This topic contains a solution. Click here to go to the answer

Author Question: A 31-year-old man suffering from food poisoning is having severe vomiting for the last 2 days. ... (Read 38 times)

Tazate

  • Hero Member
  • *****
  • Posts: 532
A 31-year-old man suffering from food poisoning is having severe vomiting for the last 2 days.
 
  His blood gas and serum electrolyte analyses revealed the following: pH of 7.60, PaCO2 of 49 mm Hg, an HCO3- of 47 mEq/L, a base excess (BE) of +20 mEq/L, a serum K+ of 2.5 mEq/L, and a serum of Cl of 92 mEq/L. How would the respiratory therapist assess his acid-base condi-tion?
  1. Severe hyperventilation
  2. Metabolic alkalosis
  3. Adequate compensatory response
  4. Minimal hypoventilation
  a. 1, 2, and 3 only
  b. 2 and 4 only
  c. 3 only
  d. 2, 3, and 4 only

Question 2

Approximately how much CO2 is removed daily by the lungs?
 
  a. 24,000 mmol/L of CO2
  b. 14,000 mmol/L of CO2
  c. 34,000 mmol/L of CO2
  d. 4,000 mmol/L of CO2



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

IRincones

  • Sr. Member
  • ****
  • Posts: 321
Answer to Question 1

ANS: B
The patient's pH is well above the normal range of 7.35 to 7.45, so the pH is indicating alkalemia. Respiratory involvement shows the PaCO2 is slightly above normal range of 35 to 45 mm Hg, indicating mild hypoventilation. But, the pH does not represent respiratory acidosis, and then the elevated PaCO2 may be a compensatory response to a primary metabolic problem. The HCO3 is extremely higher than the normal range of 22 to 26 mEq/L. Given the pH is indicating alkalemia, this elevated HCO3 represents metabolic alkalosis. Another indication of metabolic alkalosis is confirmed by the large BE value. Plus, the low serum K+ and Cl values indicate hypokalemic and hypochloremic metabolic alkalosis. Even though, PaCO2 is slightly elevated, compensation for metabolic alkalosis is minimal. This lack of compensation is consistent with the presence of hypokalemic metabolic alkalosis.

Answer to Question 2

ANS: A
The lungs remove approximately 24,000 mmol/L of CO2 daily.




Tazate

  • Member
  • Posts: 532
Reply 2 on: Jul 16, 2018
Gracias!


bitingbit

  • Member
  • Posts: 323
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

 

Did you know?

In 1844, Charles Goodyear obtained the first patent for a rubber condom.

Did you know?

IgA antibodies protect body surfaces exposed to outside foreign substances. IgG antibodies are found in all body fluids. IgM antibodies are the first type of antibody made in response to an infection. IgE antibody levels are often high in people with allergies. IgD antibodies are found in tissues lining the abdomen and chest.

Did you know?

Cancer has been around as long as humankind, but only in the second half of the twentieth century did the number of cancer cases explode.

Did you know?

Eating carrots will improve your eyesight. Carrots are high in vitamin A (retinol), which is essential for good vision. It can also be found in milk, cheese, egg yolks, and liver.

Did you know?

The immune system needs 9.5 hours of sleep in total darkness to recharge completely.

For a complete list of videos, visit our video library