Author Question: A patient diagnosed with diabetic ketoacidosis (DKA) has the following laboratory values: arterial ... (Read 31 times)

fox · **on:** Aug 28, 2021

Question 1

A patient had a thyroidectomy and now reports tingling around the mouth and has a positive Chvostek sign. What laboratory finding would be most helpful to the healthcare professional?

◦ TSH and T₄
◦ Serum sodium
◦ Serum calcium
◦ Urine osmolality

Question 2

A patient diagnosed with diabetic ketoacidosis (DKA) has the following laboratory values: arterial pH 7.20; serum glucose 500 mg/dL; positive urine glucose and ketones; serum potassium (K⁺) 2 mEq/L; serum sodium (Na⁺) 130 mEq/L. The patient reports that he has been sick with the “flu” for 1 week. What relationship do these values have to his insulin deficiency?

◦ Increased glucose use causes the shift of fluid from the intravascular to the intracellular space.
◦ Decreased glucose use causes fatty acid use, ketogenesis, metabolic acidosis, and osmotic diuresis.
◦ Increased glucose and fatty acids stimulate renal diuresis, electrolyte loss, and metabolic alkalosis.
◦ Decreased glucose use results in protein catabolism, tissue wasting, respiratory acidosis, and electrolyte loss.

emily12345 · **Reply #1 on:** Aug 28, 2021

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