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WGU D236 pathophysiology Objective Assessment Questions and Verified Answers Latest 2024.

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WGU D236 pathophysiology Objective Assessment Questions and Verified Answers Latest 2024. WGU D236 pathophysiology: Objective Assessment Questions and Verified Answers | Latest 2023/2024 GRADED A+. A major function of potassium is to conduct nerve impulses in muscles. Too low and muscle weakness occurs and too much can cause muscle spasms. This is especially dangerous in the heart muscle and an irregular heartbeat can cause a heart attack The body uses the Protein Buffering System, Phosphate Buffering System, and Carbonic AcidBicarbonate System to regulate and maintain homeostatic pH, what is the consequence of a pH imbalance - ☑️☑️Proteins contain many acidic and basic group that can be affected by pH changes. Any increase or decrease in blood pH can alter the structure of the protein (denature), thereby affecting its function as well Describe the laboratory findings associated with metabolic acidosis, metabolic alkalosis, respiratory acidosis and respiratory alkalosis. (ie relative pH and CO2 levels). - ☑️☑️Normal ABGs (Arterial Blood Gases) Blood pH: 7.35-7.45 PCO2: 35-45 mm Hg PO2: 90-100 mm Hg HCO3-: 22-26 mEq/L SaO2: 95-100% Respiratory acidosis and alkalosis are marked by changes in PCO2. Higher = acidosis and lower = alkalosis Metabolic acidosis and alkalosis are caused by something other than abnormal CO2 levels. This could include toxicity, diabetes, renal failure or excessive GI losses. WGU D236 pathophysiology OA Exam Study Guide 2023 Questions and Answers Here are the rules to follow to determine if is respiratory or metabolic in nature. -If pH and PCO2 are moving in opposite directions, then it is the pCO2 levels that are causing the imbalance and it is respiratory in nature. -If PCO2 is normal or is moving in the same direction as the pH, then the imbalance is metabolic in nature. The anion gap is the difference between measured cations (Na+ and K+) and measured anions (Cl- and HCO3-), this calculation can be useful in determining the cause of metabolic acidosis. Why would an increased anion gap be observed in diabetic ketoacidosis or lactic acidosis? - ☑️☑️The anion gap is the calculation of unmeasured anions in the blood. Lactic acid and ketones both lead to the production of unmeasured anions, which remove HCO3- (a measured anion) due to buffering of the excess H+ and therefore leads to an increase in the AG. Why is it important to maintain a homeostatic balance of glucose in the blood (ie describe the pathogenesis of diabetes)? - ☑️☑️Insulin is the hormone responsible for initiating the uptake of glucose by the cells. Cells use glucose to produce energy (ATP). WGU D236 pathophysiology OA Exam Study Guide 2023 Questions and Answers In a normal individual, when blood glucose increases, the pancreas is signaled to produced in insulin, which binds to insulin receptors on a cells surface and initiates the uptake of glucose. Glucose is a very reactive molecule and if left in the blood, it can start to bind to other proteins and lipids, which can lead to loss of function. AGEs are advanced glycation end products that are a result of glucose reacting with the endothelial lining, which can lead to damage in the heart and kidneys. Compare and contrast Type I and Type II Diabetes - ☑️☑️Type I diabetes is caused by lack of insulin. With out insulin signaling, glucose will not be taken into the cell and leads to high blood glucose (hyperglycemia). Type I is usually treated with insulin injections. Type II diabetes is caused by a desensitization to insulin signaling. The insulin receptors are no longer responding to insulin, which also leads to hyperglycemia. Type II is usually treated with drugs to increase the sensitization to insulin (metformin), dietary and life-style changes or insulin injections. WGU D236 pathophysiology OA Exam Study Guide 2023 Questions and Answers Describe some reasons for a patient needing dialysis - ☑️☑️AEIOU-acidosis. Electrolytes, Intoxication/Ingestion, overload, uremia. Patients with kidney or heart failure. A build up of phosphates, urea and magnesium are removed from the blood using a semi-permeable membrane and dialysate. AEIOU: A—acidosis; E—electrolytes principally hyperkalemia; I—ingestions or overdose of medications/drugs; O—overload of fluid causing heart failure; U—uremia leading to encephalitis/pericarditis Compare and contrast hemodialysis and peritoneal dialysis. What are some reasons for a patient choosing one over the other? - ☑️☑️Hemodialysis uses a machine to pump blood from the body in one tube while dialysate (made of water, electrolytes and WGU D236 pathophysiology OA Exam Study Guide 2023 Questions and Answers salts) is pumped in the separate tube in the opposite direction. Waste from the blood diffuses through the semipermeable membrane separating the blood from the dialysate. Peritoneal Dialysis does not use a machine, but instead injects a solution of water and glucose into the abdominal cavity. The peritoneum acts as the membrane instead of dialysis tubing. The waste products diffuse into the abdominal cavity and the waste solution is then drained from the body. Peritoneal dialysis offers continuous filtration and is less disruption to the patient's daily routines. However, it does require some training of the patient and is not recommended for individuals who are overweight or have severe kidney failure. Hemodialysis provides medical care, but 3 times a week for several hours sitting at a hospital or clinic. Individuals with acute kidney failure are recommended to use hemodialysis. How does homeostasis and maintaining optimal physiological health impact your wellbeing? - ️☑️Homeostasis acts to create a constant and stable environment in the body despite internal and external changes. Proteins and other cellular processes require optimal conditions in order to carry out their functions. WGU D236 pathophysiology OA Exam Study Guide 2023 Questions and Answers Alterations in pH, salt concentration, temperature, glucose levels, etc. can have negative effects on health, so it is vital for mechanisms that regulate homeostasis to function properly for maintaining good health Differentiate between Innate Immunity and Adaptive Immunity ? - ☑️☑️The innate immune system encompasses physical barriers and chemical and cellular defenses. Physical barriers protect the body from invasion. These include things like the skin and eyelashes. Chemical barriers are defense mechanisms that can destroy harmful agent. Examples include tears, mucous, and stomach acid. Cellular defenses of the innate immune response are non-specific. These cellular defenses identify pathogens and substances that are potentially dangerous and takes steps to neutralize or destroy them.

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WGU D236 pathophysiology Objective Assessment
Questions and Verified Answers Latest 2024/2025
GRADED A+



What xis xStarling's xLaw xof xCapillary xforces? x




How xdoes xthis xexplain xwhy xa xnutritionally xdeficient xchild xwould xhave xedema? x- xANS-

Starling's xLaw xdescribes xhow xfluids xmove xacross xthe xcapillary xmembrane. xThere xare

xtwo xmajor xopposing xforces xthat xact xto xbalance xeach xother, xhydrostatic xpressure



x(pushing xwater xout xof xthe xcapillaries) xand xosmotic xpressure x(including xoncontic



xpressure, xwhich xpushes xfluid xinto xthe xcapillaries). x




Both xelectrolytes xand xproteins x(oncontic xpressure) xin xthe xblood xaffect xosmotic

xpressure, xhigh xelectrolyte xand xprotein xconcentrations xin xthe xblood xwould xcause



xwater xto xleave xthe xcells xand xinterstitial xspace xand xenter xthe xblood xstream xto xdilute



xthe xhigh xconcentrations. x

,On, xthe xother xhand, xlow xelectrolyte xand xprotein xconcentrations x(as xseen xin xa

xnutritionally xdeficient xchild) xwould xcause xwater xto xleave xthe xcapillaries xand xenter



xthe xcells xand xinterstitial xfluid xwhich xcan xlead xto xedema.




How xdoes xthe xRAAS x(Renin-Angiotensin-Aldosterone xSystem) xresult xin xincreased

xblood xvolume xand xincreased xblood xpressure? x- xANS-A xdrop xin xblood xpressure xis



xsensed xby xthe xkidneys xby xlow xperfusion, xwhich xin xturn xbegins xto xsecrete xrenin. x




Renin xthen xtriggers xthe xliver xto xproduce xangiotensinogen, xwhich xis xconverted xto

xAngiotensin xI xin xthe xlungs xand xthen xangiotensin xII xby xthe xenzyme x




Angiotensin-converting xenzyme x(ACE). xAngiotensin xII xstimulates xperipheral xarterial

xvasoconstriction xwhich xraises xBP. x




Angiotensin xII xis xalso xstimulating xthe xadrenal xgland xto xrelease xaldosterone, xwhich

xacts xto xincrease xsodium xand xwater xreabsorption xincreasing xblood xvolume, xwhile xalso



xincreased xpotassium xsecretion xin xurine.

,How xcan xhyperkalemia xlead xto xcardiac xarrest? x- xANS-Normal xlevels xof xpotassium xare

xbetween x3.5 xand x5.2 xmEq/dL. xHyperkalemia xrefers xto xpotassium xlevels xhigher xthat



x5.2 xmEq/dL. x




A xmajor xfunction xof xpotassium xis xto xconduct xnerve ximpulses xin xmuscles. xToo xlow

xand xmuscle xweakness xoccurs xand xtoo xmuch xcan xcause xmuscle xspasms. x




This xis xespecially xdangerous xin xthe xheart xmuscle xand xan xirregular xheartbeat xcan

xcause xa xheart xattack




The xbody xuses xthe xProtein xBuffering xSystem, xPhosphate xBuffering xSystem, xand

xCarbonic xAcid-Bicarbonate xSystem xto xregulate xand xmaintain xhomeostatic xpH, xwhat xis



xthe xconsequence xof xa xpH ximbalance x- xANS-Proteins xcontain xmany xacidic xand xbasic



xgroup xthat xcan xbe xaffected xby xpH xchanges. xAny xincrease xor xdecrease xin xblood xpH



xcan xalter xthe xstructure xof xthe xprotein x(denature), xthereby xaffecting xits xfunction xas



xwell




Describe xthe xlaboratory xfindings xassociated xwith xmetabolic xacidosis, xmetabolic

xalkalosis, xrespiratory xacidosis xand xrespiratory xalkalosis. x(ie xrelative xpH xand xCO2

, xlevels). x- xANS-Normal xABGs x(Arterial xBlood xGases) xBlood xpH: x7.35-7.45 xPCO2: x35-45



xmm xHg xPO2: x90-100 xmm xHg xHCO3-: x22-26 xmEq/L xSaO2: x95-100% x




Respiratory xacidosis xand xalkalosis xare xmarked xby xchanges xin xPCO2. xHigher x= xacidosis

xand xlower x= xalkalosis x




Metabolic xacidosis xand xalkalosis xare xcaused xby xsomething xother xthan xabnormal xCO2

xlevels. xThis xcould xinclude xtoxicity, xdiabetes, xrenal xfailure xor xexcessive xGI xlosses. x




Here xare xthe xrules xto xfollow xto xdetermine xif xis xrespiratory xor xmetabolic xin xnature. x-

If xpH xand xPCO2 xare xmoving xin xopposite xdirections, xthen xit xis xthe xpCO2 xlevels xthat

xare xcausing xthe ximbalance xand xit xis xrespiratory xin xnature. x




-If xPCO2 xis xnormal xor xis xmoving xin xthe xsame xdirection xas xthe xpH, xthen xthe

ximbalance xis xmetabolic xin xnature.




The xanion xgap xis xthe xdifference xbetween xmeasured xcations x(Na+ xand xK+) xand

xmeasured xanions x(Cl- xand xHCO3-), xthis xcalculation xcan xbe xuseful xin xdetermining xthe



xcause xof xmetabolic xacidosis. x

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