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13. A male patient, age 24, is admitted to the ER after an acute barbiturate overdose.  Results...

13. A male patient, age 24, is admitted to the ER after an acute barbiturate overdose.  Results from an arterial blood gas are as follows. Evaluate the information to determine respiratory or metabolic acidosis or alkalosis, and determine if compensation has occurred (2 points)

Patient values:

pH

7.29

HCO3-

25 mEq/L

Pco2

70 mEq/L

Po2

70 mm Hg

Normal values:

Arterial blood gases (ABGs):

pH

7.35-7.45

Pco2

45-35 mm Hg

Po2

80-100 mm Hg

HCO3-

22-26 mEq/L
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Answer #1

It is respiratory acidosis without the compensation because compensation starts with the change in bicarbonate which indicates for the compensation. Also it is acidosis because in the slight decrease in pH value and the respiratory acidosis is diagnosed because of increase in the respiratory acidosis.

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