Diane could not remember whether she had taken her 6 pm insulin dose when, in fact, she had done so. unfortunately, she decided to give herself the evening dose (for the second time). when she did not respond to her alarm clock at 6 am the following morning, her roommate tried unsuccessfully to awaken her. the roommate called 911 and diane was rushed to the er in a coma. her skin was flushed and slightly moist. her respirations were slightly slow. her vitals were: heart rate -75 bpm, blood pressure - l12/87, respiratory rate: 10 rpm, oxygen saturation-100% at room air.
1. what is diane's diagnosis? what is the mechanism involved?
2. what clinical signs and symptoms to distinguish a coma caused by an excess of blood glucose and ketone bodies due to a deficiency of insulin (dka) from a coma caused by a sudden lowering of blood glucose (hyperglycemic coma) induced by the inadvertent injection of excessive insulin?
3. what is the pathophysiology leading to the elevation of blood glucose after a meal differs between patient with insulin-dependqt diabetes mellitus(iddm) and those with non-insulin-dependent diabetes mellitus (niddm)? explain both.
4. what are the types of treatment available to diane in the future?

ecological efficiency: % of usable energy transferred as

biomass from one trophic level to the next typical is 10% efficient (90% of

energy is lost),is diagramed as the pyramid of energy flow. then osprey eagle

are tertiary consumer and the shrimp are primary consumer, so to balance

mass of shrimp (1/0.1) / 0.1 = 100 kg 

picture a world where computers are building made-to-order personalized robotic arms and synthetic organs, drones are circulating above mars! due to the rapid growth of technology, the future has never been more unpredictable, and it presents a huge challenge in education: we are teaching students how to work in a future that we have never been unsure of. it is widely predicted that in eight years’ time, there will be more jobs in the fields of science, mathematics, technology and engineering than in any other discipline. and, as the technology continues to develop, it will soon become clear that addressing social problems will involve more innovative thinking, and analytical and technical knowledge than ever before. undeniably, there are no subjects that encourage innovative and creative thinking, deep thought, problem solving and independence more than the stem subjects. while it is widely commented on that there is a need to reimagine the ways stem subjects are taught in schools by embracing a more interactive and innovative approach to appeal to more students, it should come as no surprise that some of the most reputable educational organizations in the world are already implementing changes to embrace stem. harvard, for example, announced in 2014 that they were increasing their computer science faculty by over 50% and has since introduced computer science as a core subject for all freshmen. the urgency of supporting stem subjects at a young age is becoming more relevant than ever, as adopting a keen interest in the curricula needs to happen early. however, beyond the age issue is one of gender.

let me know if you need more

i believe it would be c: tons.