AccessMedicine's Case of the Week: Acid Base Disturbance Case #13

From AccessMedicine

Jan 22, 2019
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Case:

A 66-year-old male from Western Virginia with a history of alcoholism, tobacco abuse, COPD, IDDM, hypertension, and hyperlipidemia presents to the emergency department with complaints of blurry vision. His family noted the patient was not "acting himself" the last few hours and was experiencing falls and issues with vision at home.

Laboratory Data:

ABG

Basic Metabolic Panel

pH

7.18

Na

140 mEq/L

PaCO2

48 mm Hg

K

4.0 mEq/L

PaO2

100 mm Hg

Cl

104 mEq/L

HCO3

12 mEq/L

CO2

12 mEq/L

BUN

20 mg/dL

Cr

1.6 mg/dL

Albumin

4.0 g/dL

 Question 1 of 6:

What is/are the primary acid-base disturbance(s) occurring in this case?

A - Metabolic acidosis only

B - Respiratory acidosis only

C - Metabolic acidosis and a respiratory acidosis

D - Metabolic alkalosis and a respiratory alkalosis


Click HERE to view the answer and complete the progressive case!

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Julie Grishaw, ACNP

Senior Editor, McGraw-Hill Education

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