dr_sarim
Forum Senior
Topics: 16
Posts: 75
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15. A 17-year-old girl with diabetes is admitted to the hospital in a semicomatose condition. She exhibits marked hyperventilation, characterized by a hissing sound. An initial blood gas analysis shows her PaO2 level is 90 mm Hg, PaCO2 level is 20 mm Hg, pH level is 7.12, and HCO3− level is 5 mEq/L. What is the primary acid-base abnormality present?
a) Metabolic acidosis<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />
b) Metabolic alkalosis
c) Respiratory acidosis
d) Respiratory alkalosis
to add to it,,what is the compensatory mechanism going on renal or respiratory or both
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| sridevibandaru24
Forum Guru
Topics: 33
Posts: 434
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respiratory alkalosis(primary abnormality)
metabolic acidosis(compensatory mechanism)
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| mjl1717
Forum Hero
Topics: 956
Posts: 5,452
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metabolic acidosis with respiratory compensation the kidneys will take too long to compensate!
comments please!! {shes a diabetic who is blowing off her CO2! meaning ther is secondary resp.alkalosis}
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| surgery
Forum Junior
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as pH is 7.12 and Hco3- is only 5 so
primary is Metabolic acidosis and secondary is respiratory alkalosis
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| docsrinu
Forum Elite
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metabolic acidosis with resp alkalosis compensation
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| fox
Forum Guru
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Ph is 7.12...PCo2 is considerably dec. I would go with doc srinu
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| muzammil
Forum Guru
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metabolic acidosis is the primary problem and repsiratory is the compensation
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