Week 6 Case Study Diabetes
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Chamberlain College of Nursing *
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BIO255
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Feb 20, 2024
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Annah Moore
Week 6: Case Study |Diabetes
Anatomy & Physiology: BIOS 252
Dr. Amir Banishahi
August 20, 2023
Annah Moore
1. The very next question after checking level of consciousness and vitals was whether he was diabetic, why?
-The next question to ask whether the patient was diabetic is because the symptoms to a diabetic coma include sudden loss of responsiveness, slurred speech, and inability to react to the current circumstances. From the information provided the patient was experiencing some of the symptoms. 2. Why would a hypoglycemic patient possibly present with a decreased level of consciousness?
-A hypoglycemic patient would experience a decreased level of consciousness because they may have ignored the symptoms too long. When someone is presented with hypoglycemia the brain needs glucose to function and hypoglycemia causes a shortage of glucose in the brain. 3. Why would a hyperglycemic patient possibly present with a decreased level of consciousness?
-Unlike hypoglycemia, hyperglycemia or high blood sugar making the blood be thicker and harder to navigate smoothly through vessels. When cells in the body lack glucose, it
can cause dehydration as well as a decreased level of consciousness. High blood sugar will cause damages to blood vessels over time. 4. The patient's breath has a fruity smell which is attributed to ketone bodies. Why are they present when the patient exhales and what is this state called?
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Annah Moore
-The fruity breath smells come from the body burning fat instead of the normal energy coming glucose. The process of the fat burning is called ketoacidosis which is high levels of ketones that is cause the fruity smell of the breath. References:
Saasa V, Beukes M, Lemmer Y, Mwakikunga B. (2019) Blood Ketone Bodies and Breath Acetone Analysis and Their Correlations in Type 2 Diabetes Mellitus. Diagnostics (Basel). 9(4):224. doi: 10.3390/diagnostics9040224. PMID: 31861135; PMCID: PMC6963753.
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