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Question 1) Alice and Tanya are in their early twenties, weighing at 60 kg, and

ID: 3521262 • Letter: Q

Question

Question 1) Alice and Tanya are in their early twenties, weighing at 60 kg, and have similar physical conditions. After jogging for an hour around Lake Merced, Alicia had suffered from severe dehydration, accompanied by heavy sweating. She was brought into the emergency at General Hospital. She was given a proper volume of isotonic saline solution to drink. One hour after, a phlebotomist took blood sample to run test in the lab. Alicia suddenly vomited blood afterwards. No blood transfusion or saline solution was administered in twenty-four hours following a significant loss of blood through vomiting.

1a) State the predicted results of Alicia's hematocrit, hemoglobin determination, and RBC count, and compare it to someone at rest and euhydrated. State whether there was an Increase, Decrease, or No Change (Normal) compared at a normal euhydrated state.  

1b). Explain the results of the hematocrit.

Due to severe dehydration, and sweating after exercise Immediately after vomiting blood (one hour after drinking the isotonic solution) Twenty-four hours after vomiting blood Ten days after Hematocrit Hemoglobin determination Red Blood Cell Count

Explanation / Answer

Due to severe dehydration and sweating;

Hematocrit- low

Hb determination- it will be high

Red blood cell count- high

In athletes and sports person,RBC count is genrally high,there is expansion of plasma volume which results into low hematocrit.

After vomiting blood;

Hematocrit-high

Hb -low

Red blood cell count- low

Since vomiting blood causes loss of blood and results into anemia.

24 hours after vomiting blood

Hematocrit- slightly high

Hb- low to normal

Red blood cell - low to normal

Body compensates for the loss,and formation of red blood cell takes place which makes these values better.

Ten days later,the values will come to the normal.

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