One Headache After Another: Physiology Edition by Taylor and Cliff

Part II – Buffers

Dr. Rosen reappeared in the cubicle. “Sorry for the interruption, and for leaving you in suspense. The good news is that you did not have a heart attack. But I do think you’re having an unusual reaction to Topamax. It appears to be inhibiting your renal carbonic anhydrase, leading to metabolic acidosis. We’ll be giving you an IV, and you should taper off your Topamax under your family physician’s supervision.”

Dr. Rosen checked his pager and said, “Sorry, it’s one of those days. Again, you’ll be all right, and the nurse will be with you shortly to start the IV.” He turned on his heel and left just as quickly as he had appeared.

“Mom, don’t worry,” said Chris. “I’m going to call one of my friends at college. He should be able to help us figure this out.”

Chris dials his cell phone; yours rings. After you complete the following questions, write a one- or two-paragraph explanation to help Chris understand what’s going on with his mom.

Questions

Go to Part III – Regulation

Originally published at http://www.sciencecases.org/topiramate/phys_case2.asp

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