please help with this question

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1.kargil is suffering from an obstruction of his colon. he notices that is urine

color is dark yellow. he wonders why and ask you to explain. what is your a answer.

i would tell kargil that because he is suffering from an obstruction of his colon

the things that would be excreted from his colon is going into is urine. for

instant, generally bilinogen are absorb from the colon to the liver where they

are again excreted into bile. a small amount of bilirubin(pigment that are

responsible for the color of his waste) are excreted by the kidney into the urine

however, because of his condition there is a back up of the substant that should

be absorb from the colon to the liver,as a result excess bilirubin are excreted by

the kidney into the urine. in addition, i would encourage him to drink extra

fluid to flush his kidney.(is my answer correct).

2.meningitis is the inflammation of the meninges due to viral or bacterial infection.

why this condition in some patients become life threatening?

the condition in some patients become life threatening because of the signs and

symptoms such as abrupt onset of headache, fever, nuchal rigidity, whereas, if the

brain parenchyma is involved, the patient shows a decrease level of

consciousness, seizures, focal neurological deficits and increased, intra-

cranial pressure. (is my answer correct).

your help will be kindly appreciated.

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I am going to give this a shot, even though I havn't studied anything slightly medical besides nutrition class!

I think his urine is dark because it is overly concentrated from the obstruction in his bowel blocking absorption of fluids.

That is my uneducated guess! I'd love to know the correct answer, though.

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You may want to google "obstructed colon and dark urine". I googled it and got quite a few hits on possibilities.

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Specializes in med/surg, telemetry, IV therapy, mgmt.

when the colon becomes obstructed it becomes filled with fluids and electrolytes that become trapped within it's lumen. the person's abdomen will then become distended as these fluids accumulate. this may also cause them to begin vomiting. at this point the patient won't be taking much food and fluid orally as it has nowhere to go since the gi system is backing up with all this fluid that is building up. the body is unable to reabsorb these built up fluids back into the body, so all the fluid and electrolytes are literally trapped in the bowel and should be considered lost, sometimes up to as much as 8 liters of fluid in just a short period of time. a total body fluid volume depletion results and the person becomes dehydrated. the body, in response, tries to conserve fluid and electrolytes, so the kidneys produce less urine. thus, the urine that is produced is dark and will become progressively smaller in amount. this is just the beginning of this poor fellow's problems if this situation is not resolved.

you might get better responses for questions like this from the student nurses if you post on these forums which are also part of allnurses.com

https://allnurses.com/forums/f205/ - nursing student assistance forums

https://allnurses.com/forums/f50/ - the general nursing student discussion forum.

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it seems like you are asking everyone to do your work for you. i've seen a lot of these posts from you.

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it seems like you are asking everyone to do your work for you. i've seen a lot of these posts from you.
I personally think you are entitled to ask any damn question you want, even if you are asking others to do your work for you. Sometimes hearing it put a certain way by the right person gets it in your head and it sticks that way. I feel that way about EKGs (which I am learning right now); hearing my "Old Nurse" friend explain it gets it in my head in a way studying does not. And besides, what ever happened to the idea that the brightest students ask lots of questions?;)
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She only has 12 posts for pete sake's!!! How can she be always asking these questions??? Golly!!!!

It's always refreshing to know that nastiness follows you wherever you go, eh ?

I'm sorry I can't help, haven't gotten that far, but...I'm sure that somebody who doesn't have their heads in their **nevermind** I'm sure there is someone who can tell you if you answered it right.

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I personally think you are entitled to ask any damn question you want, even if you are asking others to do your work for you. Sometimes hearing it put a certain way by the right person gets it in your head and it sticks that way. I feel that way about EKGs (which I am learning right now); hearing my "Old Nurse" friend explain it gets it in my head in a way studying does not. And besides, what ever happened to the idea that the brightest students ask lots of questions?;)

of course you can ask anything you want. i don't think that is the point. i guess i have a preference to do more research on my own first. that makes it "stick" in my head.

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Specializes in EC, IMU, LTAC.

Uh, she posted what she THOUGHT were her answers. It's not like she just posted the questions and expected us to answer for her. I take it that you never compared answers with classmates or never had questions. MROWR! HISS!

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She apparently DID do her own research! I think her answers prove that!

Sheesh...

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Specializes in Med-Surg.

We can either choose to answer the question or not. No need for personal attacks either on the poster or those who follow. So lets just kindly let that go. O.K.? IMO

Now onto the question. The urine is more than likely dark because of dehydration and a more concentrated urine. Someone with an obstruction isn't able to take much in p.o. and more than likely prior to diagnosis had some vomiting and is dehydrated. You would not encourage someone with a bowel obstruction to drink more fluids because they would just throw it up. The patient more than likely is NPO, and more than like has an NG tube to suction. P.O. intake is contraindicated.

It is not true that things that are normally excreted in the bowels suddenly goes into the urine. However, there is a connection with bilirubin, dark urine, but it's with liver failure, or obstructive jaundace caused by gallstones, not bowel obstructions. So unless you know the patient's labs show an elevated bilirubin in the serum, I wouldn't mention this as a reason for the dark urine.

I think your 2nd answer is a good one. You could also mention sepsis as a possible fatal complication, but the neurological complications are serious as well.

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Specializes in NICU/Neonatal transport.

I think the second one should focus more on the pathophys of why/what meningitis does if it becomes a serious, life-threatening condition. I could be misreading the question though.

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