cy is a 15-year-old female who was scheduled to compete in 7 events at the school ack-and-field day. The sports meet was held on an unusually warm Saturday at the d of a cold winter: the early morning temp was a warmer than usual at 75°F, and by ternoon the temperature reached 98°F. In addition, there were dry, hot westerly winds nd low humidity. cy was up late the night before the track meet watching movies. She slept through er alarm and woke up in a panic. Lacy jumped out of bed and drank a big glass of ater and ate a piece of toast. She feels so tired that even though she doesn't normally ink many caffeinated beverages, she downs two cups of coffee (95 mg caffeine* per p) on the way to the school. uring the morning Lacy drank two 12 oz. "energy drinks" (each containing 120 mg of affeine per 12 oz) thinking that they would increase her stamina, speed and jumping bility. She did not drink any water, juice, or sports drinks (i.e., Gatorade or Powerade). morning events; she was cy kept having to run to the restroom to urinate during her irprised how often she had to go and how much she urinated. She was also sweating uring the morning events due to the heat and exercise. cy didn't have lunch with her, so she grabbed a protein bar from the concession stand r lunch around 11:00 AM. She was feeling tired, so she also drank a diet cola (42 ore mg of caffeine) instead of water or juice or a sports drinks. acy's afternoon schedule of events was very busy, and she did not have time to onsume any other food or drink after about 11:15 am. She participated in 2 more ents, then decided she should go to the restroom before the 800 m race at 2pm, even ough she didn't feel like she really needed to, and she noticed that her urine was dark ellow in color and low volume. Lacy tried extra hard in the race but could not quite erform at her usual standard. She also noticed that she didn't seem to be sweating uch during the event despite the hot temperatures. / 3:00 p.m. Lacy had one more event to go, but she was now feeling unwell. She told er coach that she felt dizzy, tired, weak and had a headache and a dry mouth. Her ach noticed that Lacy's skin vwas pale and dry and her eveballs appeared sunken

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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Read the prompt and answer subquestions 8, 9, and 10

 
Lacy is a 15-year-old female who was scheduled to compete in 7 events at the school
track-and-field day. The sports meet was held on an unusually warm Saturday at the
end of a cold winter: the early morning temp was a warmer than usual at 75°F, and by
afternoon the temperature reached 98°F. In addition, there were dry, hot westerly winds
and low humidity.
Lacy was up late the night before the track meet watching movies. She slept through
her alarm and woke up in a panic. Lacy jumped out of bed and drank a big glass of
water and ate a piece of toast. She feels so tired that even though she doesn't normally
drink many caffeinated beverages, she downs two cups of coffee (95 mg caffeine* per
cup) on the way to the school.
During the morning Lacy drank two 12 oz. "energy drinks" (each containing 120 mg of
caffeine per 12 oz) thinking that they would increase her stamina, speed and jumping
ability. She did not drink any water, juice, or sports drinks (i.e., Gatorade or Powerade).
Lacy kept having to run to the restroom to urinate during her 3 morning events; she was
surprised how often she had to go and how much she urinated. She was also sweating
during the morning events due to the heat and exercise.
Lacy didn't have lunch with her, so she grabbed a protein bar from the concession stand
for lunch around 11:00 AM. She was feeling tired, so she also drank a diet cola (42
more mg of caffeine) instead of water or juice or a sports drinks.
Lacy's afternoon schedule of events was very busy, and she did not have time to
consume any other food or drink after about 11:15 am. She participated in 2 more
events, then decided she should go to the restroom before the 800 m race at 2pm, even
though she didn't feel like she really needed to, and she noticed that her urine was dark
yellow in color and low volume. Lacy tried extra hard in the race but could not guite
perform at her usual standard. She also noticed that she didn't seem to be sweating
much during the event despite the hot temperatures.
By 3:00 p.m. Lacy had one more event to go, but she was now feeling unwell. She told
her coach that she felt dizzy, tired, weak and had a headache and a dry mouth. Her
coach noticed that Lacy's skin was pale and dry, and her eyeballs appeared sunken.
The coach asked Lacy about her food and beverage consumption and came to suspect
that Lacy was severely dehydrated. He noticed that she was having trouble standing
and seemed to be swaying. The coach called for an ambulance to take her to the
hospital.
*Effects of caffeine on the kidney:
(1) Caffeine is an adenosine receptor antagonist (blocker). In the kidneys,
adenosine binds to adenosine receptors on the afferent arteriole; adenosine's
normal action via these receptors is to constrict the afferent arteriole.
(2) Caffeine decreases Na* reabsorption in the proximal tubule, causing natriuresis
(increased excretion of Na+).
Transcribed Image Text:Lacy is a 15-year-old female who was scheduled to compete in 7 events at the school track-and-field day. The sports meet was held on an unusually warm Saturday at the end of a cold winter: the early morning temp was a warmer than usual at 75°F, and by afternoon the temperature reached 98°F. In addition, there were dry, hot westerly winds and low humidity. Lacy was up late the night before the track meet watching movies. She slept through her alarm and woke up in a panic. Lacy jumped out of bed and drank a big glass of water and ate a piece of toast. She feels so tired that even though she doesn't normally drink many caffeinated beverages, she downs two cups of coffee (95 mg caffeine* per cup) on the way to the school. During the morning Lacy drank two 12 oz. "energy drinks" (each containing 120 mg of caffeine per 12 oz) thinking that they would increase her stamina, speed and jumping ability. She did not drink any water, juice, or sports drinks (i.e., Gatorade or Powerade). Lacy kept having to run to the restroom to urinate during her 3 morning events; she was surprised how often she had to go and how much she urinated. She was also sweating during the morning events due to the heat and exercise. Lacy didn't have lunch with her, so she grabbed a protein bar from the concession stand for lunch around 11:00 AM. She was feeling tired, so she also drank a diet cola (42 more mg of caffeine) instead of water or juice or a sports drinks. Lacy's afternoon schedule of events was very busy, and she did not have time to consume any other food or drink after about 11:15 am. She participated in 2 more events, then decided she should go to the restroom before the 800 m race at 2pm, even though she didn't feel like she really needed to, and she noticed that her urine was dark yellow in color and low volume. Lacy tried extra hard in the race but could not guite perform at her usual standard. She also noticed that she didn't seem to be sweating much during the event despite the hot temperatures. By 3:00 p.m. Lacy had one more event to go, but she was now feeling unwell. She told her coach that she felt dizzy, tired, weak and had a headache and a dry mouth. Her coach noticed that Lacy's skin was pale and dry, and her eyeballs appeared sunken. The coach asked Lacy about her food and beverage consumption and came to suspect that Lacy was severely dehydrated. He noticed that she was having trouble standing and seemed to be swaying. The coach called for an ambulance to take her to the hospital. *Effects of caffeine on the kidney: (1) Caffeine is an adenosine receptor antagonist (blocker). In the kidneys, adenosine binds to adenosine receptors on the afferent arteriole; adenosine's normal action via these receptors is to constrict the afferent arteriole. (2) Caffeine decreases Na* reabsorption in the proximal tubule, causing natriuresis (increased excretion of Na+).
The following questions relate to the when Lacy is talking with her coach
around 3pm, and then awaiting the ambulance.
8. Is Lacy's ADH level increased, decreased or unchanged compared to normal?
Explain all stimuli and receptors involved in the change you have predicted.
9. Are Lacy's renin, angiotensin Il and aldosterone levels increased, decreased or
unchanged compared to normal? Explain all stimuli and receptors involved in the
changes you have predicted.
10. If you checked Lacy's pulse (HR) while she's waiting for the ambulance, what
would you predict it to be compared to normal? Explain the mechanism that has
led to the change you have predicted.
Transcribed Image Text:The following questions relate to the when Lacy is talking with her coach around 3pm, and then awaiting the ambulance. 8. Is Lacy's ADH level increased, decreased or unchanged compared to normal? Explain all stimuli and receptors involved in the change you have predicted. 9. Are Lacy's renin, angiotensin Il and aldosterone levels increased, decreased or unchanged compared to normal? Explain all stimuli and receptors involved in the changes you have predicted. 10. If you checked Lacy's pulse (HR) while she's waiting for the ambulance, what would you predict it to be compared to normal? Explain the mechanism that has led to the change you have predicted.
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