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 104 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
:D TYSM


chereeb

  • Member
  • Posts: 326
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

 

Did you know?

Addicts to opiates often avoid treatment because they are afraid of withdrawal. Though unpleasant, with proper management, withdrawal is rarely fatal and passes relatively quickly.

Did you know?

There are over 65,000 known species of protozoa. About 10,000 species are parasitic.

Did you know?

Serum cholesterol testing in adults is recommended every 1 to 5 years. People with diabetes and a family history of high cholesterol should be tested even more frequently.

Did you know?

The tallest man ever known was Robert Wadlow, an American, who reached the height of 8 feet 11 inches. He died at age 26 years from an infection caused by the immense weight of his body (491 pounds) and the stress on his leg bones and muscles.

Did you know?

Fatal fungal infections may be able to resist newer antifungal drugs. Globally, fungal infections are often fatal due to the lack of access to multiple antifungals, which may be required to be utilized in combination. Single antifungals may not be enough to stop a fungal infection from causing the death of a patient.

For a complete list of videos, visit our video library