Mr. Kyle Boulard just regained his health back after suffering from a crisis of acute diabetic. He is prescribed ACE that is angiotensin-converting enzyme inhibitor and a thiazide diuretic. He is given counseling on the significance of taking his medications on time and to follow his check-up routine on time. The following tests were obtained before he was discharged: Urine: pH 6.9, negative for ketones and glucose; a 24-hour collection of urine showed 170 mg (milligram) albumin in urine per day; BP (blood pressure): 150/95, HR-75, and body temperature are 37.2°C. Characters in the case: Mr. Kyle Boulard suffering from acute diabetes. Adequate information: Mr. Kyle just recovered from the acute crisis of diabetes, so, he is advised to follow his routine checkup on time and because of high blood pressure, his kidney is damaged. To determine: The main problem of Mr. Kyle and how thiazide diuretic caused this problem.

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Answer 1

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Definition Definition Organic compounds that have a carbonyl group, C = O, as their functional group. The carbonyl group in ketones is placed somewhere in the middle of the molecular structure, which means, the C=O is attached to two alkyl groups or benzene rings. Just like all other homologous series, the naming of ketones is done using a common suffix “-one”. The general molecular formula is C n H 2n O. Functional group of a ketone

Chapter 25, Problem 4CCS

Summary Introduction

Case summary:

Mr. Kyle Boulard just regained his health back after suffering from a crisis of acute diabetic. He is prescribed ACE that is angiotensin-converting enzyme inhibitor and a thiazide diuretic. He is given counseling on the significance of taking his medications on time and to follow his check-up routine on time. The following tests were obtained before he was discharged:

Urine: pH 6.9, negative for ketones and glucose; a 24-hour collection of urine showed 170 mg (milligram) albumin in urine per day; BP (blood pressure): 150/95, HR-75, and body temperature are 37.2°C.

Characters in the case:

Mr. Kyle Boulard suffering from acute diabetes.

Adequate information:

Mr. Kyle just recovered from the acute crisis of diabetes, so, he is advised to follow his routine checkup on time and because of high blood pressure, his kidney is damaged.

To determine:

The main problem of Mr. Kyle and how thiazide diuretic caused this problem.

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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?

Mehmet Yavuz is 62 yo. He presented to the clinic and after having an HbA1c test (result 9%) was diagnosed with type 2 Diabetes mellitus. His cardiovascular risk was > 15% http://www.cvdcheck.org.au/ His renal health screen showed an eGFR 90 mL/min/1.73m2 with microalbuminuria of 3.5 mg/mmol. http://www.kidney.org.au/HealthProfessionals/DetectingCKD/tabid/632/Default.aspx He attended a podiatry appointment which detected decreased dorsalis pedis and posterior tibialis pulses in both legs . Management of his condition now includes the following: Exercise: at least 150 minutes of aerobic and 60 minutes of resistance exercise each week Diet: a plan worked out with an accredited dietician based on the Australian Dietary Guidelines (2013). Drug use: smoking cessation plan to stop cigarette use; alcohol consumption reduction to 1 - 2 full strength beers every second day Weight loss: Mehmet aims to lose 5 kg over the first 6 - 8 weeks after diagnosis Medications: Jardiamet…

Answer 2

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Definition Definition Organic compounds that have a carbonyl group, C = O, as their functional group. The carbonyl group in ketones is placed somewhere in the middle of the molecular structure, which means, the C=O is attached to two alkyl groups or benzene rings. Just like all other homologous series, the naming of ketones is done using a common suffix “-one”. The general molecular formula is C n H 2n O. Functional group of a ketone

Chapter 25, Problem 4CCS

Summary Introduction

Case summary:

Mr. Kyle Boulard just regained his health back after suffering from a crisis of acute diabetic. He is prescribed ACE that is angiotensin-converting enzyme inhibitor and a thiazide diuretic. He is given counseling on the significance of taking his medications on time and to follow his check-up routine on time. The following tests were obtained before he was discharged:

Urine: pH 6.9, negative for ketones and glucose; a 24-hour collection of urine showed 170 mg (milligram) albumin in urine per day; BP (blood pressure): 150/95, HR-75, and body temperature are 37.2°C.

Characters in the case:

Mr. Kyle Boulard suffering from acute diabetes.

Adequate information:

Mr. Kyle just recovered from the acute crisis of diabetes, so, he is advised to follow his routine checkup on time and because of high blood pressure, his kidney is damaged.

To determine:

The main problem of Mr. Kyle and how thiazide diuretic caused this problem.

Expert Solution & Answer

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Check out a sample textbook solution

See solution

Answer 3

Question

Definition Definition Organic compounds that have a carbonyl group, C = O, as their functional group. The carbonyl group in ketones is placed somewhere in the middle of the molecular structure, which means, the C=O is attached to two alkyl groups or benzene rings. Just like all other homologous series, the naming of ketones is done using a common suffix “-one”. The general molecular formula is C n H 2n O. Functional group of a ketone

Chapter 25, Problem 4CCS

Summary Introduction

Case summary:

Mr. Kyle Boulard just regained his health back after suffering from a crisis of acute diabetic. He is prescribed ACE that is angiotensin-converting enzyme inhibitor and a thiazide diuretic. He is given counseling on the significance of taking his medications on time and to follow his check-up routine on time. The following tests were obtained before he was discharged:

Urine: pH 6.9, negative for ketones and glucose; a 24-hour collection of urine showed 170 mg (milligram) albumin in urine per day; BP (blood pressure): 150/95, HR-75, and body temperature are 37.2°C.

Characters in the case:

Mr. Kyle Boulard suffering from acute diabetes.

Adequate information:

Mr. Kyle just recovered from the acute crisis of diabetes, so, he is advised to follow his routine checkup on time and because of high blood pressure, his kidney is damaged.

To determine:

The main problem of Mr. Kyle and how thiazide diuretic caused this problem.

Expert Solution & Answer

Want to see the full answer?

Check out a sample textbook solution

See solution

Answer 4

Question

Definition Definition Organic compounds that have a carbonyl group, C = O, as their functional group. The carbonyl group in ketones is placed somewhere in the middle of the molecular structure, which means, the C=O is attached to two alkyl groups or benzene rings. Just like all other homologous series, the naming of ketones is done using a common suffix “-one”. The general molecular formula is C n H 2n O. Functional group of a ketone

Chapter 25, Problem 4CCS

Summary Introduction