Discussion on Acid-base Disorder
scenario
A 75-year-old man was admitted with shortness of breath and lower extremity edema. He has been unwell for about a week and had multiple bouts of diarrhea over the previous 5 days. He does not take any medications. He was hyperventilating and was very distressed when EMS arrived. Admission arterial blood gas is listed below. He was on high concentration oxygen by mask on arrival to the emergency department.
Chemistry Results
Na+ = 127
HCO3- 20
HCO- = 30meq/L 3
K+ = 5.2
BUN 50.5
Glucose 9.5 mmols/l
Cl- 79
Creatinine 0.38
Anion gap 33 mmols/l
Arterial Blood Gases
pH 7.58
pCO2 21 mmHg
pO2 154 mmHg
HCO3 19 mmol/l
Questions
Answer the Following Questions:
What is this patient’s acid-base disorder?
Discuss why you how you came to that conclusion.
Is the patient compensating?
What are the pathophysiological responses that the body is attempting to use to compensate?
Acid-base Disorder
Name
Institution Affiliation
Date
Acid-base Disorder
The patient's acid-base disorder noted in the case is respiratory alkalosis. Respiratory alkalosis is a crucial acid-base disorder that significantly impacts the normal body mechanism. It refers to the elevation of the pH, and it occurs at a pH above 7.45 with increased bicarbonate ions (DiBartola, 2011). The phenomenon also occurs due to a reduction in the hydrogen ion. It is a critical condition since whenever it is not timely handled, it can cause kidney problems. Therefore, the patient's condition is vital and should be monitored before adverse effects.
Reasons for the Conclusion
There are different reasons for concluding that the 75-year old man suffers from respiratory alkalosis. The main reason for validating the acid-base disorder as respiratory alkalosis is elevated PH above 7.45. The pH of 7.58 adequately justifies that the patient is suffering from respiratory alkalosi...
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