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Endocrine Case Study Please read the case study and answer the questions. We have a new patient to consider today. Mr. Gutteman, a 70-year-old male, was brought into the ER in a comatose state and has yet to come out of it It is obvious that he suffered severe head trauma his scalp was badly lacerated, and he has an impacted skull fracture. His initial lab tests (blood and urine) were within normal limits. His fracture was repaired and the following orders (and others) were given: Check qh (every hour) and record: spontaneous behavior, level of responsiveness to stimulation, movements, pupil size and reaction to light, speech, and vital signs. • Turn patient q4h and maintain meticulous skin care and dryness. Why is the nurse checking for those indicators? On the second day of his hospitalization, the aide reports that Mr. Gutteman is breathing irregularly. his skin is dry and flaccid and that she has emptied his urine reservoir several times during the day Upon receiving this înformation the physician ordered blood and urine tests for presence of glucose and ketones, strict 1&O (fluid intake and output recording) Mr. Gutteman is found to be losing huge amounts of water in urine and the volume lost is being routinely replaced (via IV line). Mr Gutteman's blood and urine tests are negative for glucose and ketones. Based on this information, what would you say Mr. Gutteman's hormonal problem is and what do you think caused it? Is it life threatening? Explain your reasoning

Endocrine Case Study Please read the case study and answer the questions. We have a new patient to consider today. Mr. Gutteman, a 70-year-old male, was brought into the ER in a comatose state and has yet to come out of it It is obvious that he suffered severe head trauma his scalp was badly lacerated, and he has an impacted skull fracture. His initial lab tests (blood and urine) were within normal limits. His fracture was repaired and the following orders (and others) were given: Check qh (every hour) and record: spontaneous behavior, level of responsiveness to stimulation, movements, pupil size and reaction to light, speech, and vital signs. • Turn patient q4h and maintain meticulous skin care and dryness. Why is the nurse checking for those indicators? On the second day of his hospitalization, the aide reports that Mr. Gutteman is breathing irregularly. his skin is dry and flaccid and that she has emptied his urine reservoir several times during the day Upon receiving this înformation the physician ordered blood and urine tests for presence of glucose and ketones, strict 1&O (fluid intake and output recording) Mr. Gutteman is found to be losing huge amounts of water in urine and the volume lost is being routinely replaced (via IV line). Mr Gutteman's blood and urine tests are negative for glucose and ketones. Based on this information, what would you say Mr. Gutteman's hormonal problem is and what do you think caused it? Is it life threatening? Explain your reasoning

Human Anatomy & Physiology (11th Edition)
Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
Section: Chapter Questions
Problem 1RQ: The correct sequence of levels forming the structural hierarchy is A. (a) organ, organ system,...
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Please read the case study and answer the questions.
Endocrine Case Study Please read the case study and answer the questions. We have a new patient to consider today Mr. Gutteman, a 70-year-old male, was brought into the ER in a comatose state and has yet to come out of it It is obvious that he suffered severe head traumahis scalp was badly lacerated, and he has an impacted skull fracture. His initial lab tests (blood and urine) were within normal limits. His fracture was repaired and the following orders (and others) were given: • Check gh (every hour) and record spontaneous behavior, level of responsiveness to stimulation, movements, pupil size and reaction to light, speech, and vital signs. Turn patient q4h and maintain meticulous skin care and dryness. Why is the nurse checking for those indicators? On the second day of his hospitalization, the aide reports that Mr. Gutteman is breathing irregularly, his skin is dry and flaccid, and that she has emptied his urine reservoir several times during the day Upon receiving this information the physician ordered blood and urine tests for presence of glucose and ketones, strict 1&O (fluid intake and output recording) Mr. Gutteman is found to be losing huge amounts of water in urine and the volume lost is being routinely replaced (via IV line). Mr. Gutteman's blood and urine tests are negative for glucose and ketones Based on this information, what would you say Mr. Gutteman's hormonal problem is and what do you think caused it? Is it life threatening? Explain your reasoning
Transcribed Image Text:Endocrine Case Study Please read the case study and answer the questions. We have a new patient to consider today Mr. Gutteman, a 70-year-old male, was brought into the ER in a comatose state and has yet to come out of it It is obvious that he suffered severe head traumahis scalp was badly lacerated, and he has an impacted skull fracture. His initial lab tests (blood and urine) were within normal limits. His fracture was repaired and the following orders (and others) were given: • Check gh (every hour) and record spontaneous behavior, level of responsiveness to stimulation, movements, pupil size and reaction to light, speech, and vital signs. Turn patient q4h and maintain meticulous skin care and dryness. Why is the nurse checking for those indicators? On the second day of his hospitalization, the aide reports that Mr. Gutteman is breathing irregularly, his skin is dry and flaccid, and that she has emptied his urine reservoir several times during the day Upon receiving this information the physician ordered blood and urine tests for presence of glucose and ketones, strict 1&O (fluid intake and output recording) Mr. Gutteman is found to be losing huge amounts of water in urine and the volume lost is being routinely replaced (via IV line). Mr. Gutteman's blood and urine tests are negative for glucose and ketones Based on this information, what would you say Mr. Gutteman's hormonal problem is and what do you think caused it? Is it life threatening? Explain your reasoning
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