Week 5: Discussion Part One

Ms. Blake is an older adult with diabetes and has been too ill to get out of bed for 2 days. She has had a severe cough and has been unable to eat or drink during this time. She has a history of Type I diabetes. On admission her laboratory values show:

 

Sodium (Na+) 156 mEq/L

Potassium (K+) 4.0 mEq/L

Chloride (Cl–) 115 mEq/L

Arterial blood gases (ABGs) pH- 7.30; Pco2-40; Po2-70; HCO3-20

Normal values

Sodium (Na+) 136-146 mEq/L

Potassium (K+) 3.5-5.1 mEq/L

Chloride (Cl–) 98-106 mEq/L

Arterial blood gases (ABGs) pH- 7.35-7.45

Pco2- 35-45 mmHg

 

Po2-80-100 mmHg

 

HCO3–22-28 mEq/L

 

List three (3) reasons on why she may have become bed ridden?

Based on these reasons what tests would you order?

Describe the molecular mechanism of the development of ketoacidosis.

Week 5: Discussion Part Two

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A three-month-old baby boy comes into your clinic with the main complaint that he frequently vomits after eating. He often has a swollen upper belly after feeding and acts fussy all the time. The vomiting has become more frequent this past week and he is beginning to lose weight. NR507 Advanced Pathophysiology – Full Course (all essay discussions+ midterm and final exam)

 

Write three (3) differential diagnoses at this time?

Is there any genetic component to the top of your differentials?

What tests would you order?

Week 5: Discussion Part Three

27 27 unread replies. 38 38 replies.