43. A 13 year old boy with type 1 diabetes mellitus is brought to the emergency department because of nausea and weakness for 24 hours. He did not take his last 3 doses of insulin. His temperature is 37C(98.6F), pulse is 120/min, respirations are 30/min, and blood pressure is 90/60 mm Hg. Physical examination shows dry mucous membranes and decreased skin turgor. Laboratory studies show: Serum HCO3 Glucose Arterial blood gas analysis on room air: pH PCO2 6 mEq/L 400 mg/dL a. Buffering by HCO3 b. Buffering by inorganic phosphates c. Buffering by intracellular proteins d. Increased renal excretion of titratable acid e. Pulmonary excretion of CO2 derived from HCO3 7.10 20 mm Hg Which of the following processes is the initial defense against the decrease in arterial pH in this patient?

Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)
6th Edition
ISBN:9781305964792
Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Chapter23: Vital Signs And Measurements
Section: Chapter Questions
Problem 23.2CS
icon
Related questions
Question
43. A 13 year old boy with type 1 diabetes mellitus is brought to the emergency department
because of nausea and weakness for 24 hours. He did not take his last 3 doses of
insulin. His temperature is 37C(98.6F), pulse is 120/min, respirations are 30/min, and
blood pressure is 90/60 mm Hg. Physical examination shows dry mucous membranes
and decreased skin turgor. Laboratory studies show:
Serum
HCO3
Glucose
Arterial blood gas analysis on room air:
pH
PCO2
6 mEq/L
400 mg/dL
a. Buffering by HCO3
b.
Buffering by inorganic phosphates
c. Buffering by intracellular proteins
d.
Increased renal excretion of titratable acid
e. Pulmonary excretion of CO2 derived from HCO3
7.10
20 mm Hg
Which of the following processes is the initial defense against the decrease in arterial pH
in this patient?
Transcribed Image Text:43. A 13 year old boy with type 1 diabetes mellitus is brought to the emergency department because of nausea and weakness for 24 hours. He did not take his last 3 doses of insulin. His temperature is 37C(98.6F), pulse is 120/min, respirations are 30/min, and blood pressure is 90/60 mm Hg. Physical examination shows dry mucous membranes and decreased skin turgor. Laboratory studies show: Serum HCO3 Glucose Arterial blood gas analysis on room air: pH PCO2 6 mEq/L 400 mg/dL a. Buffering by HCO3 b. Buffering by inorganic phosphates c. Buffering by intracellular proteins d. Increased renal excretion of titratable acid e. Pulmonary excretion of CO2 derived from HCO3 7.10 20 mm Hg Which of the following processes is the initial defense against the decrease in arterial pH in this patient?
Expert Solution
trending now

Trending now

This is a popular solution!

steps

Step by step

Solved in 2 steps

Blurred answer
Similar questions
Recommended textbooks for you
Comprehensive Medical Assisting: Administrative a…
Comprehensive Medical Assisting: Administrative a…
Nursing
ISBN:
9781305964792
Author:
Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:
Cengage Learning
Curren'S Math For Meds: Dosages & Sol
Curren'S Math For Meds: Dosages & Sol
Nursing
ISBN:
9781305143531
Author:
CURREN
Publisher:
Cengage
Anatomy & Physiology
Anatomy & Physiology
Biology
ISBN:
9781938168130
Author:
Kelly A. Young, James A. Wise, Peter DeSaix, Dean H. Kruse, Brandon Poe, Eddie Johnson, Jody E. Johnson, Oksana Korol, J. Gordon Betts, Mark Womble
Publisher:
OpenStax College
Biomedical Instrumentation Systems
Biomedical Instrumentation Systems
Chemistry
ISBN:
9781133478294
Author:
Chatterjee
Publisher:
Cengage
Ebk:Nutrition & Diet Therapy
Ebk:Nutrition & Diet Therapy
Health & Nutrition
ISBN:
9780357391747
Author:
DEBRUYNE
Publisher:
Cengage
An Illustrated Guide To Vet Med Term
An Illustrated Guide To Vet Med Term
Biology
ISBN:
9781305465763
Author:
ROMICH
Publisher:
Cengage