43. A 13 year old boy with type 1 diabetes mellitus is brought to the emergency department because of nausea and weakness for 24 hours. He did not take his last 3 doses of insulin. His temperature is 37C(98.6F), pulse is 120/min, respirations are 30/min, and blood pressure is 90/60 mm Hg. Physical examination shows dry mucous membranes and decreased skin turgor. Laboratory studies show: Serum HCO3 Glucose Arterial blood gas analysis on room air: pH PCO2 6 mEq/L 400 mg/dL a. Buffering by HCO3 b. Buffering by inorganic phosphates c. Buffering by intracellular proteins d. Increased renal excretion of titratable acid e. Pulmonary excretion of CO2 derived from HCO3 7.10 20 mm Hg Which of the following processes is the initial defense against the decrease in arterial pH in this patient?

Anatomy & Physiology
1st Edition
ISBN:9781938168130
Author:Kelly A. Young, James A. Wise, Peter DeSaix, Dean H. Kruse, Brandon Poe, Eddie Johnson, Jody E. Johnson, Oksana Korol, J. Gordon Betts, Mark Womble
Publisher:Kelly A. Young, James A. Wise, Peter DeSaix, Dean H. Kruse, Brandon Poe, Eddie Johnson, Jody E. Johnson, Oksana Korol, J. Gordon Betts, Mark Womble
Chapter20: The Cardiovascular System: Blood Vessels And Circulation
Section: Chapter Questions
Problem 32CTQ: An obese patient comes to the clinic complaining of swollen feet and ankles, fatigue, shortness of...
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43. A 13 year old boy with type 1 diabetes mellitus is brought to the emergency department
because of nausea and weakness for 24 hours. He did not take his last 3 doses of
insulin. His temperature is 37C(98.6F), pulse is 120/min, respirations are 30/min, and
blood pressure is 90/60 mm Hg. Physical examination shows dry mucous membranes
and decreased skin turgor. Laboratory studies show:
Serum
HCO3
Glucose
Arterial blood gas analysis on room air:
pH
PCO2
6 mEq/L
400 mg/dL
a. Buffering by HCO3
b.
Buffering by inorganic phosphates
c. Buffering by intracellular proteins
d.
Increased renal excretion of titratable acid
e. Pulmonary excretion of CO2 derived from HCO3
7.10
20 mm Hg
Which of the following processes is the initial defense against the decrease in arterial pH
in this patient?
Transcribed Image Text:43. A 13 year old boy with type 1 diabetes mellitus is brought to the emergency department because of nausea and weakness for 24 hours. He did not take his last 3 doses of insulin. His temperature is 37C(98.6F), pulse is 120/min, respirations are 30/min, and blood pressure is 90/60 mm Hg. Physical examination shows dry mucous membranes and decreased skin turgor. Laboratory studies show: Serum HCO3 Glucose Arterial blood gas analysis on room air: pH PCO2 6 mEq/L 400 mg/dL a. Buffering by HCO3 b. Buffering by inorganic phosphates c. Buffering by intracellular proteins d. Increased renal excretion of titratable acid e. Pulmonary excretion of CO2 derived from HCO3 7.10 20 mm Hg Which of the following processes is the initial defense against the decrease in arterial pH in this patient?
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