Question

The following blood gas results were obtained from a child admitted to the ER 1 hour...

The following blood gas results were obtained from a child admitted to the ER 1 hour following 1 hour post-ingestion of an unlabeled unknown substance.

ABG RESULTS

pH: 8.1 (7.35 - 7.45)

HCO3: 27 (22 - 26 mmol/L)

pCO2: 30 (35 - 45)

What likely condition does the ABG indicate?

Which of the above parameters indicates the condition and why?

What common household drug can produce this effect?

How would the body compensate for this condition?

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Answer #1

* ABG finding indicate Metabolic alkalosis.

* Based on above ABG, elevation of PH level (8) ,Increase in bicarbonate level and decrease in pCO2

indicates metabolic acidosis because in this condition bases are added or acids are removed

excessively from the system due to metabolic changes of the body.

* Excessive use of calcium supplement drugs or antacids which contain calcium (calcium antacid

   tablet) can produce this condition.

* In metabolic alkalosis bicarbonate and PH level increases so as a compensatory mechanism

depression in respiratory center which increases the pCO2 of blood thus increase H+ ion

concentration result in PH become normal.

                   

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