Scenario/Summary

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.

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