Answer:
d. Measure thyroid-stimulating hormone level
Explanation:
The most suitable next step in management of this patient is to measure a thyroid stimulating hormone, or thyrotropin level.
This patient's apparent treatment refractory dyslipidemia is most likely contributed by undiagnosed thyroid disease. Despite sticking to the treatment with atorvastatin, his LDL AND total cholesterol are raised.
Additionally, there are some clinical signals that give an idea about the diagnosis of hypothyroidism especially fatigue and constipation.
Hypothyroidism is concerned with and is a very common secondary cause of dyslipidemia and thyrotropin level measures are indicated.
Hyperlipidemia may show better results to thyroid stimulating hormone.
Hence option D is the right answer.
<span>Distance vs. Time Graph
x-axis (horizontal)= Time
y-axis (vertical)= Distance</span>
The pH of blood if pco2 drops to 35.0 mmHg is 7.459
The pH of the blood can be calculated using the Henderson- Hasselbalch equation, which explains the relationship between acid dissociation constant pKa and pH in biological and chemical systems.
pH = pK + log ( HCO3- / ( 0.03 * PCO2 ) )
pK is 6.1 for the bicarbonate buffer system.
HCO3- = 24mm
PCO2 = 35.0 mmhg
pH = 6.1 + log ( 24 / 0.03 * 35.0 )
= 6.1 + log ( 24 / 1.05 )
= 6.1 + log 22.8571
= 6.1 + 1.3590
= 7.459
Hence, the pH of blood is 7.459
Learn more about the pH of blood here brainly.com/question/3919636
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