A young girl is brought to the ER due to abdominal pain and confusion. She has a history of diabetes type I and takes insulin regularly but she has missed to take his regimen dose last two days due to poor appetite after upper respiratory tract infection. Her breath odor is fruity. What the changes pattern will be in the urine chemistry?

Question

Quizplus · Accepted Answer

Eductional Objective: The kidneys compensate for metabolic acidosis by completely reabsorbing filtered bicarbonate (HCO₃-) and excreting excess H+ in the urine. Most of the excreted H+ is buffered by phosphate (H2PO4-) and ammonium (NH4+), which allows for large amounts of acid to be excreted without precipitously dropping the pH.

A Young Girl Is Brought to the ER Due to Abdominal