L.S. is brought to the emergency department for management of acute mushroom poisoning. Her respirations are slow and shallow, and she is nonresponsive. She is admitted to the critical care unit to be closely monitored for the development of respiratory failure and renal failure, which often accompany mushroom poisoning. Her urine output is decreased to about 20 ml/hr. Her laboratory values are serum K+ = 5.7 mEq/L; arterial blood gases (ABGs): pH = 7.13, PaCO2 = 56 mm Hg, PaO2 = 89 mm Hg, HCO3- = 18 mEq/L.
1A. What is the most likely cause of L.S.’s potassium imbalance? Explain the role of the kidney in potassium excretion
Answer: L.S. is experiencing a intrarenal acute renal failure in the category of tubular necrosis (due to ingested mushroom toxins).
The kidneys helps to maintain the electrolyte concentrations by filtering electrolytes and water from blood, routing some to the blood, and excreting any excess into the urine.
Therefore, the kidneys help to maintain a balance between daily consumption and excretion of electrolytes and water.
Explanation:
Daily variations in potassium excretion are controlled mainly by changes in secretion in distal and collecting tubules.
• Maintaining potassium balance depends primarily on renal excretion which is determined by:
• the rate of potassium filtration
• the rate of potassium reabsorption by the tubules o the rate of potassium secretion by the tubules
i.e. About 65% the filtered potassium is reabsorbed the proximal tubule and another 25% to 30% in the ascending loop of Henle.
The controlled of guessed
Answer:
Tube 3
Explanation:
Pancreatic amylase's optimum pH is basic, NaHCO3 is a base so it will provide the optimum pH for the enzyme to catalyse the breakdown of starch.
In tube 1 there will not be the breakdown of starch as there simply isn't any enzyme to break it down.
In Tube 2, the enzyme pancreatic amylase will most probably become denatured (loss of shape), as HCl is acidic which causes it to lose shape causing a change in the active site and will never be able to catalyse the breakdown of starch.
Hope this helps :)
A lunar eclipse occurs when the Moon passes directly behind Earth and into its shadow. This can occur only when the Sun, Earth, and Moon are exactly or very closely aligned (in syzygy), with Earth between the other two. A lunar eclipse can occur only on the night of a full moon.
Mitosis would be skin cells, bone cells, and organ cells. Meiosis is sex cells, so sperm and egg cells.
