Mr. Bud. He is a construction worker that has beenworking on the Cape Cod Canal for the past ten years. He has beenworking outdoors in the direct sunlight where the temperature is 95degrees Fahrenheit and humidity is 80%. He's sitting at the bar at4 PM drinking 16 oz. Bud Lite beers with an equal number of bourbonshots. He's not eating the salty bar snacks because he is watchinghis weight although he's on his third Budweiser and weighs 255pounds, 5’ 8†tall. His lunch also consisted of 3 BudLites.
Questions: Is Mr. Bud at risk for water intoxication,dehydration, or in fluid balance? What factors are affecting Mr.Bud's body fluid level and which hormones for fluid balance areaffected by his lifestyle? Is his fluid volume dropping? If so,which hormones are released to compensate for thisloss?
Mrs. Lovely and Mr. Money. Mrs. Lovely is closing in on40 years old. She's the first one at the exercise club in themorning at 6 AM (the nanny takes the kids to school) and performsaerobic exercise for no less than two hours, five days a week. Shedoes not believe in rehydration because she's afraid of waterweight gain. She wants to return to a size O before her 40thbirthday. Her percentage body fat is around 5%. Following herworkout, she spends 20 minutes in the dry heat sauna then has a45-minute massage. Her total caloric intake for a typical day is1300 calories with few carbohydrates. She's sipping Lady Grey blacktea.
Questions: Is Mrs. Lovely at risk for waterintoxication, dehydrated, or in fluid balance? What factors areaffecting her body fluid level and which hormones for fluid balanceare affected by her lifestyle? Is her fluid volume dropping? If so,which hormones are released to compensate for this loss? Is Mrs.Lovely at risk for respiratory or metabolic alkalosis or acidosis?What is the compensatory mechanism working to rectify herself-induced condition?
Mr. Money works 60 hours per week and does not pay muchattention to what he eats or drinks. Breakfast consists of two cupsof black coffee. He suffers from a hiatal hernia and despite hisdoctor's advice he continues to work long stressful hours, drinkcoffee and alcohol, and eat fatty foods. Consequently, heexperiences vomiting first thing in the morning and several timesper day. His BP is 145/90 and higher during stress. He also has amild heart condition for which he takes diuretics. He takesPrilosec and a handful of over-the-counter antacids daily. Hedrinks a glass full of sodium bicarbonate and water each nightbefore bed to quell the heartburn. He and Mrs. Lovely usually eatout together for dinner (nanny cooks and puts the kids to bed too)at which time he tries to impress Mrs. Lovely with a show ofconcern for healthful eating by ordering a salad with grilledsalmon for dinner accompanied by several glasses of whitewine.
Questions: Is Mr. Money at risk for water intoxication,dehydrated, or in fluid balance? What factors are affecting hisbody fluid level and which hormones for fluid balance are affectedby his lifestyle? Is his fluid volume dropping? If so, whichhormones are released to compensate for this loss? Is Mr. Money atrisk for respiratory or metabolic / alkalosis or acidosis? What isthe compensatory mechanism working to rectify his self-inducedcondition?
