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Ethnicity: Hispanic male Height: 68" Name: Jerrod Age: 16 Weight: 134 lbs. A 16 year-old male is admitted to the ED with abdominal pain, nausea, and vomiting. He is very lethargic; his skin is warm, dry, and flushed; his pulse is rapid; and he has a sweet smell to his breath. His parents report that he has been very thirsty, his appetite has been poor, and he has been urinating frequently. His initial plasma glucose is 420 mg/dL and a urine test for ketones is strongly positive. Investigational Framework What is the most likely cause of the boy's elevated ketonuria and blood glucose? Explain his presenting sign and symptoms in terms of elevated blood glucose and metabolic acidosis. What are the priorities of treatment? What associated electrolyte disturbances would you expect and why?

Ethnicity: Hispanic male Height: 68" Name: Jerrod Age: 16 Weight: 134 lbs. A 16 year-old male is admitted to the ED with abdominal pain, nausea, and vomiting. He is very lethargic; his skin is warm, dry, and flushed; his pulse is rapid; and he has a sweet smell to his breath. His parents report that he has been very thirsty, his appetite has been poor, and he has been urinating frequently. His initial plasma glucose is 420 mg/dL and a urine test for ketones is strongly positive. Investigational Framework What is the most likely cause of the boy's elevated ketonuria and blood glucose? Explain his presenting sign and symptoms in terms of elevated blood glucose and metabolic acidosis. What are the priorities of treatment? What associated electrolyte disturbances would you expect and why?

Phlebotomy Essentials
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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Ethnicity: Hispanic male Height: 68" Name: Jerrod Age: 16 Weight: 134 lbs. A 16 year-old male is admitted to the ED with abdominal pain, nausea, and vomiting. He is very lethargic; his skin is warm, dry, and flushed; his pulse is rapid; and he has a sweet smell to his breath. His parents report that he has been very thirsty, his appetite has been poor, and he has been urinating frequently. His initial plasma glucose is 420 mg/dL and a urine test for ketones is strongly positive. Investigational Framework What is the most likely cause of the boy's elevated ketonuria and blood glucose? Explain his presenting sign and symptoms in terms of elevated blood glucose and metabolic acidosis. What are the priorities of treatment? What associated electrolyte disturbances would you expect and why?
Transcribed Image Text:Ethnicity: Hispanic male Height: 68" Name: Jerrod Age: 16 Weight: 134 lbs. A 16 year-old male is admitted to the ED with abdominal pain, nausea, and vomiting. He is very lethargic; his skin is warm, dry, and flushed; his pulse is rapid; and he has a sweet smell to his breath. His parents report that he has been very thirsty, his appetite has been poor, and he has been urinating frequently. His initial plasma glucose is 420 mg/dL and a urine test for ketones is strongly positive. Investigational Framework What is the most likely cause of the boy's elevated ketonuria and blood glucose? Explain his presenting sign and symptoms in terms of elevated blood glucose and metabolic acidosis. What are the priorities of treatment? What associated electrolyte disturbances would you expect and why?
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