Ujk
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Q
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| ScORpiO_80
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I think it's (B)...compensated respiratory acidosis caused by COPD
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| medocuk
IM-RES
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This graph represents a completely compensated respiratory acidosis or completely compensated metabolic alkalosis. I am not sure what condition should we be looking at.
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| edie
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Looks like adjustment to high altittude, with the rise in bicarb, normal pH, normal PCO2.
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| Ujk
Forum Guru
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Posts: 437
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 B
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| edie
I can, and I will.
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Thanks, looking at it again, I see the PCO2 is NOT normal 
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| sfk
Forum Elite
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ans is B. its low pH, high bicarb and high pCO2.
edie, look at it again, the CO2 is 60, u were probably looking at the H ion concentration.
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| medocuk
IM-RES
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will some one tell me if my assesment of the acid base disorder was correct?? Thanks.
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| hope4dabest
Forum Elite
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Its compensatory respi acidosis....CO2 has increased ans so as to combat that HCO3 has also increased but respiratory compensation is NEVER complete......got it dudette
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| sfk
Forum Elite
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no, the pH is low, so acidosis is not completely compensated. and becoz CO2 is high (respiratory acidosis) and bicarb is high (renal compensation) makes b the right answer.
hope this helps
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| new_n_lost
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Guys If u Open Goljan Rapid Review on pg 77 there is a table of Acid Base disorders. There values r excatly quoted from there.
Remember the Any ph Which is around 7.3 to 7.35 with inc PaCO2 values and slightly elevated HCO3 levels the picture is of CHRONIC RESPIRATORY ACIDOSIS. the levels of HCO3 and PaCO2 decide the Chronicity of the Pt.
If the levels of PaCO2 Moderately high and the HCO3 is mildly elevated the condition is not acute its chronic.
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| medocuk
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Hmm thanks.
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| SmokyWaters
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its B..  READ THIS DAVENPORT GRAPH again if anybody has missed it
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| SmokyWaters
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its partial compensation...
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| karisma
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hi guys,
pls correct me if i m wrong.
pH is around normal.
there is resp acidosis with pCO2 60 and metab alkalosis with HCO3 34.
so is this not a mixed disorder!!
that is completely compensated resp acidosis or completely compensated meta alkalosis?
karisma
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| yunuz
Forum Junior
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No it is not an alkalosis because pH is below 7.4
I follow the methodoldy outlined in KPN physio.
Here I look for pH, it is below 7.4 I conclude it is an acidosis.
Then I look the PaCo2 value, it is high therefore there is probably a respiratory component.
I look for Hco3, it is slightly elevated therefor more likely that renal compensation has occured, this is confirmed by the pH which is closing to normal due to compensation
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