EP HUMAN ANAT.+PHYS.LAB.MAN...-ACCESS
13th Edition
ISBN: 9780134779942
Author: Marieb
Publisher: PEARSON CO
expand_more
expand_more
format_list_bulleted
Concept explainers
Question
Chapter 24, Problem 1CCS
Summary Introduction
Case summary:
Kyle Boulard, a 32-year-old man, was reported to behave erratically, staggered while walking, and appeared disoriented. His breath had the odor of fruity acetone.
Characters in the case:
A 32-year-old man Kyle Boulard, whose breath had fruity acetone odor.
Adequate information:
The results of the tests are as follows:
General | Blood | Urine |
Blood pressure: 95/98 | pH: 7.1 | pH: 4.3 |
HR (heart rate): 110 | Glucose: 345 mg/dl (milligram per deciliter) | Glucose: strongly positive |
Ketone bodies: strongly positive; odor: fruity acetone |
Also, ketone bodies and glucose in urine are generally absent.
To determine:
Whether the test results are normal or not.
Expert Solution & Answer
Want to see the full answer?
Check out a sample textbook solutionStudents have asked these similar questions
Which lab values are related to determining the need for acid base balance therapy? Which lab values are may signify the need for a blood transfusion?
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?
A person is brought to the emergency department in a comatose state. The following test results were obtained
Blood sugar: 450mg%
Urine albumin: Present
Urine Sugar: Orange precipitate
Urine Ketone bodies: Positive
Plasma pH:7.14 ( Normal:7.4)
Bicarbonate: Decreased
What is your probable diagnosis?
What are the further investigations to be done in this patient?
Explain the rationale behind each test?
Chapter 24 Solutions
EP HUMAN ANAT.+PHYS.LAB.MAN...-ACCESS
Ch. 24 - Prob. 1RQCh. 24 - 2. The formation of glucose from glycogen is (a)...Ch. 24 - 3. The net gain of ATP from the complete...Ch. 24 - Prob. 4RQCh. 24 - 5. What is formed during aerobic respiration when...Ch. 24 - 6. Metabolic rate is relatively low in (a) youth,...Ch. 24 - Prob. 7RQCh. 24 - 8. Which of the following is not a function of the...Ch. 24 - 9. Amino acids are essential (and important) to...Ch. 24 - Prob. 13RQ
Ch. 24 - 11. Transamination is a chemical process by which...Ch. 24 - Prob. 11RQCh. 24 - 15. Which of the following yields the greatest...Ch. 24 - 16. What is cellular respiration? What is the...Ch. 24 - Prob. 15RQCh. 24 - Prob. 18RQCh. 24 - 19. Define glycogenesis, glycogenolysis,...Ch. 24 - 20. What is the harmful result when excessive...Ch. 24 - Prob. 22RQCh. 24 - Prob. 19RQCh. 24 - Prob. 20RQCh. 24 - Prob. 23RQCh. 24 - Prob. 24RQCh. 24 - 1. Calculate the number of ATP molecules that can...Ch. 24 - Prob. 25RQCh. 24 - Prob. 26RQCh. 24 - Prob. 27RQCh. 24 - Prob. 1CCSCh. 24 - Prob. 2CCSCh. 24 - Prob. 3CCSCh. 24 - Prob. 4CCSCh. 24 - Prob. 5CCS
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
- John Smith joined a Triathlon for a cause. The triathlon consisted of a 1.5 km swim, 40 km bike ride and a 10 km run. He was so focused on winning the race. With 6 km left in the run, he felt very weak and light-headed and eventuallly collapsed. He was breathing so fast and was profusely sweating. The Emergency Medical Service on standby rushed to give him medical aid. a.) Discuss the role of electrolytes in this case. b.) What imbalances (Hypernatremia vs. Hyponatremia; Hyperkalemia vs. Hypokalemia) led to his condition? Justify.arrow_forwardIn reviewing the patient’s current information, a concern exists that acute kidney injury has developed. Select to highlight the laboratory information that would support this concern.UrinalysisCasts - +++Cola-color to urineProteinuriaBlood ValuesRBC - 3.9 cells/L (4.0-4.9 cells/L)Hgb 10 g/dL (12-16 g/dL)Hct-40% (37%-48%)WBC 11.0 cells/L (4.0-10.0 cells/L)Platelets - 140 cells/L (150-450 cells/L)Sodium - 140 mEq/L (135-145 mEq/L)Potassium - 4.5 mEq/L (3.5-5.2 mEq/L)BUN - 32 mg/dL (5-20 mg/dL)Creatinine 1.8 mg/dL (0.5-1.5 mg/dL)Blood Glucose - 180 mg/dL (nonfasting) (<200 mg/dL)AST-40 Units/mL (5-40 Units/mL)ALT - 30 Units/mL (5-35 Units/mL)Bilirubin (total)- 0.8 mg/dL (<1.0 mg/dL)Albumin - 4.0 (3.5-5.5 g/dL)PT-22 (11.5-14 seconds)arrow_forwardMr. Appel has a severe chronic obstructive pulmonary disease (COPD). He is admitted to the hospital with a respiratory infection and increased dyspnea; yellow, purulent sputum; anxiety; diaphores. He states he feels weak and tired. He routinely takes a diuretic (furosemide) and his pulmonary medications. The following values are obtained: ABG pH 7.25 PaO2 60mmHg PaCO2 78MMhg HCO3-34 mEq/I Serum sodium 140 serum potassium 2.0 serum chloride 105 .a. what type of electrolyte imbalance does Mr. Appel have? b. Interpret his ABGsarrow_forward
- 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%. What electrolyte disturbances need to be monitored at this time? What clinical signs & symptoms should the nurse be assessing LP, at this time, for the electrolyte disturbances?arrow_forwardMrs. Breathless is a 45-year-old female nurse with a history of asthma. She reports to the ED in the early morning with shortness of breath, blurred vision, headache, and restlessness. After several laboratory tests, the following ABG (arterial blood gases) lab results are confirmed: Blood pH=7.30 PaCO2 = 46 mm Hg HCO3 = 24 mEq/L. Based on the results of her ABG, which acid-base imbalance is Mrs. Breathless likely experiencing? Justify your answer by referencing the ROME mnemonic. What is the underlying pathophysiology of this disorder? What type of compensation is likely to take place? Why do you think Mrs. Breathless developed this imbalance? What are some of the contributing factors leading to this?arrow_forwardS.S. is a 54 year-old college professor who maintains a healthy lifestyle. He exercises regularly, doesn't smoke or drink alcohol, and tries to keep his weight within the normal range. Recently, he experienced generalized muscle weakness and severe headaches. He made an appointment with his physician, who ordered a battery of blood tests. These tests revealed the following: Arteriai blood pH 7.50 Artoríal blood pC02 50 mm Hg HCO3 36 mEg/L Serum aldosterone Increased 1. Based on this information, you would expect that serum sodium concentrations would be: DA Unable to determine from available information B. Lower than normal C. Normal D. Higher than normalarrow_forward
- How can we analyze the chart? Patient B: A 28 y/o male, overweight. Chief complaints: thirst, frequent urination and lethargy. Urine volume 3.8 l (~1 gal)/24hours. 1) What are the abnormal findings? 2)Why is the patient’s urine volume so high? 3) why is the patient thirsty? 4) what is your diagnosis? What other tests might you perform to confirm the diagnosis?arrow_forwardWhat is the patient's creatinine clearance given the following data? Serum creatinine 0.6 mg/dL Urine creatinine 102 mg/dL 24 hr urine volume 1650 mL Patient's BSA 1.93 m2 1) 195 mL/min 2) 130 mg/dL 3) 93 mL/min 4) 175 mL/min no references, just homeworkarrow_forwardCan you answer part B only clinical significancearrow_forward
- What are the following for each patient? Edward urine composition: _______ blood compostion: _______ Ariana urine composition: ________ blood composition: _______arrow_forwardWhich among the following indications is true with regards to the patient's urinalysis result?arrow_forwardPlease help correct answer?asaparrow_forward
arrow_back_ios
SEE MORE QUESTIONS
arrow_forward_ios
Recommended textbooks for you