History: Manny is an architect who works from home and enjoys hiking with his family. He tells you he was recently stung

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History: Manny is an architect who works from home and enjoys hiking with his family. He tells you he was recently stung

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History: Manny is an architect who works from home and enjoys hiking with his family. He tells you he was recently stung by a bee while working in his yard and needed to use his EpiPen for immediate treatment. He reports he did not need to go to the emergency department.
Medical History and Metabolic Panel HISTORY VITAL SIGNS METABOLIC PANEL Manny is here for a routine physical and prescription refills of Enalapril and EpipenⓇ Auto-Injector. Although he was recently stung by a bee and used his EpiPen, he did not need to go to the emergency room.
HISTORY Temp: 98.6 BP: 122/65 Pulse: 140 RR: 201 VITAL SIGNS Height: 6'4" Weight: 189 BMI: 23 METABOLIC PANEL Pulse Ox (on room air): 99%
A complete metabolic panel is ordered, and the results are below: Parameter HISTORY Glucose BUN Creatinine Na K CO2 Calcium Result 98 16 0.71 138 4.9 99 25 VITAL SIGNS 8.6 Normal 70-99 mg/dL 7-22 mg/dL 0.5-1.2 mg/dL 135-145 mmol/L 3.5-5.3 mmol/L 98-109 mmol/L 22-26 mmol/L 8.6-10.2 mg/dL METABOLIC PANEL
Phosphorus Albumin Bilirubin Lactate dehydrogenase (LDH) Aspartate amino- transferase (AST) Alanine aminotransferase (ALT) Alkaline Phosphatase 2.7 4.2 0.2 96 32 20 112 2.6-4.9 mg/dL 3.2-4.6 g/dL 0.2-1.2 mg/dL 99-191 IU/L 12-45 IU/L <34 IU/L 37-107 IU/L
Questions: Answer these questions on your CHEM 1005 Interactive Case Report Template. Based on this information, predict blood glucose values immediately after epinephrine injection (increase, decrease or no change). Justify your answer. What is the mechanism of action of epinephrine, including its signaling mechanism(s), target organs and metabolic impacts?
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