doc_clotaire
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A 56-year-old male with COPD is brought by family members to the emergency room because of dyspnea and cyanosis. His vital signs are pulse 95/min, BP 120/80, temperature 98.9. His physical examination shows barrel-shaped chest cavity with hyperresonance by percussion over both lungs. His CBC and blood gases while breathing room air upon admission are as follows:
PCO2
50 mmHg
PO2
50 mmHg
Serum HCO3-
32 mEq/L
Serum pH
7.45
RBCs
5.1X106/ml
Hemoglobin
13.5 gm/dl
HCT
42%
WBCs
8.8x 103/ml
The patient’s profile is most consistent with
A. Acute metabolic acidosis
B. Acute respiratory acidosis
C. Acute metabolic alkalosis
D. Acute respiratory alkalosis
E. Chronic respiratory acidosis
F. Compensated metabolic acidosis
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| new_n_lost
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E. Chronic Respiratory Acidosis.
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| rock
Forum Elite
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e-chronic respiratory acidosis
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| monam84
Forum Senior
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Just for fun, would you give this patient 100 %oxygen to increase PaO2?
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| treblechar
Forum Junior
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Just for fun, would you give this patient 100 %oxygen to increase PaO2?
no. it's COPD
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| rock
Forum Elite
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it wud'nt be so much fun for the patient
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| doc_clotaire
Forum Guru
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Posts: 1,242
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The elevator to succes is broke ,you must take the stairs
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