Question

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1. The clinical scenario is most consistent with which acid base disorder? You may simply list your answer below using a bullet point format. This does not have to be in a complete sentence.
2. What data in the clinical scenario supports your diagnosis? You may simply list your answers below using a bullet point format. This does not have to be in a complete sentence.

3. What caused this person’s acid base disorder? You may simply list your answer below using a bullet point format. This does not have to be in a complete sentence.
4. Describe the key pathophysiologic concepts. To answer this question completely, you must answer all of the sub-questions below using complete sentences. Each sub-question may be answered in 1-6 sentences.
   1. How did the etiology you identified in question 3 cause this acid base imbalance?
   2. What two pathological processes explain this patient’s potassium imbalance?
   3. Explain the pathological process which caused the calcium imbalance that this patient is experiencing?
   4. How does the pulmonary system compensate for the acid base disorder which this patient is experiencing?
   5. Which medication class may cause this acid base disorder and how?
5. For what actual or potential complications related to the diagnosis in question 1 does she need to be monitored? You may simply list your answer(s) below using a bullet point format. This does not have to be in a complete sentence.

Answer 1

Answer : Acid base imbalance is an abnormality of human body normal balance of acids and bases that causes the plasma pH to deviate out of the normal range (7.35- 7.45).

Acid base disorders are broadly classified in to problems involving metabolic and respiratory processes.

• Metabolic processes primarly direct change in the level of bicarbonate and respiratory processes primarly change in paco2.
• Changes in paco2 level and bicarbonate level can help to identify the nature of the acid base disorders .
• The body adapts compensates where there is an acid base disturbance in an attept to maintain homeostasis.
• If the primary acid base problem is metabolic then the compensatory mechanism is respiratory .
• The respiratory rate altered usually within minutes in an attempt to keep hydrogen ion concentration normal.
• if the primary acid base problem is respiratory then kidneys adapt to counteract the change by altering their handling of hydrogen ions.
• This process in the kidneys usually takes place over several days .