Posted by Anonymous on Wednesday, October 27, 2010 at 4:46pm.
A 21-year old brother of a person with insulin-dependent diabetes mellitus experienced increased urination and thirst for 6 weeks, along with a 15 pound weight losss, despitre a normal appetite. Fearing that these symptoms meant he also had developed diabetes mellitus, he did not seek medical attention promptly. However, when he developed nausea and vomiting for 48 hours, followed by a stuporous state, his college roommate insisted on taking him to the emergency room. There, he was found to ne semi-coherent and his mucous membranes and skin were dry. Blood pressure was 84/52 and pulse rate was 120 bpm. He was breathig deeply at a rate of 30 respirations per minute. The remainder of the examination was within normal limits. A urine sample contained a glucose concentration of 5% and tested strongly positive for acetoacetic acid. Plasma glucose was 800 mg/dl. Sodium was 132 mEq/L, bicarbonate was 5 mEq/l. chloride was 104 mEq/L and potassium was 5.8 mEq/L. Blood pH was 7.1, Pco2 was 17 mmHg and PO2 was 95 mmHg. Blood urea nitrogen was 28 mg/dl and plasma creatinine was 1.4 mg/dl. On treatment with insulin, intravenous fluids and potassium, the patient's clinical and biochemical status was restored to normal in 24 hours.
1.What is the cause if this pateint's very high plasma glucose level?
2.What are the mechanisms that elevated plasma glucose?
3.What has replaced bicarbonate in the patient's plasma, and by what mechanism?
4.Why is the blood pressure low and the pulse rate high?
5.What contributed to the pateint's weight loss?
No one has answered this question yet.
Answer this Question
Related Questions
Pathophysiology - What is the difference between Disbetes Mellitus and Diabetes ...
diabetes - Does insulin therapy offer a cure for diabetes? Insulin therapy doesn...
Insulin Levels/Appetite - Consistantly low levels of insulin will produce ___ ...
Science - A patient complains of constantly desiring food and water, then having...
insulin levels - 13. Consistently low levels of insulin will produce ___ ...
algebra - A person is 3 times as old as aonther person but in 15 years she will ...
math - eight year from now. Oana will be twice as old as her brother is now. ...
Math - Luis is 10 years older than his brother. Next year, he will be three ...
physiology - I have some questions related to diabetes. Im just wondering if ...
Health/ Basic Clinical Procedures - please check mey answer thanks which of the ...
For Further Reading
