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1) While working as a scribe at a local hospital, you are witness to a 48-year-old male who arrived in the emergency suite who was unresponsive.

1)

While working as a scribe at a local hospital, you are witness to a 48-year-old male who arrived in the emergency suite who was unresponsive. Prior to becoming comatose, he reported to a friend he was experiencing mental confusion, nausea, abdominal pain and was breathing rapidly. Upon examination, he demonstrates he is breathing rapidly and has a blood pressure of 150/95. Lab tests show his blood glucose to be 450 mg/dL, he also has elevated serum potassium, magnesium and ketone levels. His blood pH is 7.28. Using your understanding of physiology, first attempt to diagnose this patient. Then explain each of the reported symptoms and clinical findings. You must account for all the reported symptoms and blood values for full credit.

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2)A 72-year-old woman is brought into the emergency suite with severe chest pain. Upon questioning by the admitting physician, she also reports a shortness of breath and dizziness. Her heart rate is 40 beats per minute. You order an EKG. Based on the limited information, what would you expect the EKG to show with respect to her heart activity? What condition would you diagnose this patient with and what is the likely cause of this condition? Suggest a possible treatment

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