Human Anatomy & Physiology Plus Modified Mastering A&P with Pearson eText -- Access Card Package 11th edition
11th Edition
ISBN: 9780135175040
Author: Marieb
Publisher: PEARSON
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Chapter 24, Problem 1CCS
Summary Introduction
Case summary:
Kyle Boulard, a 32-year-old man, was reported to behave erratically, staggered while walking, and appeared disoriented. His breath had the odor of fruity acetone.
Characters in the case:
A 32-year-old man Kyle Boulard, whose breath had fruity acetone odor.
Adequate information:
The results of the tests are as follows:
General | Blood | Urine |
Blood pressure: 95/98 | pH: 7.1 | pH: 4.3 |
HR (heart rate): 110 | Glucose: 345 mg/dl (milligram per deciliter) | Glucose: strongly positive |
Ketone bodies: strongly positive; odor: fruity acetone |
Also, ketone bodies and glucose in urine are generally absent.
To determine:
Whether the test results are normal or not.
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Which lab values are related to determining the need for acid base balance therapy? Which lab values are may signify the need for a blood transfusion?
Patient A is 65 years old female. She has been diagnosed with diabetes Type II. Recently she experienced a gastrointestinal illness with nausea and vomiting. Lab data have been obtained the following day after her illness: Body weight 85 kg; Blood pressure 140/90 mmHg; Blood pH – 7.48; PCO2 – 44 mm Hg; Plasma HCO3 ion -32 mEq/L; Urine pH – 7.5. What is acid-base disorder of this patient. What was a main cause of this?
The illness continues and after 2 days the following laboratory data have been obtained: Body weight 83 kg; Blood pressure 120/70 mmHg; Blood pH – 7.50; PCO2 – 48 mm Hg; Plasma HCO3 ion -36 mEq/L; Urine pH – 6.0. Has acid-base disbalance been changed? If yes, what is the explanation for this acid-base disbalance? Is there any compensation?
A person is brought to the emergency department in a comatose state. The following test results were obtained
Blood sugar: 450mg%
Urine albumin: Present
Urine Sugar: Orange precipitate
Urine Ketone bodies: Positive
Plasma pH:7.14 ( Normal:7.4)
Bicarbonate: Decreased
What is your probable diagnosis?
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Explain the rationale behind each test?
Chapter 24 Solutions
Human Anatomy & Physiology Plus Modified Mastering A&P with Pearson eText -- Access Card Package 11th edition
Ch. 24 - Prob. 1RQCh. 24 - 2. The formation of glucose from glycogen is (a)...Ch. 24 - 3. The net gain of ATP from the complete...Ch. 24 - Prob. 4RQCh. 24 - 5. What is formed during aerobic respiration when...Ch. 24 - 6. Metabolic rate is relatively low in (a) youth,...Ch. 24 - Prob. 7RQCh. 24 - 8. Which of the following is not a function of the...Ch. 24 - 9. Amino acids are essential (and important) to...Ch. 24 - Prob. 13RQ
Ch. 24 - 11. Transamination is a chemical process by which...Ch. 24 - Prob. 11RQCh. 24 - 15. Which of the following yields the greatest...Ch. 24 - 16. What is cellular respiration? What is the...Ch. 24 - Prob. 15RQCh. 24 - Prob. 18RQCh. 24 - 19. Define glycogenesis, glycogenolysis,...Ch. 24 - 20. What is the harmful result when excessive...Ch. 24 - Prob. 22RQCh. 24 - Prob. 19RQCh. 24 - Prob. 20RQCh. 24 - Prob. 23RQCh. 24 - Prob. 24RQCh. 24 - 1. Calculate the number of ATP molecules that can...Ch. 24 - Prob. 25RQCh. 24 - Prob. 26RQCh. 24 - Prob. 27RQCh. 24 - Prob. 1CCSCh. 24 - Prob. 2CCSCh. 24 - Prob. 3CCSCh. 24 - Prob. 4CCSCh. 24 - Prob. 5CCS
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