A 31 year old female is seen in the ER for thirst, weakness, Kussmaul respirations, and confusion. She is an insulin-dependent diabetic but states that she has stopped taking her prescribed insulin injections because she cannot afford them. Blood glucose tests show her blood glucose is 450 mg/dL and urinalysis indicates ketonuria and glucosuria. a. What are Kussmaul respirations? b. Normal blood glucose levels in the adult range from 70-120 mg/dL. Why is her blood glucose so high? c. What would you expect her blood pH to be (too acidic, too alkaline, or within normal limits?) Thoroughly explain why you would expect this.

Human Anatomy & Physiology (11th Edition)
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ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
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Read the following scenario and respond to the questions that follow it.
A 31 year old female is seen in the ER for thirst, weakness, Kussmaul respirations, and confusion. She is an insulin-dependent diabetic but states that she has
stopped taking her prescribed insulin injections because she cannot afford them. Blood glucose tests show her blood glucose is 450 mg/dL and urinalysis indicates
ketonuria and glucosuria.
a. What are Kussmaul respirations?
b. Normal blood glucose levels in the adult range from 70-120 mg/dL. Why is her blood glucose so high?
c. What would you expect her blood pH to be (too acidic, too alkaline, or within normal limits?) Thoroughly explain why you would expect this.
a. Is the primary cause of the pH imbalance respiratory or metabolic?
b. Identify the pH imbalance in this scenario. Your response should include the terms respiratory or metabolic and acidosis or alkalosis.
c. Describe how her body will compensate to restore homeostasis.
Transcribed Image Text:Read the following scenario and respond to the questions that follow it. A 31 year old female is seen in the ER for thirst, weakness, Kussmaul respirations, and confusion. She is an insulin-dependent diabetic but states that she has stopped taking her prescribed insulin injections because she cannot afford them. Blood glucose tests show her blood glucose is 450 mg/dL and urinalysis indicates ketonuria and glucosuria. a. What are Kussmaul respirations? b. Normal blood glucose levels in the adult range from 70-120 mg/dL. Why is her blood glucose so high? c. What would you expect her blood pH to be (too acidic, too alkaline, or within normal limits?) Thoroughly explain why you would expect this. a. Is the primary cause of the pH imbalance respiratory or metabolic? b. Identify the pH imbalance in this scenario. Your response should include the terms respiratory or metabolic and acidosis or alkalosis. c. Describe how her body will compensate to restore homeostasis.
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