Question

4. Why is persistent elevated blood pressure a serious concern in a patient (see Chapter 12)? Several years later, C.S. experienced an episode of severe pain leading to a diagnosis of renal calculi and hypercalcemia related to an additional metabolic abnormality. 5. How does hypercalcemia cause renal calculi, and how do renal calculi cause severe pain (see Chapter 18)? Dietary restrictions on calcium intake and increased fluid intake were recommended to reduce the risk of additional calculi, 6. How might reduced calcium intake affect C.S.? 7. Following a routine checkup and laboratory tests 2 years later, simvastatin (Zocor) was prescribed. Why is a cholesterol-lowering agent useful in the treatment of diabetes? 8. A daily low dose of enteric-coated acetylsalicylic acid (ASA) was recommended. Why is this helpful in diabetics? Recently blood glucose levels have been elevated. Medication was changed to glyburide, but side effects in C.s. were marked. A combination of metformin and rosiglitazone has been pre- scribed as well as regular exercise and careful dietary control 9. Explain why it is important to maintain low blood glucose levels. 10.Suggest several reasons why blood glucose levels may increase periodically.

Answer 1