Anatomy & Physiology (6th Edition)
6th Edition
ISBN: 9780134156415
Author: Elaine N. Marieb, Katja N. Hoehn
Publisher: PEARSON
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Chapter 24, Problem 6CCS
Let’s return to Kyle Boulard, whom we met in the previous chapter. After two days in the hospital, Mr. After two days in the hospital, Kyle Boulard has recovered from his acute diabetic crisis and his type 1 diabetes is once again under control. The last update on his chart before he is discharged includes the following:
BP 150/95, HR 75, temperature
Urine: pH 6.9, negative for glucose and
Mr. Boulard is prescribed a thiazide diuretic and an angiotensin converting enzyme (ACE) inhibitor. He is counseled on the importance of keeping his diabetes under control, taking his medications regularly, and keeping his outpatient follow-up appointments.
How do ACE inhibitors reduce blood pressure?
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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?
Lisa Smith (LS) is brought to the emergency department [ER] for management of accidental acute poisoning. She is nonresponsive and admitted to the critical care unit [CCU] to be closely monitored. LS has no urinary output, and her laboratory values are serum K+ = 6.7 mEq/L; serum Na+ = 177 mEq/L; arterial blood gases [ABGs]: pH = 7.13, PaCO2 = 35 mmHg, HCO3- = 16 mEq/L, PaO2 = 89 mmHg, and oxygen saturation = 94%.
Lisa Smith (LS) is brought to the emergency department [ER] for management of accidental acute poisoning. She is nonresponsive and admitted to the critical care unit [CCU] to be closely monitored. LS has no urinary output, and her laboratory values are serum K+ = 6.7 mEq/L; serum Na+ = 177 mEq/L; arterial blood gases [ABGs]: pH = 7.13, PaCO2 = 35 mmHg, HCO3- = 16 mEq/L, PaO2 = 89 mmHg, and oxygen saturation = 94%.
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Chapter 24 Solutions
Anatomy & Physiology (6th Edition)
Ch. 24.1 - Prob. 1CYUCh. 24.1 - From inside to outside, list the three layers of...Ch. 24.1 - The lumen of the ureter is continuous with a space...Ch. 24.2 - Name the tubular components of a nephron in the...Ch. 24.2 - What are the structural differences between...Ch. 24.2 - What type of capillaries are the glomerular...Ch. 24.2 - Prob. 19CYUCh. 24.3 - In the kidneys, tubular secretion of a substance...Ch. 24.4 - Extrinsic and intrinsic controls of GFR serve two...Ch. 24.4 - Calculate net filtration pressure given the...
Ch. 24.4 - Which of the pressures that determine NFP is...Ch. 24.5 - In which part of the nephron does most...Ch. 24.5 - How does the movement of Na+ drive the...Ch. 24.5 - MAKING conections Primary and secondary active...Ch. 24.6 - List several substances that are secreted into the...Ch. 24.7 - Describe the special characteristics of the...Ch. 24.7 - Under what conditions is ADH released from the...Ch. 24.8 - What would you expect the normal clearance value...Ch. 24.8 - What are the three major nitrogenous wastes...Ch. 24.9 - A kidney stone blocking a ureter would interfere...Ch. 24.9 - What is the trigone of the bladder, and which...Ch. 24.9 - Name the three regions of the male urethra.Ch. 24.9 - How does the detrusor respond to increased firing...Ch. 24.9 - MAKING connections Compare the structure and...Ch. 24 - The lowest blood concentration of nitrogenous...Ch. 24 - The glomerular capillaries differ from other...Ch. 24 - Damage to the renal medulla would interfere first...Ch. 24 - Which is reabsorbed by the proximal convoluted...Ch. 24 - Glucose is not normally found in the urine because...Ch. 24 - Filtration at the glomerulus is inversely related...Ch. 24 - Tubular reabsorption (a) of glucose and many other...Ch. 24 - If a freshly voided urine sample contains...Ch. 24 - Conditions such as diabetes mellitus and...Ch. 24 - Which of the following is/are true about ADH? (a)...Ch. 24 - What is the importance of the perirenal fat...Ch. 24 - Trace the pathway a creatinine molecule takes from...Ch. 24 - Explain the important differences between blood...Ch. 24 - Describe the mechanisms that contribute to renal...Ch. 24 - Prob. 5SAQCh. 24 - Describe what is involved in active and passive...Ch. 24 - Explain how the peritubular capillaries are...Ch. 24 - Explain the process and purpose of tubular...Ch. 24 - How does aldosterone modify the chemical...Ch. 24 - Explain why the filtrate becomes hypotonic as it...Ch. 24 - How does urinary bladder anatomy support its...Ch. 24 - Define micturition and describe the micturition...Ch. 24 - Lets return to Kyle Boulard, whom we met in the...Ch. 24 - Lets return to Kyle Boulard, whom we met in the...Ch. 24 - Lets return to Kyle Boulard, whom we met in the...Ch. 24 - Lets return to Kyle Boulard, whom we met in the...Ch. 24 - Lets return to Kyle Boulard, whom we met in the...Ch. 24 - Lets return to Kyle Boulard, whom we met in the...Ch. 24 - Lets return to Kyle Boulard, whom we met in the...
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