Question

Two years after the initial appointment the man presents at the hospital. He has been vomiting for two days following a fishing trip and has reported large amounts of bloodin vomit (suspected gastroesophageal variceal bleeding). He now weighs 102kg and presented with low blood pressure onadmission. Use the results from blood and urine analysis below for the rest of the calculations. Plasma Urine Result 126 mmol/L 6.4 mmol/L 12 mmol/L 93 mmol/L 15 mmol 30 mmH 200μmol/L Reference Range 133-143 3.6-4.6 24-32 98-108 3.0-7.0 35-45 60-120 Result Reference Range Dipstick Protein Blood Albumin/Creatinine 0.41g/g <0.017 Casts Dipstick Glucose Osmolalit Na Creatinine Na Positive нсоз Cl Urea pCO2 Creatinine Glucose (fasting) 4.0 mmol/L 2.8-6.0 Albumin TG Total Chol НЬ" HbAlc Negative Negative 875 14 mmol 9 mmol/L 500-850 24 g/L 4.0 5.2 120g/I 8.5% 33-55 Whole blood analysis <5.5 130-150 7%

please explain more detail, thank you so much

Answer 1

Total amount of sodium in body affects the amount of fluid in blood and around cell. Aldosterone causes kidneys to retain sodim and to excrete potassiun. When sodium retained less urine produced causing bloof volume increase. When either sodium or potassium becomes unbalanced, the kidney may expend the other electrolyte to maintain balance.

Generally aldosterone is type of steroid hormone thst acts primarily in renal collecting tubule to stimulate reabsorption of Na+ as well as secretion of K+ and H+.