pathophysiology
pathophysiology
Mr. Craft (Case Study A)
Ms. Craft, age 59, was brought by ambulance to the emergency room because she thought she was dyin" rel="nofollow">in" rel="nofollow">in" rel="nofollow">in" rel="nofollow">in" rel="nofollow">in" rel="nofollow">in" rel="nofollow">ing. She had difficulty breathin" rel="nofollow">in" rel="nofollow">in" rel="nofollow">in" rel="nofollow">in" rel="nofollow">in" rel="nofollow">in" rel="nofollow">ing, was dizzy if she attempted to sit
up, and felt a sense of impendin" rel="nofollow">in" rel="nofollow">in" rel="nofollow">in" rel="nofollow">in" rel="nofollow">in" rel="nofollow">in" rel="nofollow">ing doom. Ms. Craft assumed that she was havin" rel="nofollow">in" rel="nofollow">in" rel="nofollow">in" rel="nofollow">in" rel="nofollow">in" rel="nofollow">in" rel="nofollow">ing a heart attack, and so did the admittin" rel="nofollow">in" rel="nofollow">in" rel="nofollow">in" rel="nofollow">in" rel="nofollow">in" rel="nofollow">in" rel="nofollow">ing emergency room personnel.
But the case was more complicated. Physical examin" rel="nofollow">in" rel="nofollow">in" rel="nofollow">in" rel="nofollow">in" rel="nofollow">in" rel="nofollow">in" rel="nofollow">ination showed Ms. Craft to have weakness, malaise, warm skin" rel="nofollow">in" rel="nofollow">in" rel="nofollow">in" rel="nofollow">in" rel="nofollow">in" rel="nofollow">in" rel="nofollow">in, and hypotension. Ms. Craft said she felt nauseous. A
blood glucose value was diagnostic for diabetes. Cardiac markers did not show that she was havin" rel="nofollow">in" rel="nofollow">in" rel="nofollow">in" rel="nofollow">in" rel="nofollow">in" rel="nofollow">in" rel="nofollow">ing a heart attack, nor did an EKG. When her history was taken, Ms. Craft
said she had not seen a doctor in" rel="nofollow">in" rel="nofollow">in" rel="nofollow">in" rel="nofollow">in" rel="nofollow">in" rel="nofollow">in" rel="nofollow">in several years and was unaware that she had diabetes.
Her respirations were deep and rapid—Kussmaul respirations.
QUESTIONS
Ms. Craft probably had:
A. metabolic alkalosis.
B. metabolic acidosis.
C. respiratory acidosis.
D. respiratory alkalosis.
In what way would the diabetes have contributed to her condition