A patient with COPD for 30 years is admitted to the hospital He has severe shortness of breath His ABGs are as followspH: 7.25pCo2: HighHCO3: HighIdentify the disorderO Metabolic acidosisO Metabolic alkalosisO Respiratory alkalosisO Respiratory acidosis

COPD is a chronic respiratory disorder in which there is a difficulty to breathe .The lung…

Answered: A patient with COPD for 30 years is…

Human Physiology: From Cells to Systems (MindTap Course List)

9th Edition

ISBN:9781285866932

Author:Lauralee Sherwood

Publisher:Lauralee Sherwood

Chapter15: Fluid And Acid-base Balance

Section: Chapter Questions

Problem 4RE

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12. Metabolic acidosis caused by fixed acids is present when the anion gap is greater than A. 9 mEq/L B. 14 mEq/L C. 20 mEq/L D. 25 mEq/L
Bicarbonate ion concentrations in the blood are controlled through the ________. respiratory system renal system digestive system metabolic rate of cells
Which of the following statements is true for Bohr effect: a. Bohr effect describes carbon monoxide poisoning. b. Bohr effect prevents oxygen binding to hemoglobin. c. Bohr effect allows effective oxygen discharge in tissues due to higher acidity (decreased pH) than in lungs. d. Bohr effect allows effective oxygen discharge in tissues due to lower acidity (increased pH) than in lungs.
The carbonic acid equilibrium is shown below. Exhalation of CO2 by the lungs causes this equilibrium to shift to the ______, which causes the pH of the blood to _______. H+ + HCO3- <=> H2CO3 <=> H2O + CO2 a) left; increase b) left; decrease c) right; decrease d) right; increase
Harry ate a late meal at a cheap diner on the way home from work.A couple of hours later, he vomited three times, and then he consumed several packages of an antacid (mostly NaHCO3) over thenext several hours. By the evening of the next day, he was feelingbetter. During this ordeal, his blood pH did not deviate significantly.Select the mechanism(s) that helped maintain Harry’s pH within anormal range.(1) increased respiratory rate(2) increased H+ secretion by the renal tubule(3) decreased respiratory rate(4) decreased H+ secretion by the renal tubulea. 1 b. 2 c. 1,2 d. 3 e. 3,4
A patient with a urine pH of 4.5, a blood pH of 7.3 and a PCO2 of 32 mmHg. Identify the acid base imbalance with its compensation. A. respiratory acidosis with metabolic alkalosis B. metabolic alkalosis with respiratory acidosis C. respiratory alkalosis with metabolic acidosis D. metabolic acidosis with respiratory alkalosis
The chloride shift occurs..... a. To help keep the bicarbonate equilibrium reaction moving from left to right at the tissues. b. to prevent an increase in blood pH c. in response to bicarbonate movement into the plasma d. to maintain charge balance.
The pH of blood varies directly with (a) HCO3−, (b) PCO2, (c) H+, (d) none of the above.
Why young people with anxiety attack can develop respiratory alkalosis? Which of the following values characterizes uncompensated respiratory alkalosis? pH PCO2 mmHg HCO3 mmol/L A 7.40 60 37 B 7.25 66 28 C 7.51 29 22 D 7.60 42 37 E 7.25 35 15
An individual's ratio of carbonic acid and bicarbonate ions is 17/0.6 Which of the following is a true statement? For a total of 3 answers - choose one of each of the following pairs: i) respiratory or metabolic ii) acidosis or alkalosis iii) uncompensated or partial compensation
Mrs. Breathless is a 45-year-old female nurse with a history of asthma. She reports to the ED in the early morning with shortness of breath, blurred vision, headache, and restlessness. After several laboratory tests, the following ABG (arterial blood gases) lab results are confirmed: Blood pH=7.30 PaCO2 = 46 mm Hg HCO3 = 24 mEq/L. Based on the results of her ABG, which acid-base imbalance is Mrs. Breathless likely experiencing? Justify your answer by referencing the ROME mnemonic. What is the underlying pathophysiology of this disorder? What type of compensation is likely to take place? Why do you think Mrs. Breathless developed this imbalance? What are some of the contributing factors leading to this?
Bicarbonate buffer in blood involves the dissociation of____________________.

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A patient with COPD for 30 years is admitted to the hospital He has severe shortness of breath His ABG are as follows pH: 7.25 PCO2: High HCO3: High Adentify the disorder O Metabolic acidosis O Metabolic alkalosis O Respiratory alkalosis O Respiratory acidosis