Case of the Week: Acid-Base Disturbance #3

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Go to the profile of Julie Grishaw, ACNP
Apr 24, 2018
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A 24-year-old woman with chronic migraines presents to the emergency department with altered mental status and what her husband describes as "her breathing looks uncomfortable." She has been having more issues with headaches in the last few weeks, but otherwise the husband notes no other problems. She takes no prescribed medications.

Laboratory Data:

ABG

Basic Metabolic Panel

pH

7.29

Na

144 mEq/L

PaCO2

15 mm Hg

K

3.8 mEq/L

PaO2

100 mm Hg

Cl

108 mEq/L

HCO3

17 mEq/L

CO2

17 mEq/L

BUN

12 mg/dL

Cr

1.2 mg/dL

Albumin

4.0 g/dL

 

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


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Go to the profile of Julie Grishaw, ACNP

Julie Grishaw, ACNP

Senior Editor, McGraw-Hill Education

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