Hco3 Case Study

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Problem Set #5: Chapters 25 and 26
Team #1 E.C.
PART ONE
1a. Due to inappropriate levels of ADH production I believe that he has Diabetes Insipidus. His SP gravity level is low at 1.001 this is because hes urinating mostly water.
1b. Tumor can affect and impact the posterior pituitary gland. It damages it directly or originating inside it. Some times during surgery the surgeon not knowing can damage this structure as well.
2a. The PH is elevated making it Alkalosis. The Pc02 is low which is the cause of the alkalosis. Hco3 is low which equals compensating. Respiratory alkalosis, might be due to hyperventilation but compensated by metabolic acidosis
2b. Ph below normal is acidosis. Pco2 is low is not the cause for the acidosis but is compensating. HCO3 is really low and is the cause of the acidosis. Metabolic acidosis possibly caused by drinking to much alcohol.
4a. Diuretics will remove water from the blood and eliminate it in the urine.
4b. …show more content…
PART TWO
7. Pale urine is dilute. Yellow urine is more concentrated. Darker yellow urine is very concentrated. Specific gravity is the ratio of the density of a substance compared to the density of an equal volume of distilled water. Urine, with its various solutes, has a greater specific gravity than water (1.001-1.035), which varies depending on the concentration of solute. The more concentrated the urine, the darker its color and the higher its specific gravity. 8. When Max’s urine is pale with a low specific gravity, his body is likely to be well hydrated; the kidneys are reabsorbing less water, allowing it to be eliminated in urine. When his urine is dark yellow with a higher specific gravity, his kidneys are concentrating urine and reabsorbing more water in an attempt to maintain body fluid homeostasis (defend plasma osmolality). Dehydration will trigger this response. The yellow urine signals dehydration; the corresponding high-normal specific gravity is likely due to the small amount of glucose in the
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