Manny is an architect who works from home and enjoys hiking with his family.  He tells you he was recently stung by a bee while working in his yard and needed to use his EpiPen for immediate treatment.  He reports he did not need to go to the emergency department.  Manny is here for a routine physical and prescription refills of Enalapril and Epipen® Auto-Injector. Although he was recently stung by a bee and used his EpiPen, he did not need to go to the emergency room.  Based on his history, vital signs and metaboic panel, predict blood glucose values immediately after epinephrine injection (increase, decrease, or no change).

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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History: 

Manny is an architect who works from home and enjoys hiking with his family.  He tells you he was recently stung by a bee while working in his yard and needed to use his EpiPen for immediate treatment.  He reports he did not need to go to the emergency department. 

Manny is here for a routine physical and prescription refills of Enalapril and Epipen® Auto-Injector. Although he was recently stung by a bee and used his EpiPen, he did not need to go to the emergency room. 

Based on his history, vital signs and metaboic panel, predict blood glucose values immediately after epinephrine injection (increase, decrease, or no change). Justify your answer.

Thanks!

Temp: 98.6
BP: 122/65
Pulse: 140
RR: 20
Height: 6'4"
Weight: 189
BMI: 23
Pulse Ox (on room air): 99%
ision
TERY
20
80
60
40
CERTIFIED
300
280
¹0 Precision 220
EMMAN
260
1601
180 180 2000
240-
0
Transcribed Image Text:Temp: 98.6 BP: 122/65 Pulse: 140 RR: 20 Height: 6'4" Weight: 189 BMI: 23 Pulse Ox (on room air): 99% ision TERY 20 80 60 40 CERTIFIED 300 280 ¹0 Precision 220 EMMAN 260 1601 180 180 2000 240- 0
A complete metabolic panel is ordered, and the results are below:
Parameter
Glucose
BUN
Creatinine
Na
K
Cl
CO2
Calcium
Phosphorus
Albumin
Bilirubin
Lactate dehydrogenase
(LDH)
Aspartate amino-
transferase (AST)
Alanine
aminotransferase (ALT)
Alkaline Phosphatase
Result
98
16
0.71
138
4.9
99
25
8.6
2.7
4.2
0.2
96
32
20
112
Normal
70-99 mg/dL
7-22 mg/dL
0.5-1.2 mg/dL
135-145 mmol/L
3.5-5.3 mmol/L
98-109 mmol/L
22-26 mmol/L
8.6-10.2 mg/dL
2.6-4.9 mg/dL
3.2-4.6 g/dL
0.2-1.2 mg/dL
99-191 IU/L
12-45 IU/L
<34 IU/L
37-107 IU/L
Transcribed Image Text:A complete metabolic panel is ordered, and the results are below: Parameter Glucose BUN Creatinine Na K Cl CO2 Calcium Phosphorus Albumin Bilirubin Lactate dehydrogenase (LDH) Aspartate amino- transferase (AST) Alanine aminotransferase (ALT) Alkaline Phosphatase Result 98 16 0.71 138 4.9 99 25 8.6 2.7 4.2 0.2 96 32 20 112 Normal 70-99 mg/dL 7-22 mg/dL 0.5-1.2 mg/dL 135-145 mmol/L 3.5-5.3 mmol/L 98-109 mmol/L 22-26 mmol/L 8.6-10.2 mg/dL 2.6-4.9 mg/dL 3.2-4.6 g/dL 0.2-1.2 mg/dL 99-191 IU/L 12-45 IU/L <34 IU/L 37-107 IU/L
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