An unresponsive client who has diabetes is brought to the emergency department with rapid, deep respirations. Additional findings include: blood glucose 24.9 mmol/L, arterial pH 7.2 and urinalysis showing presence of ketones and glucose. Which of the following statements best describes the underlying cause of this patient’s presentation? Question 64 options: a)  Relative insulin deficiency, causing hyperglycemia, oxidative stress, renal dysfunction and acidosis b)

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
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An unresponsive client who has diabetes is brought to the emergency department with rapid, deep respirations. Additional findings include: blood glucose 24.9 mmol/L, arterial pH 7.2 and urinalysis showing presence of ketones and glucose. Which of the following statements best describes the underlying cause of this patient’s presentation?

Question 64 options:

a) 

Relative insulin deficiency, causing hyperglycemia, oxidative stress, renal dysfunction and acidosis


b) 

Nocturnal elevation of growth hormone resulting in hyperglycemia in the morning


c) 

Absolute insulin deficiency, increased counter-regulatory hormone, lipolysis and free fatty acid release


d) 

Hypoglycemia causes release of glucagon, resulting in glycogenolysis and hyperglycemia

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