Bob's Dilemma: A Case Study on the Urinary System Bob has been active all of his life. He played soccer from elementary

[answerhappygod]

Bob S Dilemma A Case Study On The Urinary System Bob Has Been Active All Of His Life He Played Soccer From Elementary 1 (68.04 KiB) Viewed 79 times

Bob S Dilemma A Case Study On The Urinary System Bob Has Been Active All Of His Life He Played Soccer From Elementary 2 (68.04 KiB) Viewed 79 times

Bob S Dilemma A Case Study On The Urinary System Bob Has Been Active All Of His Life He Played Soccer From Elementary 3 (53.34 KiB) Viewed 79 times

Bob's Dilemma: A Case Study on the Urinary System Bob has been active all of his life. He played soccer from elementary school all the way through college. He even played on a community team but now at age 45, he's been diagnosed with high blood pressure (hypertension). At times he ate too much junk food and occasionally drank too much alcohol but he couldn't get around the fact that the men in his family all had high blood pressure. Dr. Miller, Bob's primary care physician, had to prescribe two different antihypertensive medications in order to get his blood pressure under control. She also recommended Bob continue his regular soccer workouts but suggested a low-salt diet and more modest alcohol intake. Bob heeded Dr. Miller's recommendations. His father and his 2 uncles had hypertension at a young ages, and all 3 men ended up on dialysis before dying from complications of kidney failure. Bob began the recommended lifestyle changes at age 45 and even started running regularly to keep his blood pressure under control. Now, 10 years later, he was a marathoner and participated in local marathons, competing with, and outrunning many his own age. However, Bob noticed that during the past several months, he'd experienced more fatigue than normal and some dehydration symptoms after his long runs. After consulting with Dr. Miller, Bob sought the help of Ty, an exercise physiologist, to help him maintain his exercise regime and his health without feeling "old". Ty worked with Dr. Miller to make sure that Bob was monitored closely since he was still taking his anti-hypertensive medications. Ty suggested a urinalysis to assess Bob's physical condition before, during and after his workouts. Bob dutifully supplied urine samples to Dr. Miller for evaluation as Ty recommended. Ty explained that Bob's dehydration symptoms were more difficult to evaluate since the medication Bob took to control his high blood pressure could affect his renal status or physiologic functioning. Dr. Miller logged the following results of Bob's urinalysis immediately after, and six hours after, a rigorous 2-hour run. Time Color Specific Protein Glucose pH Gravity Before exercise pale yellow 1.002 none present none present 6.0 small amount none present 4.5 Immediately dark yellow 1.039 after exercise yellow 1.025 none present small amount 5.0 6 hours after exercise
8. Ty had no doubts that Bob's kidneys were functioning physiologically. There was one test that was within normal ranges for all 3 collections. What test in Bob's urinalysis was normal during all three collections? How does this test can confirm normal physiologic kidney function? 9. Ty recommended that Bob drink water during his 2-hour runs. Why would this drinking periodically during strenuous exercise help Bob? 10. After making the changes Dr. Miller prescribed and following Ty's recommendations while keeping up his regular long runs, Bob's blood pressure improved. He no longer had more-than-normal fatigue and didn't have dehydration issues after his runs. At that point, Dr. Miller changed Bob's medication to an angiotensin converting enzyme inhibitor, or ACE inhibitor. That is now the only medication Bob takes for his high blood pressure. Describe how ACE inhibitors work to reduce blood pressure.