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PART 1
History:
BT is a 36-year-old female experiencing pain during urination over the course of two days and is urinating more frequently. She does not have a fever or any other symptoms. She states she has not been drinking as much water as usual.
Physical: abdomen is soft, with no signs of tenderness or masses
Labs: a urinalysis with a “dipstick” is performed and reveals leukocytes and nitrites which suggest infection. A surprising finding is that she also has ketones in her urine (ketonuria).
Assessment: Urinary tract infection and ketonuria
When the body produces excess ketones, they are eliminated by the lungs and kidney.
Further history will be needed to determine why she is producing excessive ketones!
Instructions
Answer the following questions based on the scenario and article above and save your responses in a Microsoft Word document. Provide a scholarly resource in APA format to support your answers.
1. Identify 2 potential causes of ketonuria.
2. Identify the nutrient involved in the formation of ketones.
3. Describe the process of lipolysis and formation of ketones.
4. Is the process in Q3, anabolic or catabolic?
5. Predict the effect of excess ketones on the blood pH.
PART 2
A nutrient is a substance in food that is used by the body to promote normal growth, maintenance, and repair. During metabolism, substances inside body cells are constantly built up or broken down. Let’s start this week’s discussion with the definition and comparison of glycogenesis, glycogenolysis, gluconeogenesis, and lipogenesis. Which is (are) likely to be occurring (1) shortly after a carbohydrate-rich meal and (2) just before waking up in the morning?
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