as a result of the beating.
Which of the following acts of violence did the assailant commit?
A. domestic violence
B. assault
C. gang violence
D. homicide
Please select the best answer from the choices provided.
A
X
Submitted

Answers

The act of violence did the assailant commit is to be considered as the Homicide. option d is correct.

What is Homicide?

It refers to the non-lawful killing for one human being from anothers. However, the murder should be meant along with malice.

Since the person beats the man in the park for stealing the wallet. At the same time the victim dies

So this means it is homicide.

Hence, the option d is correct.

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Answer: I think its b im not sure tho

Explanation:

A look or light pat on the back is never enough to stop the inappropriate behavior. Coaches should make athletes understand that when they choose to engage in a behavior, they have also chosen any consequences associated with that behavior.

Answers

The coaching world has been a hot topic in recent times, especially in connection to the relationships coaches have with their athletes. Coaches should ensure that athletes understand that the consequences of their actions will fall squarely on them.

This implies that the individual has to be responsible for their actions in order to avoid negative repercussions.The use of physical contacts has been identified as a way in which coaches could pass on their positive and negative feedback. Some coaches might engage in inappropriate conduct while coaching their athletes, which could be attributed to the use of physical contact.

Some coaches do this in a bid to motivate their athletes, but they could be acting against regulations put in place to protect young athletes.While a light pat on the back might be an appropriate gesture in some instances, other inappropriate conducts should not be tolerated. This includes touching an athlete's thigh or groin area. These actions are not appropriate, and they could leave lasting psychological effects on the athlete. Coaches should understand that they have a duty of care to their athletes.

This means that they are responsible for ensuring that their athletes are safe and protected at all times.Coaches should also emphasize the importance of communication. Athletes should be able to talk to their coaches about any concerns they have about inappropriate conduct.

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A look or light pat on the back is never enough to stop the inappropriate behavior. True

Coaches should make athletes understand that when they choose to engage in a behavior, they have also chosen any consequences associated with that behavior. True

What makes Inappropriate behavior?

Inappropriate behavior can range from minor infractions, such as talking back to a coach, to more serious offenses, such as bullying or cheating. Coaches need to be clear about what constitutes inappropriate behavior and what the consequences will be for engaging in that behavior.

If a coach simply looks at an athlete or gives them a light pat on the back when they engage in inappropriate behavior, the athlete is likely to think that the behavior is acceptable. The coach needs to be more assertive and clearly state that the behavior is not acceptable and that there will be consequences if it continues.

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Complete question:

A look or light pat on the back is never enough to stop the inappropriate behavior. (T/F). Coaches should make athletes understand that when they choose to engage in a behavior, they have also chosen any consequences associated with that behavior. (T/F)

(I’ll mark brainliest) Directions: Research three news articles (7 points each) on the internet or in print relating to
the drug discussed in this lesson. Summarize what you learned in a one page report. For
example, explain who is using this drug, what problems it is causing in it society, where the drug
iS coming from, what law enforcement is doing to combat this drug, etc. Explain how the
information you gathered has changed your views on this drug. (1 point) Be sure to site your
sources.

Answers

Answer:it is have a story?

Explanation:

monosaccharides most important in nutrition: galactose, fructose, and _____

Answers

monosaccharides most important in nutrition: galactose, fructose, and glucose
Final answer:

The monosaccharides most important in nutrition are galactose, fructose, and glucose. These three sugars, known as isomers, vary structurally but share the same chemical formula. They are vital to human nutrition as they are absorbed directly into the bloodstream during digestion.

Explanation:

The monosaccharides most important in nutrition are galactose, fructose, and glucose. These sugars all share the same chemical formula (C6H₁2O6), but differ structurally and are known as isomers. Glucose, galactose, and fructose are examples of hexose sugars, as they each contain six atoms of carbon. These sugars originate from different dietary sources: galactose is part of lactose found in milk, fructose is found in fruits as well as in sucrose, and glucose is a fundamental sugar used for energy in the human body and is found in many different foods. They are absorbed directly into the bloodstream during digestion and play vital roles in human nutrition.

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Why do basketball players need good agility when playing basketball? Can you give a
sporting example in your answer?

Answers

Answer:

to improve footwork skills as well as improve cardio-respiratory stamina.Speed and agility training is also key in decreasing injury for basketball players

Explanation:

to improve on there movement.

Which explains why it is important to have the correct etiology for a nursing diagnosis?

Answers

The etiology directs nursing care and that is why it is important to have the correct etiology for a nursing diagnosis.

The etiology directs nursing interventions. If the incorrect etiology is given, the treatment would not be applicable for the consumer. the alternative statements are true but not a reason for the importance of the etiology being correct.

A nursing diagnosis is “a clinical judgment regarding individual, family, or community responses to actual or potential health problems/life processes.

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what are the major issues of the stage of human life cycle when there is need of family expansion?​

Answers

Answer:

You may feel challenged by their emotional, financial, and physical needs while trying to help them keep their independence. You may experience declining physical and mental abilities or changes in your financial or social status.

15. All of these are types of muscles EXCEPT
A. smooth
B. cardiac
C. skeletal
D. auditory

Answers

Answer:

D: Auditory

Explanation:

Smooth, cardiac, and skeletal are all groups of muscles, while auditory is not.

Complete the following sentence.
Experts are critical of caregivers using bouncy seats or swings for ______ periods of time.

Answers

Long or extended periods of time


13. Why are the indicators of development more in
developed countries? Explain

Answers

Answer:

Because developed countries usually rich, high levels of production require efficient production in factories

Explanation:

Permissive hypotension is indicated in which patients.

Answers

In patients with penetrating torso injuries, permissive hypotension is indicated. When treating hemorrhagic shock, permissive hypotension is also commonly utilized.

Permissive hypotension is a process that involves allowing blood pressure to drop to lower-than-normal levels, as long as vital organs are still receiving adequate perfusion.

However, the blood pressure shouldn't be reduced so much that the patient's important organs, such as the brain, kidneys, or heart, lose adequate perfusion. The principle behind permissive hypotension is to avoid the overuse of intravenous fluids or blood products.

Permissive hypotension is indicated in patients with penetrating torso injuries and hemorrhagic shock. Permissive hypotension is a process that involves allowing blood pressure to drop to lower-than-normal levels, as long as vital organs are still receiving adequate perfusion. However, the blood pressure shouldn't be reduced so much that the patient's important organs, such as the brain, kidneys, or heart, lose adequate perfusion. When it comes to penetrating trauma, too much fluid can cause the blood to push out of the wounds, worsening bleeding, and causing more damage to the patient.

Permissive hypotension is a beneficial technique that can help to decrease the amount of fluids that are used during resuscitation in patients with severe blood loss due to trauma. The technique involves keeping the patient's blood pressure at lower-than-normal levels while still ensuring that vital organs are adequately perfused.

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How does planning activities at your own home help you avoid situations involving alcohol?
A. Your home life does not involve situations with alcohol use.
B. Alcohol use is almost always tied to group events outside the home.
C. You can control whether or not there is alcohol in your home.
D. Planning activities at home does not help you avoid situations involving alcohol.
Please select the best answer from the choices provided.​

Answers

D would be the best answer. Because A false, b is false. And c as well

What causes horses to have a rough coat

What causes horses to have a rough coat

Answers

Answer:

poor nuterition

Explanation:

A rough or dull coat is a sign that a horse is not thriving for some reason. Horses that receive poor nutrition, have chronic low grade parasitism, or any chronic disease tend to show it in their coat. A late winter coat that is shedding is expected to be dry and dull.

Need help ASAP!!!

There are many various styles of martial arts. Some are practiced for self-defense or competition, while others are practiced for health, fitness, or spiritual development.

Directions: Because of the vast numbers of martial art styles, only a few were covered in the course. For this assignment, you will need to research two additional forms of armed martial arts.

Part A: Martial Art #1 Martial Art #2

Name of martial art form
Meaning of the name
Country of origin
Goal or objective
List of equipment used
Are there competitions for this art form? Explain how they are run.
Uniform requirements

Part 2: Martial Art #1 Martial Art #2

Name and explain three different movements performed.
List two additional facts about this martial art form.

Resources Used:

Which art form do you think would be more difficult to learn? Which of these forms would you rather learn?

Answers

Part A: Name of martial art form:

#1 Kendo, Martial Art   #2:  Krav Maga

Meaning of the name:

Kendo implies "The Way of the Sword"Krav Maga implies  "Contact Combat"

Country of origin: Kendo -  Japan, Krav Maga -Israel.

Goal  - Kendo goal is disciplines mind and body, while Krav Maga defends in real-life situations with practical techniques.

List of equipment used - Kendo - a bamboo sword (shinai), protective armor, a wooden sword and Krav Maga - protective gear.

The competitions are - Kendo, practitioners battles against one  another with protective armor/ bamboo swords While Krav Maga is less formal and more thorough.

Uniform requirements- Kendo - "keikogi", and Krav Maga - casual attire.

Part 2:

Kendo: "Men" (head strike), "kote" (wrist strike), "do" (side body strike). Krav Maga: "Straight punch" (quick punch), "groin kick" (incapacitating low kick), "choke defense".

Kendo is influenced by samurai swordsmanship, while Krav Maga was developed for military use with elements of boxing and wrestling.

What are the styles of martial arts?

Martial arts Kendo ("Sword Way") and Krav Maga ("Contact Combat") originated in Japan and Israel, respectively. Kendo aims to improve the mind and body and develop strength and speed. Krav Maga defends in actual scenarios with helpful methods.

So, Kendo needs shinai, bogu, and bokken for some drills. Krav Maga requires no equipment, except for sparring gear. Kendo competitions involve protective armor and bamboo swords. Score points by striking targets in Krav Maga competitions, which prioritize real-life scenarios. Kendo needs a "keikogi" uniform, Krav Maga permits casual wear.

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Empty calorie foods are high in nutritional value

Answers

Answer:

Foods and drinks that contain no significant nutrients but are high in calories are said to have “empty calories.” These are mainly foods and drinks that have a high sugar, fat, or alcohol content, but little or no other nutritional value.

Explanation:

What’s A Definition For Binge Drinking ?

Answers

Answer:

if you drink for long periods of time seperstlyz like if you dont drink fir a month or two then start heavily drinking and repeat that process.

Answer: An aholic

Explanation: AKA someone who drinks daily all the time.

How the dancers prepare for a performance and the protocols they do to avoid injuries and other conditions?

Answers

Dancers prepare well for their performance and protocols while avoiding injuries is by taking complete rest before final presentation, staying clam and hydrated and practicing well to avoid any mistake.

Dance is a physical activity with charismatic eye, hand and body movements and thus requires coordination of body and mind. Dancers need to practice hard for the performance and during this regime, they must ensure to remain hydrated and calm. Also, physically exhausting oneself must be avoided. Proper warm up sessions and meditation also helps the mind to revise the steps efficiently. Also some props and safety kits can be used by beginners to avoid any injuries. Dancers are most likely to face problems such as pain in feet and ankles, sprain in some body part, fatigue etc.

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A woman bought a home five years ago for $105,000 with a 90% LTV ratio. She is now selling the home for 20% more than it cost. Her loan balance has been reduced by 8%. What is her percent of equity increase Exercise 1 Write run-on next to each run-on sentence. Pulitzer owned the St. Louis Post-Dispatch he purchased the New York World in 1883. Antz 1.what is the controversy that "z" faces in the doctor's office? 2.how does this controversy reflect life in a communist system? 3.what are the different levels of the working communist system seen in the film? 4. compare the lives of "z" the queen, and general mandible 5.use the termite war to explain why a communist army must have blind loyalty? 6.why does the issue of "z" becoming a "war hero" bring disruption to the colony? A metalrod of length 40.0cm at 20C is heated to a temperature of 45C. If the new length is 40.05cm, Calculate its Linear expansivity. a parallel plate capacitor is made from two plates of area a and d apart. half of the space in between these plates is filled with air (kair 1) and the other half is filled with a dielectric with a dielectric constant k. the potential dierence across the plates is v. HELP!!!!!!!!!!!!GIVING BRAINLIEST!!!!!!!!!!!!!!! About how long ago did our solar system start to form?O About 5 million years agoO About 14 million years agoO About 5 billion years agoAbout 14 billion years ago Cash reconciliations can be tested via __________.select either ; disclosure, observation , counting ,physical inventory , reperformanceIt is important to verify ______ of both cash receipts and cash disbursements.select either ; deviation, disclosure, consideration, cutoff, existence, paymentCash confirmations need to be mailed under the control of the __________.select either; bank, client, auditor, president, AICPAAuditors are often concerned with the _______of cash, as this is where most misstatements occur.select either; overstatement, understatement, existence, disclosure, inventoryCutoff bank statements include activity for the period _______the period being audited.select either; afer, overlapping, before, exclusive of , disclosing why is it important to document the specimen collect status (unit collect or lab collect) before releasing signed and held orders? Colleen bought a cup of coffee that had 32 ounces in it. She drank 8 ounces of the coffee. What percent of the coffee is left? You flip a fair coin.What is P(tails)?If necessary, round your answer to 2 decimal places. Hey people can you guess NFL player with seven Super Bowl Given we can model the rotating blade of a propeller as a flat plate. Consider the following: A propeller has blades 1m long from the hub and 0.01m wide. If the propeller rotates at 2 rpm, calculate the boundary layer thickness at the centre of the blade assuming: 1. A linear BL velocity profile 2. A quadratic BL velocity profile. 3. Calculate the wall sheer stress at r=0.5m which of the following correctly states the relationship between the apparent brightness, luminosity, and distance of a star? 1. How does the author's choice to repeat the word supposing in Selection 3help him to achieve his purpose?A It emphasizes the uncertain outcome of a fight for independence andallows the author to lay out possible negative scenarios.B It emphasizes the reasons for the author's uncertainty about his positionand allows him to show that he is open to new ideas.C It reinforces the author's point that neither the British nor the Americansare willing to go to war to protect their interests.D It reinforces the author's point that most Americans are not sure theywant to fight for independence. (5x-y)(2x-3y) asap please Which of the following is a self-focused impression management technique?A) flatteryB) enhancementC) apologyD) excusesE) conformity What happens when an alkene reacts with Br2? how to solve itpls help A farmer has a square shaped pen for his chickens 6.EE.1