EBK HUMAN ANATOMY & PHYSIOLOGY
1st Edition
ISBN: 9780100659834
Author: AMERMAN
Publisher: YUZU
expand_more
expand_more
format_list_bulleted
Concept explainers
Question
Chapter 25, Problem 3AYKA
Summary Introduction
Case summary:
Ms. Johanssen, a patient in the hospital, developed hyperkalemia and acidosis. On examining her medical chart, it is noticed that she has been prescribed a double dose of spironolactone.
Characters in the case:
Ms. Johanssen, having hyperkalemia and acidosis.
Adequate information:
Ms. Johanssen has developed hyperkalemia and acidosis, and her spironolactone dose has been doubled.
To determine:
The correlation between the laboratory findings and the doubled dose of spironolactone.
Expert Solution & Answer
Want to see the full answer?
Check out a sample textbook solution
Students have asked these similar questions
A steady increase in the excretion of sodium and chlorine ions causes the insufficiency of one hormone. What is the name of this hormone? Describe manifestations which appear at insufficiency or redundancy of these ions. Explain.
2. The patient was diagnosed with hypernatremia, hypokalemia, increased osmotic blood pressure, edema.
a) What pathology occurs in the patient?
b) Violation of the secretion of which hormone is observed in this pathology?
Name its chemical nature
c) Specify the mechanism of action of the hormone
Please help me with these questions, more than one answer may be correct for each:1) Which of the following statements are true about the renin-angiotensin-aldosterone axis?
A)
Angiotensin II stimulates production of aldosterone, which increases sodium reabsorption
B)
Renin converts angiotensinogen to angotensin I
C)
Angiotensin II stimulates production of vasopressin, which increases aquaporins in the collecting duct
D)
Vasopressin decreases thirst
E)
Renin lowers GFR
2) The purpose of excretion is to
A)
maintain internal pH
B)
remove harmful substances
C)
maintain plasma volume
D)
maintain osmotic balance
E)
maintain internal solute concentration
An 80-year-old woman was admitted with a diagnosis of hypertension, congestive heart failure, anemia, possible diabetes, and chronic renal failure. Her blood workup shows a BUN level of 58 mg/dL and a plasma creatinine of 6.2 mg/dL. What is the most probable cause of the patient’s elevated urea nitrogen?
Chapter 25 Solutions
EBK HUMAN ANATOMY & PHYSIOLOGY
Ch. 25.1 - 1. What is a body fluid?
Ch. 25.1 - 2. What is balance with respect to body fluids?
Ch. 25.1 - How does an electrolyte differ from a...Ch. 25.1 - What is electrolyte balance?Ch. 25.1 - 5. How do acids and bases differ?
Ch. 25.1 - 6. Which pH values are acidic, basic, and...Ch. 25.2 - Prob. 1QCCh. 25.2 - What factors affect total body water?Ch. 25.2 - 3. Where are the intracellular and extracellular...Ch. 25.2 - Prob. 4QC
Ch. 25.2 - Prob. 5QCCh. 25.2 - Prob. 6QCCh. 25.2 - Prob. 7QCCh. 25.2 - How is thirst stimulated?Ch. 25.2 - How are fluids lost from the body?Ch. 25.2 - 10. What are the water requirements for an...Ch. 25.2 - 11. What is the role of ADH in fluid balance?
Ch. 25.2 - How is ADH secretion stimulated?Ch. 25.2 - How does dehydration affect the volume of the...Ch. 25.2 - Prob. 14QCCh. 25.2 - 15. How do dehydration and overhydration differ...Ch. 25.3 - What are the main roles of sodium ions in the...Ch. 25.3 - How is sodium ion concentration regulated?Ch. 25.3 - Prob. 3QCCh. 25.3 - Prob. 4QCCh. 25.3 - 5. How is the concentration of potassium ions in...Ch. 25.3 - 6. What happens to the resting membrane potential...Ch. 25.3 - Prob. 7QCCh. 25.3 - Prob. 8QCCh. 25.3 - Prob. 9QCCh. 25.3 - Prob. 10QCCh. 25.3 - 11. How is chloride ion reabsorption in the...Ch. 25.3 - 12. How is the concentration of magnesium ions in...Ch. 25.4 - What are the major sources of acids for the body?Ch. 25.4 - Prob. 2QCCh. 25.4 - Prob. 3QCCh. 25.4 - Prob. 4QCCh. 25.4 - Prob. 5QCCh. 25.4 - Prob. 6QCCh. 25.4 - Prob. 7QCCh. 25.4 - Prob. 8QCCh. 25.4 - How do metabolic acidosis and respiratory acidosis...Ch. 25.4 - Prob. 10QCCh. 25.4 - Prob. 11QCCh. 25.5 - Prob. 1QCCh. 25.5 - Prob. 2QCCh. 25 - Prob. 1CYRCh. 25 - 2. How does an electrolyte differ from a...Ch. 25 - Prob. 3CYRCh. 25 - Prob. 4CYRCh. 25 - Prob. 5CYRCh. 25 - Prob. 6CYRCh. 25 - Which of the following is false with respect to...Ch. 25 - Prob. 8CYRCh. 25 - Prob. 9CYRCh. 25 - Prob. 10CYRCh. 25 - Prob. 11CYRCh. 25 - Prob. 12CYRCh. 25 - Prob. 13CYRCh. 25 - Prob. 14CYRCh. 25 - 15. Which of the following mechanisms is/are used...Ch. 25 - Mark the following statements as true or false. If...Ch. 25 - Prob. 17CYRCh. 25 - 18. How does angiotensin-II help to restore fluid...Ch. 25 - Prob. 1CYUCh. 25 - Prob. 2CYUCh. 25 - Prob. 3CYUCh. 25 - Prob. 4CYUCh. 25 - Prob. 1AYKACh. 25 - Prob. 2AYKACh. 25 - Prob. 3AYKACh. 25 - Prob. 4AYKACh. 25 - Prob. 5AYKB
Knowledge Booster
Learn more about
Need a deep-dive on the concept behind this application? Look no further. Learn more about this topic, biology and related others by exploring similar questions and additional content below.Similar questions
- What is the significance of abnormality of high concentration of uric acid in the urine?arrow_forwardAn old woman was admitted with a diagnosis of hypertension, congestive heart failure, anemia, possible diabetes, and chronic renal failure. Her blood workup shows a BUN level of 58 mg/dL and a plasma creatinine of 6.2 mg/dL. What is the most probable cause of the patient’s elevated urea nitrogen? Explain your answer.arrow_forwardmrs h has congestive heart failure and is being treated with furosemide (lasix), a loop diuretic. She is ordered to receive 100 mg IV STAT. How many millimeters will be required?arrow_forward
- Why does the ingestion ofalcohol increase diuresis?arrow_forwardNearly all renal diseases result in hypertension. In fact, some clinicians have a 'rule' that states "unexplained hypertension is always a result of a problem with the kidneys until proven otherwise". Briefly explain why hypertension occurs in renal disease.arrow_forwardWhat disorder is affecting this patient and what situation(s) predispose an individual to this disorder?arrow_forward
- Mr. Jones has COPD, an obstructive respiratory disorder. An arterial blood gas (ABG) sample was taken and she had an elevated arterial PCO2. Answer the following questions: What happens to H+ concentrations? What happens to pH? What type of acid-base imbalance is created? (Hint: Select one of these choices: metabolic acidosis, metabolic alkalosis, respiratory acidosis, or respiratory alkalosis) What type of compensation occurs? What does the body do during this type of compensation?arrow_forwardThe syndrome of inappropriate secretion of antidiuretic hormone (SIADH) is a disorder of impaired water excretion caused by the inability to suppress the secretion of antidiuretic hormone. Why does the patient experience serum hypernatremia (high sodium), polyuria and polydipsia (excessive thirst)? Explain.arrow_forwardAfter Lauren experienced hypokalemia, her physician discontinued her hydrochlorothiazide and prescribed a different medicine.How does hydrochlorothiazide work as a diuretic, and how might it producehypokalemia?What other type of diuretic might the physician prescribe, and how would it help Lauren’s hypertension and hypokalemia?arrow_forward
- 1. 3 of the following are true of the Renin Angiotensin Aldosterone System (RAAS) A. The JG cells are located at the distal collecting tubule B. The Juxtaglomerular cells (JG cells) are modified smooth muscles in the afferent arteriole C. The Macula densa detects osmolality of the filtrate D. The Macula densa is made up of tall columnar cells 2. 2 of the following are true of the RAAS responding to a decrease in Na in the filtrate A. Macula densa detects the decrease in osmolality B. JG cells are stimulated by Macula densa through tight junctions C. Aldosterone stimulates principal cells of collecting tubule to reabsorb water D. Aldosterone reabsorbs Na and by osmotic forces increase fluid in the extracellular compartment 3. 2 of the following are true of the loop of Henle A. Descending thick limb is also called the pars recta of the proximal tubule B. The function of the descending thick limb is similar to the distal convoluted tubule C. Cells of the descending thin limb are very…arrow_forwardHow do the renal function tests for this patient compare to a healthy individual?arrow_forwardPatient 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?arrow_forward
arrow_back_ios
SEE MORE QUESTIONS
arrow_forward_ios
Recommended textbooks for you
