43. A 13 year old boy with type 1 diabetes mellitus is brought to the emergency departmentbecause of nausea and weakness for 24 hours. He did not take his last 3 doses ofinsulin. His temperature is 37C(98.6F), pulse is 120/min, respirations are 30/min, andblood pressure is 90/60 mm Hg. Physical examination shows dry mucous membranesand decreased skin turgor. Laboratory studies show:SerumHCO3GlucoseArterial blood gas analysis on room air:pHPCO26 mEq/L400 mg/dLa. Buffering by HCO3b.Buffering by inorganic phosphatesc. Buffering by intracellular proteinsd.Increased renal excretion of titratable acide. Pulmonary excretion of CO2 derived from HCO37.1020 mm HgWhich of the following processes is the initial defense against the decrease in arterial pHin this patient?

Patient is 13 year old boy . He has type 1 diabetes mellitus. He came in emergency department…

Answered: 43. A 13 year old boy with type 1…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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Jessica Sagat, 21 years old, is a type 1 diabetic client. She has been ill for the past several days and is unable to control her blood sugar. She has developed elevated blood sugar, nausea, vomiting, rapid and deep respirations, and a fruity odor to her breath. An arterial blood gas (ABG) is taken and the results are pH 7.30, PaCO2 43 mm Hg, Bicarb (HCO3) 19 mEq/L, and PaO2 93 mmHg.(Learning Objective10) 1. What type of acid-base imbalance is this client experiencing? What components of the acid-base balance system are involved in this imbalance? 2. What are the normal ABG values?
Jessica Sagat, 21 years old, is a type 1 diabetic client. She has been ill for the past several days and unable to control her blood sugar. She has developed elevated blood sugar, nausea, vomiting, rapid and deep respirations, and a fruity odor to her breath. An arterial blood gas (ABG) is taken and the results are: pH 7.30, PaCO2 43 mm Hg, Bicarb (HCO3) 19 mEq/L, and PaO2 93 mmHg. What type of acid–base imbalance is this client experiencing? What components of the acid–base balance system are involved in this imbalance? What are the normal ABG values?
An 8-year-old girl was down with diabetes mellitus during the pneumonia. Diabetes mellitus is compensated by introduction of insulin Actrapid НМ 4 units in the morning, 6 units at dinner time, 4 units before supper, 2 units at о 11.00p.m. After two weeks of treatment, the girl started suffering from hypoglycaemia. A daily dosage of insulin decreased to 8 units. There is retained normoglycemia, glycosuria. What is the mitigated need for insulin associated with?
Which of the following are priorities in the acute management of DKA and HHNKS? Question 74 options: a) Long-acting IV insulin to correct glucose over a longer period of time and to prevent cerebral edema, neurovitals every hour to monitor neurological status b) Fluid rehydration, correction of hyperglycemia, monitoring and correcting electrolytes c) Mannitol or 3% saline to prevent cerebral edema as part of fluid rehydration, sodium bicarbonate for metabolic acidosis, correction of hypokalemia d) Gradual fluid rehydration, aggressive correction of hyperglycemia, and correcting sodium levels
pathophysiology A client is on complete bed rest after a total hip replacement surgery while he is being treated for a mild postoperative surgical wound infection. Identify the underlying physiologic factors that could increase the nutritional needs of this client. give scientific rational A.Anabolism, polydipsia, hypertriglyceridemia B.Elevated protein plasma levels, hypotension, glycolysis C.Large abdominal girth, insulin resistance, acidosis Fever, increased white blood cell count, negative nitrogen plasma level
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A 42 year old man reports to his physician for annual physical examination. He is 5'8" and weighs 240 pounds with a skin fold test revealing 33% body fat composition. The patient complains of recent episodes of waking up in the middle of the night with the urge to urinate. Further questioning reveals he has also been thirstier than normal. Laboratory analysis reveals a random plasma glucose level of 160 mg/dL and hemoglobin A1c of 7.2%. His physician orders further testing and it is found that his C-peptide level is normal. What type of diabetes would this patient have? O Type 1 O Type 2 O Gestational Other
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140. A 42-year-old man is brought to the emergency department by his wife because of a 24-hour history of severe abdominal pain. His wife says that he has been drinking excessive amounts of alcohol for the past 3 days. His blood alcohol concentration is 160 mg/dL. Physical examination shows scleral icterus and right upper quadrant tenderness of the abdomen. Microscopic examination of a liver biopsy specimen shows hepatocyte necrosis, bridging portal fibrosis, and macrovesicular steatosis. There are numerous Mallory bodies and neutrophilic infiltrates. Which of the following abnormalities is most likely in this patient? A) Globules of a-antitrypsin OB) Impaired synthesis of fatty acids C) Increased conjugation of bilirubin D) Increased generation of ATP by mitochondria E) Increased NADH/NAD* ratio F) Increased oxidation of fatty acids

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