Acid-Base Disturbance Case #9

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Sep 04, 2018
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Case:

A 66-year-old patient with IDDM, COPD, coronary artery disease, hypertension, and gout presents with hypotension and malaise from his nursing home. He is febrile, and he has a urinalysis positive for nitrates, concerning for urinary tract infection as the source of his infection.

  

Laboratory Data:

ABG

Basic Metabolic Panel

pH

7.10

Na

139 mEq/L

PaCO2

50 mm Hg

K

6.6 mEq/L

PaO2

60 mm Hg

Cl

108 mEq/L

HCO3

13 mEq/L

CO2

14 mEq/L

BUN

5 mg/dL

Cr

1.1 mg/dL


Question 1 of 4
:

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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