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Arterial blood gas case study 1 A 14-year-old girl with cystic fibrosis has complained of an...

Arterial blood gas case study 1

A 14-year-old girl with cystic fibrosis has complained of an increased cough productive of green sputum over the last week. She also complained of being increasingly short of breath, and she is noticeably wheezing on physical examination. Arterial blood was drawn and sampled, revealing the following values:

pH                                         7.30

pCO2                                     50 mm Hg

pO2                                        55 mm Hg

Hemoglobin - O2 saturation 45 %

[HCO3-]                                 24 meq / liter

Questions:

1. How would you classify this girl's acid-base status?

                                                                                             

2. How does cystic fibrosis cause this acid-base imbalance?

                                                                                              

3. How would the kidneys try to compensate for the girl's acid-base imbalance?

                                                                                               

4. This girl has also had a long history of diarrhea and poor weight gain. Explain why.

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Answer #1

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