Case #1 The patient is a 35 year -old female with AIDS brought to…
Case #1 The patient is a 35 year -old female with AIDS brought to… Case #1Image transcription textNormal Values Arterial Blood Gas Chemistry Sodium 136 136-146 mmol/L PH 7.35 Pcoz 27 mmHg 3.4 3.5-5.3mmol/L Po2 90 mmHg Potassium bicarbonate |14 mmol/L Chloride 112 98-108 mmol/L Total CO2 14 23-27mmol/L BUN 30 7-22 mg/dl 1.5 0.7-1.5 mg/dl Creatinine 105 70-110 mg/dl Glucose… Show moreThe patient is a 35 year -old female with AIDS brought to the emergency room with a fever of 39C and athree month history of copious diarrhea.On physical exam the patient is a well-developed, thin female in moderate distress. Vital signs-(supine)blood pressure 100/60, pulse 100 and (standing) blood pressure 80/40, pulse 125, respirations 18 andshe was afebrile. HEENT exam was normal. Cardiac exam demonstrated an S1 and S2 without S3, S4 ormurmur. Lungs were clear to auscultation and percussion. The abdomen was supple and minimallytender to palpation. Bowel sounds were hyperactive. Stool was guiac negative. Extremities were withoutcyanosis, clubbing or edema. Neurological exam was intact. Questions1. What is/are the critical course of events that is going to alter her acid-base status?2. What Acid base abnormalities would you expect based on this information?3. What physical findings would you expect to see from such an acid base disturbance?4. Review her ABG. What is the primary acid-base abnormality? How did you decide that?5. Is there a compensatory mechanism for metabolic acidosis? How is that brought about? What are thesensors and effectors for metabolic acidosis?6. What is the predicted compensatory response?7. Is his respiratory compensatory effort appropriate? Can respiratory compensatory effort fullycompensate for metabolic acidosis?8. What clinical condition(s) is (are) responsible for the acid-base disturbance in this patient? Health Science Science Nursing MED SURG 200 Share QuestionEmailCopy link Comments (0)
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