luabe
Forum Junior
Topics: 11
Posts: 23
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previously healthy 6 month old boy brought to physician b/c of 12 hour history of vomiting and diarrhea. vomits after all feds, vomitus does not contain blood or bile. mother says that he has had fewer wet diapers than usual during this period. he appears dehydrated and is crying without tears. he is at the 50th percentile for length and 30th percentile for weight. he appears lethargic. his temp is 100.4 pulse is 180/min and bp is 60/40mmhg. exam shows sunken eyes, dry mucous membranes, and a sunken anterior fonanel. abg on room air shows:
ph 7.2
pco2 38 mmhg
po2 90 mmhg
which of the following is the most likely explanation for this pt's abg findings?
a excessive metabolic acid formation
b impaired ventilation
c increased chloride loss
d increased co2 concentration in the extracellular fluid
e increased metabolic acid produced by the git
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| saadtazjam
Forum Elite
Topics: 9
Posts: 160
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C???
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