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End-Stage Kidney Disease with a past medical history significant for diabetes me

ID: 305302 • Letter: E

Question

End-Stage Kidney Disease with a past medical history significant for diabetes melitus past Sarah, a 63-year-old female gout, and a 30-pa revealing pericarditis in the ck a year smoking history presents to the emergency room with chest pain secondary to recently diagnosed end-stage renal bruises, 2+ bilateral edema, and weakness lasting more than three weeks. Her medications include Glisten, a new drug for diabetes that causes ATP sensitive potassium channels to close, thereby releasing insulin Her recent laboratory results are as follows: CBC Sodiumm Glucose Calcium ?220 mm 01/L 7.1 mg/d 3.9 cells/ul Red blood cell count Vitals 92/64 mmHg Blood Pressure Blood Gases pH CO2 HCO3 7.28 30 mmHg 12 mmol/L Hormone Panel Low Elevated Low Renin ADH Aldosterone Vitamins Vit D Vit K Vit E Vit A Low Low Low Low Urine and Stool Sample Stool color Stool content Gray Increased Fat Content White Urine color

Explanation / Answer

B 1a Excercise decreased the time to change because of increased carbondioxide production of body.

b Exhaling carbondioxide causes the basic solution to become more acidic or neutral.Increase in aerobic activity increases the rate of carbondioxide production.This results in a quick colour change as the pH dropped.

C a12-18 breaths per minute

b greater than 20 breaths perminute..

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