HUMAN ANATOMY+PHYSIOLOGY-ACCESS (NASTA)
11th Edition
ISBN: 9780134770895
Author: Hoehn
Publisher: PEARSON
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Textbook Question
Chapter 25, Problem 6CCS
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 ketones: 24-hour urine collection reveals 170 mg albumin in urine per day
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.
6. NCLEX-STYLE You’ve counseled Mr. Boulard about how to prevent recurrence of his hypokalemia. Which of the statements he makes indicates a need for further instruction?
a.“There’s lots of potassium in fruits and vegetables, so I’ll eat more bananas."
b."There’s lots of potassium in regular table salt, so I’ll just use more."
c.“I guess I need to come in regularly and have potassium levels checked."
d.“Maybe I should take a potassium supplement."
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A 3-month-old boy is brought to the emergency department because of a 20day history of lethargy. Physical examination shows no other abnormalities. The results of laboratory studies are shown:
serum:
Na+ 165 mEa/L (N=139-146)
Cl- 130 mEq/L (N=95-105)
Osmolality 334 mOsmol/kg H2O (N=282-295)
urine:
specific gravity 1.001
osmolality 117 mOsmol/kg H2O (N>200)
He is admitted to the hospital. His urine output is increased. His serum ADH (vasopressin) concentraion is 24 pg/mL (N=1-5); aldosterone and renin concentrations are within the reference ranges. The urine osmolality remains unchanges after administration of 1-deamino-B-arginine vasopressin. An MRI of the brain and pituitary gland shows no abnormalities. Ultrasonography shows normal kidneys. The most likely underlying cause of the findings in this patient is a defect in which of the following?a. angiotensin-converting enzyme
b. aquaporin
c. 11a-Hydroxylase
d. renin
e. vasopressin receptors
Please provide detail understanding and hand written solution
Blood Analysis
Glu = 5.0;
Na = 145;
K = 2.8.
Back to
patient's
chart
Glucose
Sodium
Potassium
Calcium
Iron
Thomas (male) Age: 28
Triage Data
complained of abrupt
polydipsia (excessive
thirst) and polyuria
(excessive urine volume,
15 L per day)
T3 (triiodothyronine)
T4 (thyroxine)
3.9
135
3.5
2.15
Thomas (male) Age: 28
5
0.24
62
Low
DII
Other
Long Description
Ca = 2.50
Fe = 27
T3 = 0.33
T4 = 99
glucose urinalysis = 0.0
mmol/L
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Chapter 25 Solutions
HUMAN ANATOMY+PHYSIOLOGY-ACCESS (NASTA)
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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