Grade Insurance Case Study

Great Essays
Grade Insurance
The article I chose for my grade insurance paper is “Albuterol and Insulin therapy in hemodialysis patients. http://www.nature.com/ki/journal/v38/n5/index.html. The reason I chose this article is because we have been going over potassium and action potential in class I have been extremely interested in potassium, part of this is because hyperkalemia is one of the few electrolyte imbalances we can start treatment for in a pre-hospital setting. The article was very informative and allowed me a new learning opportunity, it was fun to learn that some of the physiological process behind the treatment of hyperkalemia expanded into other physiological process such as glucose management and metabolic cycles. The hypothesis for this
…show more content…
Patients were then monitored and tested for changes in Plasma blood glucose (pbg) and Potassium levels in the blood. The case study was small including only 12 patients broken up into 3 groups of 4, none of which were diabetics with ages ranging from 34-72, 2 of the patients in the study were removed. The patients were administered either 10 units of insulin and D50, or 20mg of albuterol in 4ml of normal saline (ns) over the course of 10 minutes, or patients were administered a combination of insulin and D50 as well as albuterol. The patients were then monitored for 1 hour with potassium and PBG being assessed every 15mins. All of the patients in the trial were not on beta blockers and had roughly the same lab values at the start of the trial, plasma blood glucose levels around 4.7 millimols per liter and blood potassium levels between 5.48-5.89 millimols per liter. The results of the case study were gathered by using heparinized tubes and a centrifuge immediately. Plasma potassium levels were analyzed using flame photometry (uses flame and flame color to measure concentration of alkali metals in a substance.), blood glucose was analyzed using a Beckman analyzer, and blood insulin levels were measured using radioimmunoassay (uses radioactive antigens to measure concentration of hormones in blood). All results were weighted on an average between the participants of each individual study

Related Documents

  • Improved Essays

    In tube one, the blood cells were placed in a tube with the volume of stock 300mM NaCl was 1.00 ml with no water. In tube two, the blood cells were placed in a tube with the volume of stock 300mM NaCl was .50 ml and there were 0.50 ml of water. In tube three, the blood cells were placed in a tube with no NaCl and 1.00 ml of water. After the blood cells were placed in their tubes, the blood cells were swirled and were observed after one to five minutes. I hypothesize that when the red blood cells are placed in the 9% salt concentration, the blood cells will not change since the amount of water flowing into the cell is equal to the amount of water flowing out of the cell.…

    • 1273 Words
    • 6 Pages
    Improved Essays
  • Superior Essays

    This lab included various experiments that demonstrated how renal system responses and reacts when subjects consuming different types of fluids. Respective fluid volumes are based on each subject’s body mass. Based on each subject’s body mass, after converted from pounds to kilograms, every subjects has different volume and fluids for ingestion. For the control subject, she ingested no fluid throughout entire lab which represented the conditions of normal fluid. For the hypotonic subjects, she ingested 854mL of water within 10 minutes which represented the dilution of bodily fluids by seeing the urine became clear and clear each time.…

    • 1811 Words
    • 8 Pages
    Superior Essays
  • Improved Essays

    But is sucrose effective? And should we replace pain relief medications with sucrose solution? A study was done to see if sucrose could significantly alleviate pain during blood collecting and circumcisions. Fifty four full term newborns between the age of 28-54 hours was used in this study. All of them scored 8 or 9 on the Apgar scale and none of them have any chronic or infectious disease during pregnancy.…

    • 808 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Hypernatremia Case Study

    • 1116 Words
    • 5 Pages

    She was transferred to intensive care unit for continuation of naloxone drip and close monitoring. Initial blood work up showed WBC count of 34.2 Thou/uL and lactate of 9.9 mmol/L which returned to normal range in 6 hours with fluid resuscitation. Repeat blood glucose level was 318 mg/dl which trended down and maintained in the range of 80-110 mg/dL without insulin use. Her BMI was 22.1 kg/m2 and HBA1C was only 5.4 %. Patient was not on steroids, thiazide or any sympathomimetic.…

    • 1116 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    EMLA Cream

    • 1398 Words
    • 6 Pages

    64 healthy volunteers were randomly divided into four groups. One hour before blood sampling, either cream A or B was applied on the right cubital area and the same amount of C or D cream on the left cubital area. Pain of blood sampling was assessed using Visual Analogue Scale (VAS). At the end of study, they found that products A (EMLA) and B (EMLA) caused a significant decrease in pain compared to products C (lidocaine) and D (benzocaine). They also that there was no differences between product C and D. No anesthetic side effect was observed during the study.…

    • 1398 Words
    • 6 Pages
    Improved Essays
  • Superior Essays

    Florastor Case Studies

    • 966 Words
    • 4 Pages

    There were 71 patients who were unable to complete the study because of death during or after, transfer to another hospital, or discontinuation of the antibiotic treatment. This left 204 patients, whose average age was now 78.4 years old, who completed the study and were analyzed for occurrence of diarrhea. Of those 204, 98 received the placebo and 106 received S. boulardii capsules. There was no statistical difference in the occurrence of ADD (P=0.71) since 13 in the placebo group (13.3%) and 16 in the S. boulardii group (15.1%) developed diarrhea. The odds ratio (OR) was 1.16 with a 95% confidence interval (CI) of 0.53-2.56.…

    • 966 Words
    • 4 Pages
    Superior Essays
  • Improved Essays

    Results of the study show that participates that were diagnosed with LADA had a C-peptide level that average 140.8nmol. This value is between T1DM (41.3 nmol) and T2DM (275.5 nmol). The C-peptide levels were then studied for patients diagnosed with LADA that were treated with insulin verses patients take were treat with oral medications only. Patient that were only treated with oral medications showed a…

    • 1489 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Chlordane Case Study

    • 1172 Words
    • 5 Pages

    The abnormal situation is that only 2 major types of cancer were found to be caused by chlordane; liver cancer and brain cancer. But with these case studies there are no real long term research that passed 4 years. Most of these case studies concluded on liver or brain cancer in an immediate exposure. There was a lack of studies on humans with only a large amount of research on animals. There is no correlation between kidney cancer and exposure to chlordane.…

    • 1172 Words
    • 5 Pages
    Improved Essays
  • Superior Essays

    Volunteers were recruited to take part in the study if they fell into one of two pre-defined categories: ‘habitual consumers’ (those who drank tea and consumed more than 150 mg caffeine per day) or ‘non-habitual consumers’ (those who consumed less than 60 mg caffeine per day and no more than 2 cups of tea/coffee per week). Twelve habitual consumers and 12 non-habitual consumers of caffeine each received 75 mg caffeine, 50 mg L-theanine, 75 mg caffeine plus 50 mg L-theanine, and placebo in a counterbalanced order across four separate visits. CBF was measured via near-infrared spectroscopy with cognition and mood assessed. Salivary caffeine and peripheral hemodynamics were co-monitored. However, only non-smoking volunteers who were in good health, not currently taking any dietary supplements or medication were recruited to take part in the study to ensure that no other factors would affect the…

    • 808 Words
    • 4 Pages
    Superior Essays
  • Improved Essays

    In-Vivo pharmacological activity Induction of diabetes: Diabetes mellitus was induced in rats by a single i.p. injection of alloxan monohydrate (120 mg/kg body weight) in normal saline (0.9% NaCl). Hyperglycemia was confirmed by fasting blood glucose level measurement by glucometer on the 3rd day after the alloxan injection. rats with consistent hyperglycemia on 3rd day (fasting blood glucose levels > 140 mg/dl) was considered diabetic and was used for further studies (Jyoti M, et al, 2002). Experimental Design In the experiment, a total of 30 rats were used.…

    • 2086 Words
    • 9 Pages
    Improved Essays