Case
A 55-year-old male is transferred to the ICU from the PACU following surgery for a benign skin tumor. He required general anesthesia due to comorbid medical conditions. The procedure required only 20 minutes, and the patient returned to the PACU, where he was noted to develop hypertension, tachypnea, and muscle rigidity. He was transferred emergently to the ICU for further management. Blood pressure is 190/110 mm Hg, and heart rate is 145 bpm. Temperature 105.5°F.
| Laboratory Data: |
||||
| ABG |
Basic Metabolic Panel |
|||
| pH |
6.92 |
Na |
139 mEq/L |
|
| PaCO2 |
50 mm Hg |
K |
6.5 mEq/L |
|
| PaO2 |
100 mm Hg |
Cl |
99 mEq/L |
|
| HCO3 |
10 mEq/L |
CO2 |
10 mEq/L |
|
| BUN |
44 mg/dL |
|||
| Cr |
1.9 mg/dL |
|||
| Glucose |
67 mg/dL |
|||
| Albumin |
4 g/dL |
|||
| EtOH |
0 mg/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
E - Metabolic alkalosis
F - Respiratory alkalosis
Click HERE to answer the questions and complete the progressive case.
Don't forget to create a MyAccess profile to get the most out of your AccessMedicine subscription!
Create a Free MyAccess Profile
AccessMedicine Network is the place to keep up on new releases for the Access products, get short form didactic content, read up on practice impacting highlights, and watch video featuring authors of your favorite books in medicine. Create a MyAccess profile and follow our contributors to stay informed via email updates.