Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN: 9780134580999
Author: Elaine N. Marieb, Katja N. Hoehn
Publisher: PEARSON
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Chapter 25, Problem 2CCS
32-Year-Old Diabetic Male on a Diuretic
Let’s return to Kyle Boulard, whom we met in the previous chapter. Mr. Boulard has recovered from his acute diabetic crisis. The last update on his chart before he is discharged includes the following:
•BP 150/95, HR 75, temperature 37.2°C
•Urine: pH 6.9, negative for glucose and
Mr. Boulard is prescribed a thiazide diuretic and an angiotensin converting enzyme (ACE) inhibitor. He is counseled on the importance of taking his medications regularly and keeping his outpatient follow-up appointments.
2. NCLEX-STYLE Mr. Boulard’s blood pressure is quite high. How would this affect his nephron function? Choose the statement below that is most accurate.
a. The kidneys normally increase their rate of filtration when blood pressure increases.
b. The kidneys normally increase their rate of reabsorption when blood pressure increases.
c. The kidneys normally increase both their rate of filtration and reabsorption when blood pressure increases.
d. The kidneys release more renin when blood pressure increases, activating the renin- angiotensin-aldosterone pathway.
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A two-month old child was admitted to hospital after failure to thrive. The “boy”, whose external genitalia were ambiguous, was found to have elevated blood pressure, but no dehydration. The following measurements were made on a plasma sample taken on admission:
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Urea (mM)
6.2
2.5 - 7.0
Creatinine (μ�M)
95
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Glucose (mM)
4.3
3.5 - 5.5. (fasting)
Na+ (mM)
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134 -147
K+ (mM)
2.8
3.5 - 5.0
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5 - 40 (adult male)
The concentrations of progesterone, 17-hydroxyprogesterone and ∆4-androstenedione were also increased above the reference range.
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Chapter 25 Solutions
Human Anatomy & Physiology (11th Edition)
Ch. 25 - Prob. 1RQCh. 25 - 2. The glomerular capillaries differ from other...Ch. 25 - 3. Damage to the renal medulla would interfere...Ch. 25 - 4. Which is reabsorbed by the proximal convoluted...Ch. 25 - Prob. 5RQCh. 25 - 6. Filtration at the glomerulus is inversely...Ch. 25 - 7. Tubular reabsorption (a) of glucose and many...Ch. 25 - 8. If a freshly voided urine sample contains...Ch. 25 - Prob. 9RQCh. 25 - Prob. 10RQ
Ch. 25 - Prob. 19RQCh. 25 - Prob. 20RQCh. 25 - Prob. 12RQCh. 25 - Prob. 13RQCh. 25 - Prob. 14RQCh. 25 - Prob. 15RQCh. 25 - Prob. 16RQCh. 25 - Prob. 21RQCh. 25 - Prob. 22RQCh. 25 - Prob. 17RQCh. 25 - Prob. 11RQCh. 25 - Prob. 18RQCh. 25 - Prob. 23RQCh. 25 - 2. While repairing a frayed utility wire, Kevin,...Ch. 25 - Prob. 25RQCh. 25 - Prob. 26RQCh. 25 - 32-Year-Old Diabetic Male on a Diuretic Lets...Ch. 25 - 32-Year-Old Diabetic Male on a Diuretic
Let’s...Ch. 25 - 32-Year-Old Diabetic Male on a Diuretic
Let’s...Ch. 25 - Prob. 4CCSCh. 25 - Prob. 5CCSCh. 25 - 32-Year-Old Diabetic Male on a Diuretic
Let’s...
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