Anatomy & Physiology: An Integrative Approach
2nd Edition
ISBN: 9780078024283
Author: Michael McKinley Dr., Valerie O'Loughlin, Theresa Bidle
Publisher: McGraw-Hill Education
expand_more
expand_more
format_list_bulleted
Videos
Textbook Question
Chapter 25, Problem 2CSL
Ms. Taylor, 68 years old, has been vomiting for 2 days. On the day of admission to the hospital, she feels agitated and anxious. Her lab results, and normal lab values, are given in the following table. What is the primary disturbance: respiratory acidosis, respiratory alkalosis,
| Variable | Patient’s Lab Results | Normal Values |
| Blood pH | 7.38 | 7.35–7.45 |
| HCO3− | 30 mEq/L | 22–26 mEq/L |
| PCO2 | 60 mm Hg | 35–45 mm Hg |
Expert Solution & Answer
Want to see the full answer?
Check out a sample textbook solution
Students have asked these similar questions
A patient's arterial blood gas (ABG) values are pH = 7.34, PaCO2 = 44, HCO3 = 28. The nurse would analyze these findings as indicating
metabolic acidosis, partially compensated
respiratoy acidosis, partially compensated
metabolic acidosis, uncompensated
respiratory acidosis, uncompensated
Evaluate the following ABG results. Determine whether the results are high, low, or normal. Distinguish between acidosis and alkalosis. Is the cause metabolic or respiratory? Is compensation occurring?
Patient Results:
pH
7.40
PCO2
54
HCO3
32
1)
Identify the lab value of Yusef's bicarbonate ion level in mEq/Liters. Only type in numbers, no letters (type out your number to zero places after the decimal point. i.e 8 or 18)
pH = 7.68
PaCO2 = 21 mmHg
2) His condition is : 3 answers required:
respiratory or metabolic
acidosis or alkalosis
uncompensated or partial compensation
Group of answer choices
respiratory
metabolic
acidosis
alkalosis
uncompensated
partial compensation
Chapter 25 Solutions
Anatomy & Physiology: An Integrative Approach
Ch. 25.1 - Prob. 1WDYLCh. 25.1 - Which ions are more prevalent in the intracellular...Ch. 25.1 - What is the major distinction in the chemical...Ch. 25.1 - Prob. 4WDYLCh. 25.2 - What are the two major sources of fluid intake?...Ch. 25.2 - How would you distinguish fluid deficiency from...Ch. 25.2 - Prob. 7WDYLCh. 25.2 - Which of these four hormonesangiotensin II,...Ch. 25.3 - Why do electrolytes exert a greater osmotic...Ch. 25.3 - Prob. 10WDYL
Ch. 25.4 - Prob. 11WDYLCh. 25.4 - How does the homeostatic system involving ADH...Ch. 25.4 - How does aldosterone influence the contents and...Ch. 25.4 - Prob. 14WDYLCh. 25.5 - What is meant by acid-base balance?Ch. 25.5 - How are fixed acids distinguished from volatile...Ch. 25.5 - How do the kidneys regulate fixed acids to help...Ch. 25.5 - Prob. 18WDYLCh. 25.5 - What are the three chemical buffering systems, and...Ch. 25.5 - Prob. 20WDYLCh. 25.6 - How does a compensated acid-base imbalance differ...Ch. 25.6 - Prob. 22WDYLCh. 25.6 - What is the primary cause of metabolic alkalosis?Ch. 25.6 - Prob. 24WDYLCh. 25 - Prob. 1DYKBCh. 25 - _____ 2. The fluid compartment with the largest...Ch. 25 - _____3. Which of the following would result in...Ch. 25 - _____4. If an individual has decreased saliva...Ch. 25 - _____5. Which hormone decreases total body fluid,...Ch. 25 - Which of the following describes an electrolyte?...Ch. 25 - Prob. 7DYKBCh. 25 - An increase in blood CO2 levels is followed by...Ch. 25 - Which of the following is not a chemical buffer in...Ch. 25 - The kidney can act to buffer the blood by a....Ch. 25 - List the three variables that determine the...Ch. 25 - Describe the movement of water between the...Ch. 25 - Prob. 13DYKBCh. 25 - Explain the homeostatic system involving the renin...Ch. 25 - Describe how ANP is regulated and how it opposes...Ch. 25 - Describe the functions of Na+ and how it is...Ch. 25 - Describe what occurs in the kidney to maintain...Ch. 25 - Prob. 18DYKBCh. 25 - List the three chemical buffers, and describe how...Ch. 25 - Describe respiratory acidosis and its...Ch. 25 - Maria brings her baby to the emergency room. She...Ch. 25 - Prob. 2CALCh. 25 - Prob. 3CALCh. 25 - Harold has been suffering from diabetes mellitus...Ch. 25 - Prob. 5CALCh. 25 - Morgan is a nurse at the local hospital. She...Ch. 25 - Ms. Taylor, 68 years old, has been vomiting for 2...
Knowledge Booster
Learn more about
Need a deep-dive on the concept behind this application? Look no further. Learn more about this topic, biology and related others by exploring similar questions and additional content below.Similar questions
- Case Study: Bob is a 64-year-old male admitted to the emergency room for asthma. His laboratory results are as follows: pH 7.31, pCO2 higher than normal, and total HCO3– also higher than normal. Classify his acid-basebalance as acidosis or alkalosis, and as metabolic or respiratory. Is there evidence of compensation? Propose the mechanism by which asthma contributed to the lab results seen.arrow_forwardUsing the menus, indicate whether each of the following conditions leads to metabolic acidosis, metabolic alkalosis, respiratory acidosis, or respiratory alkalosis. Some menu choices might not be used. Severe diarrhea. Hyperventilation Emphysema Consuming too many Tums® tablets.arrow_forwardYOU ARE A STUDENT NURSE ON DUTY AT THE EMERGENCYROOM. MR. PEDRO, 50-YEAR-OLD, CAME IN WITH CHIEFCOMPLAINTS OF DIZZINESS. HE CLAIMED THAT HE HASBEEN VOMITING AND HAS HAD DIARRHEA FOR 2 DAYS.YOU ASSESSED HIS PHYSIOLOGIC STATUS AND NOTESTHAT HIS MUSCLES ARE WEAK,HIS ABDOMEN IS DISTENDED, AND BOWEL SOUNDS ARE ABSENT. A. WHAT ELECTROLYTE IMBALANCE DO YOU SUSPECT? B. WHAT IS THE NORMAL RANGE FOR THIS ELECTROLYTE? C. WITH THIS TYPE OF ELECTROLYTE IMBALANCE, WHAT OTHER SYMPTOMS CAN THIS PATIENT HAVE EXHIBITED?arrow_forward
- using the table below, explain based on the bloodwork result, which clinical condition the patient would most likely have: metabolic acidosis, respiratory acidosis, metabolic alkalosis, or respiratory alkalosis. Explain why or why not, and provide a detailed rationale.arrow_forwardA patient's blood tests show that their blood pH is 7.41. Their bicarbonate levels in the blood are 26 mmol/L, while their blood carbon dioxide levels are 39 mmHg. What is the state of this patient? Group of answer choices must choose 1 answer respiratory acidosis with renal compensation blood pH is normal metabolic acidosis with respiratory compensation respiratory alkalosis with renal compensation metabolic alkalosis with respiratory compensationarrow_forwardPatient A is 65 years old female. She has been diagnosed with diabetes Type II. Recently she experienced a gastrointestinal illness with nausea and vomiting. Lab data have been obtained the following day after her illness: Body weight 85 kg; Blood pressure 140/90 mmHg; Blood pH – 7.48; PCO2 – 44 mm Hg; Plasma HCO3 ion -32 mEq/L; Urine pH – 7.5. What is acid-base disorder of this patient. What was a main cause of this? The illness continues and after 2 days the following laboratory data have been obtained: Body weight 83 kg; Blood pressure 120/70 mmHg; Blood pH – 7.50; PCO2 – 48 mm Hg; Plasma HCO3 ion -36 mEq/L; Urine pH – 6.0. Has acid-base disbalance been changed? If yes, what is the explanation for this acid-base disbalance? Is there any compensation?arrow_forward
- Which lab values are related to determining the need for acid base balance therapy? Which lab values are may signify the need for a blood transfusion?arrow_forwardTell what the patients acid/base status is and its compensation level. 14. Elizabeth is brought to the ED following an auto accident. She sustained no injuries, but is extremely upset and anxious. She has been breathing rapidly since the crash and now feels faint. Her ABG results are: - pH 7.49 PCO2 30 - HCO3- 23arrow_forwardWhat is the best nursing management, intervention and treatment for metabolic acidosis in pediatric patients? How is this different in adult patients?arrow_forward
- select item number from (A) to match (B A A 1 GFR marker Metabolic acidosis 2 Carbonic anhydrase Protein buffer Bicarbonate buffer Metabolic alkalosis Salicylic acid Extracellular fluid buffer 6 Intracellular fluid buffer Proximal tubule 7 Bicarbonate reabsorption Red blood cells 8 Vomiting lohexol 3. 4.arrow_forwardA patient exhibits the following symptoms: elevated urine ammonia and increased rate of respiration. Does the patient have metabolic acidosis or metabolic alkalosis?arrow_forwardDefinitions of acidosis and alkalosis are provided. In this system, what role do buffers play?arrow_forward
arrow_back_ios
SEE MORE QUESTIONS
arrow_forward_ios
Recommended textbooks for you
Haematology - Red Blood Cell Life Cycle; Author: Armando Hasudungan;https://www.youtube.com/watch?v=cATQFej6oAc;License: Standard youtube license