Joe is a 12 year old male patient who is brought to the emergency department for lethargy, nausea, and vomiting. It is noted that his breath has a fruity odor to it and that he is sweating profusely.A glucometer in the emergency department finds his blood glucose to be 523 mg/dL. It is determined that Joe is in Diabetic Ketoacidosis.
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- Joe is a 12 year old male patient who is brought to the emergency department for lethargy, nausea, and vomiting. It is noted that his breath has a fruity odor to it and that he is sweating profusely. A glucometer in the emergency department finds his blood glucose to be 523 mg/dL. It is determined that Joe is in Diabetic Ketoacidosis.Diabetic ketoacidosis is a type of respiratory acidosis. True FalseAn adolescent is admitted to the intensive care unit with diabetic ketoacidosis. The nurse prepares a continuous insulin infusion of 100 units (U) regular insulin in 500 mL normal saline. How many units of regular insulin is in one mL of the solution?
- A 24-year-old woman presents to the emergency department with severe diarrhea forthe past days. She looked acutely ill and very dehydrated. Although her usual bloodpressure is 120/80mmHg, it has now dropped. When she is supine (lying down), herblood pressure is 90/60 mm Hg and her heart rate is 100 beats/min. When she ismoved to a standing position, her heart rate further increases to 120 beats/min. She isimmediately started on normal saline i.v fluids. a. What is the physiological explanation behind the drop in blood pressure? b. Explain physiologically the fast baroreceptor mechanisms that will be employedto compensate for the drop in blood pressure. c. What accounts for the change in heart rate on changing positions? d. How will iv fluids improve her blood pressure?Why should medications other than glipizide or glyburide be considered for management of diabetes in this patient? List four sighs of dehydration in this patient? What is the significance of xerosis and cracking of the feet in this patient?A 35-year old woman became severely depressed after the sudden death of her husband. Two months later, she was brought to the emergency room by her friend because of extreme weakness and lethargy. She appeared thin and pale. Upon history taking, the doctor found that she had not eaten for several weeks. Analysis of the plasma sample indicated elevated levels of alanine, acetoacetate, β-hydroxybutyrate and blood urea nitrogen (BUN). However, her plasma glucose concentration was low (55mg/dL). She was hospitalized, given intravenous feeding, antidepressant medications and subsequently shifted to a 1800kCal (7500kJ) diet. Her recovery was uneventful. Why did the patient have elevated levels of alanine, acetoacetate, β-hydroxybutyrate and blood urea nitrogen (BUN)? How could the patient maintain her plasma glucose levels within normal limits even though she was not eating?Suggest, why the patient’s recovery was smooth after being shifted to a 1800kCal diet.
- A 35-year-old woman became severely depressed after the sudden death of her husband. Twomonths later, she was brought to the emergency room by her friend because of extremeweakness and lethargy. She appeared thin and pale. Upon history taking, the doctor found thatshe had not eaten for several weeks. Analysis of the plasma sample indicated elevated levels ofalanine, acetoacetate, β-hydroxybutyrate and blood urea nitrogen (BUN). However, her plasmaglucose concentration was low (55mg/dL). She was hospitalized, given intravenous feeding,antidepressant medications and subsequently shifted to a 1800kCal (7500kJ) diet. Her recoverywas uneventful.3.a) How could the patient maintain her plasma glucose levels within normal limits even though shewas not eating?bA 6-year-old boy is brought to the physician by his mother because of intermittent upper abdominal pain during the past 5 weeks and a rash for 1 week. Vital signs are normal. Physical examination shows yellow nodules over the extensor surfaces of the upper extremities. There's hepatomegaly and tenderness on palpation of the epigastric region. Serum studies show an increased amylase activity, increased chylomicron concentration, and a markedly increased triglyceride concentration. 3 months after beginning a fat-restricted diet, his serum chylomicron and triglyceride concentration decreased significantly, and the skin lesions resolve. A deficiency of which of the following enzymes is the most likely cause of these findings? a. Acetyl-CoA carboxylase b. HMG-CoA lyase c. HMG-CoA reductase d. Hormone-sensitive lipase e. Lipoprotein lipaseAn unresponsive client who has diabetes is brought to the emergency department with rapid, deep respirations. Additional findings include: blood glucose 24.9 mmol/L, arterial pH 7.2 and urinalysis showing presence of ketones and glucose. Which of the following statements best describes the underlying cause of this patient’s presentation? Question 64 options: a) Relative insulin deficiency, causing hyperglycemia, oxidative stress, renal dysfunction and acidosis b) Nocturnal elevation of growth hormone resulting in hyperglycemia in the morning c) Absolute insulin deficiency, increased counter-regulatory hormone, lipolysis and free fatty acid release d) Hypoglycemia causes release of glucagon, resulting in glycogenolysis and hyperglycemia
- Suppose that our test subject from problem 1 gained 55 pounds between the ages of 25 and 65 (a sadly common occur re nce) , and that her weight at 65 years of age is 175 pounds . Calculate how many excess calories she consumed per day to gain the 55 pounds over 40 years. Assume that our test subject is 5 feet 6 inches tall. What is her BMI? Would she be considered obese at 175 lbs ?Hypoglycemia comes about for various reasons and clinic symptoms usually occur at blood glucose concentrations: A.Choose that, which leads to development of gastroesophageal reflux: O a. a-adrenergic agonists O b. foods with reach proteins O c.acetilcholine O d. histamine O e. fatty foods Hello My dear , i have only 15 minutes Please write only the correct Iron deficiency anemia is characterized by: 1) Hemic hypoxia 2) Hyperchromia 3) Trophic disorders 4) Respiratory hypoxia 5) Thrombocytopenia answer without explanation Iam waiting for you thank you for your time О а. 2,5 O b. 1,3 О с. 3,5 O d. 2,4 O e. 1,4