A 35-year-old female came to the emergency room with severe stomach cramps and diarrhea that had...
A 35-year-old female came to the emergency room with severe stomach cramps and diarrhea that had lasted 3 days. She had been drinking Sprite but had not eaten anything. Her breathing was rapid. Suspecting food poisoning the doctor ordered a culture, a serum electrolyte panel and acid-base panel on an arterial sample. pH 7.21 pCO2 19 mm Hg pO2 96 mm Hg HCO3 7 mmol/L
1. Based on the findings would you expect the Cl levels to be increased, decreased or normal?
2. What is the patient’s primary acid-base status?
3. Why is the HCO3 so low?
4. Why does the patient have rapid breathing?
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A 35-year-old female came to the emergency room with severe
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pm. The patient was disoriented, had trouble speaking, and was
suffering from nausea and vomiting. She was also hyperventilating,
i.e. over breathing. The patient accidentally took an entire bottle
of aspirin, which contained 250 tablets, around 7 pm that evening.
Blood from the patient is analysed and the analyses shown in Table
1. The patient is experiencing mild respiratory alkalosis.
In the emergency room, the patient is given...
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