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: pCO2 50 mm Hg pO2 55 mm Hg Hemoglobin - O2 saturation 45 % [HCO3-] 24 mmol/L
1. Calculate the pH from the values given.
2. How would you classify this girl's primary acid-base status?
3. How does cystic fibrosis cause this acid-base imbalance?
4. Describe how the body would try to compensate for this imbalance?
1.pH is 7.29
2.Metabolic Alkalosis is the condition of girl.
3. Metabolic alkalosis appear in setting of increased H+ losses or when exogenous buffer is administered.
A 14-year-old girl with cystic fibrosis has complained of an increased cough productive of green sputum over the last we...
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....
SCAN Homework the last weck She also complained of being increasingly short of breath, and she is noticeably wheeng on A 14-year-old girl with cystic fibrosis has complained of sn increased cough productive of green spoim al S physical examination. Arterial blood was drawn and sampled, revealing the following values 7.30 How would the kidneys try to compevate for the girTs acid-hane imhalance? pH 50 mm Hg рCO: pO2 Hemoglobin- O2 saturation 55 mm Hg 45 % [нсо3] 24 meq/...
PCO, (partial pressure of carbon dioxide) pO2 (partial pressure of oxygen) Hemoglobin - O, saturation [HCM] 40 mm Hg 90 - 100 mm Hg 94 - 100% 24 meq/liter 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 has sounds in her lungs on physical examination. Arterial blood was drawn and sampled, revealing the following values:...
OLIVE OII Causes of this type of acid-base disturbance. Case study #2: A 28-year-old woman has been sick with the flu for the past week, vomiting several times every day. She is having a difficult time keeping solids and liquids down, and has become severely dehydrated. After fainting at work, she was taken to a walk-in clinic, where an IV was placed to help rehydrate her. Arterial blood was drawn first, revealing the following: рн 7.50 Circle: Hiab Normal or...
A 33-year-old woman was admitted with headache, lethargy, and intractable muscle spasms. Upon review of her medical history she was found to have been recently diagnosed with stage II hypertension and has begun taking a thiazide diuretic. Arterial blood was drawn, revealing the following: pH 7.50 pCO2 50 mm Hg pO2 90 mm Hg Hemoglobin - O2 saturation 97% [HCO3-] 32 meq / liter Questions: 1. How would you classify this woman's acid-base status? (Be sure to address whether it...
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...
CASE STUDY 17.8 A 23-year-old woman with a history of brought to the emergency department by aa extremely short of breath. Her level ofcon questions with nods or one-word responses. She had a of asthma was ambulance. She yma hwas diminished greatly, and she was only able to ou a cough, with nearly inaudible breath sounds. After dra respond t blood gases, she was placed on supplemental oxygen. V signs: heart rate, 160 bpm; blood pressure, 120/84 mm H d...
Brian, an 80-year-old man with a history of chronic obstructive pulmonary disease (COPD) and respiratory infections, was admitted through the ER with a chronic cough and extreme dyspnea. He complained that he was unable to climb the stairs or anything that required any exertion (even washing his hair). He had been a heavy smoker, but had been attempting to stop smoking by cutting back on the number of cigarettes per day. The nurse noted his temperature was 101.2 °F. Arterial...
Brian, an 80-year-old man with a history of chronic obstructive pulmonary disease (COPD) and respiratory infections, was admitted through the ER with a chronic cough and extreme dyspnea. He complained that he was unable to climb the stairs or anything that required any exertion (even washing his hair). He had been a heavy smoker, but had been attempting to stop smoking by cutting back on the number of cigarettes per day. The nurse noted his temperature was 101.2 °F. Arterial...
Please answer all parts Brian, an 80-year-old man with a history of chronic obstructive pulmonary disease (COPD) and respiratory infections, was admitted through the ER with a chronic cough and extreme dyspnea. He complained that he was unable to climb the stairs or anything that required any exertion (even washing his hair). He had been a heavy smoker, but had been attempting to stop smoking by cutting back on the number of cigarettes per day. The nurse noted his temperature...