Cardiopulmonary Anatomy & Physiology
7th Edition
ISBN: 9781337794909
Author: Des Jardins, Terry.
Publisher: Cengage Learning,
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Chapter 7, Problem 2CAQ2
Summary Introduction
To review:
The given blank space in the statement, “In this case, the most likely cause of the metabolic acidosis was the _________.”
Introduction:
A condition that involves the excessive production of acids is called metabolic acidosis. It can also occur when there is not enough removal of the acids from the body through kidneys. It usually happens when there is a problem in the cells and it directly affects the chemical balance of the blood.
Please refer to Clinical Application Case-2 for further information.
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9- Which of the following diuretics is contraindicated in a patient with hyperkalemia?
a.Spironolactone
b.Hydrochlorothiazide
c.Chlorothiazide
d.Furosemide
1.
Part A:
A patient with a pH of 7.42, pCO2=55 mm Hg, HCO3=29 mEq/L does not have an acid-base imbalance. (True or False)?
Part B:
A patient with a pH of 7.56 and is hyperventilating has a ____________ (Name the imbalance) and the hyperventilation is the __________ (cause of compensation) for the imbalance.
Part C:
A patient with a pH of 7.56 and is hypoventilating has a ____________ (Name the imbalance) and the hypoventilation is the __________ (cause of compensation) for the imbalance.
4.If the abnormal pH is due to a change in pCO2, then the condition is (metabolic, respiratory).
If the abnormal pH is due to a change in HCO3-, then the condition is (metabolic, respiratory)
5. Return to the patient chart and in the empty boxes indicate whether each measured value is normal (N), high (H) or low (L).
Chapter 7 Solutions
Cardiopulmonary Anatomy & Physiology
Ch. 7 - 1. During acute alveolar hypoventilation, the...Ch. 7 - The bulk of the CO2 produced in the cells is...Ch. 7 - 3. During acute alveolar hyperventilation, the...Ch. 7 - 4. In chronic hypoventilation, renal compensation...Ch. 7 - Prob. 5RQCh. 7 - Prob. 6RQCh. 7 - Metabolic alkalosis can develop from 1....Ch. 7 - Prob. 8RQCh. 7 - Prob. 9RQCh. 7 - Prob. 10RQ
Ch. 7 - Prob. 11RQCh. 7 - 12. Metabolic acidosis caused by fixed acids is...Ch. 7 - Prob. 13RQCh. 7 - Prob. 14RQCh. 7 - Prob. 15RQCh. 7 - Prob. 1CAQ1Ch. 7 - Prob. 1CAQ2Ch. 7 - Prob. 1CAQ3Ch. 7 - Prob. 1CAQ4Ch. 7 - Prob. 1CAQ5Ch. 7 - Case 1
6. The nomogram verified that the sole...Ch. 7 - Case 2 The fact that the initial pH (7.10) and...Ch. 7 - Prob. 2CAQ2Ch. 7 - Prob. 2CAQ3Ch. 7 - Case 2
4. If sodium bicarbonate had initially been...
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- Case 2 4. If sodium bicarbonate had initially been administered to correct the patient’s low pH level, the pH and readings would have been ___________ than normal after the patient’s had been lowered to the patient’s normal level.arrow_forwardCase 1 3. Why did the patient's PCWP, Cl, SVR, and urine output all improve after the administration of nitroprusside?arrow_forwardCase 1 6. The nomogram verified that the sole cause of the elevated pH was due to the _____________________________________________________________________________.arrow_forward
- Case 2 The fact that the initial pH (7.10) and HCO3- (21 mEq/L) were both lower than expected for an acute increase in the Paco2(70 mm Hg) suggested that there were additional ____________ present in the patients blood.arrow_forwardCase 1 As a result of the gunshot wound to the chest, the patient lost a large amount of blood. Because of the excessive blood loss, the patient wasarrow_forward12. 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/Larrow_forward
- Case 2 Because of the lung hyperinflation described in question 1, the patient was generating (small_________; large_____) pleural pressure changes with (little or no ________ moderate to large_________) volume changes.arrow_forwardCase #2: On a particularly busy day, a student taking Anatomy and Physiology does not have anything to drink from 9:30 am until 6:30 pm. Osmoreceptors in the brain detect the decreased level of water in the blood. These receptors send a signal to the hypothalamus/posterior pituitary, which stimulates the release of antidiuretic hormone (ADH). This hormone acts on the nephron tubules and collecting ducts in the kidney to increase reabsorption of water, which returns that water to the blood. This retention of water has the additional effect of decreasing urinary output. As the fluid levels in the blood stabilize, the release of ADH ends. Answer the FF: 1. What is the effector? 2. What is the efferent pathway? 3. This is an example of (positive / negative) How could you tell?arrow_forward1. the liver usually regulates the carbon dioxide in the body. In cases of too much carbon dioxide in the blood, it can lead to acidosis a. both are true b. only second is true c. only first is true d. both ae false 2. chloride: compensated respiratory acidosis, Phosphate: fanconi's syndorme a. both increased b. first decreased,second increased c. both decreased d. first increased, second decreased. 3.an electrolyte that works on both muscle contraction and energy production a. phosphate b. magnesium c. calcitonin d. none of the choices e. calcium 4. 8 hydroxyquinoline is used to prevent intervention by calcium magnesium analysis. For asenazo dye method for magnesium, calcium shelter is not necressary a. both are false b. both are true c. only first is true d. only second is true 5. increased stimulation of the thyroid fland could lead to hypermagnesemia. Increased aldosterone levels like in Addison's disease could lead to high amounts of magnesium in the…arrow_forward
- 4. A patient shows up at the hospital with a low blood pH and high levels of CO2 and HCO3-. A) These values indicate what condition? B) Identify and explain one reason why this condition could occur. C) Explain what the kidneys are doing to compensate for this condition.arrow_forwardCase 1 2. As a result of the previously described condition, the patient's right lung__________, which in turn caused an acute (decreased ______; increased_____) lung compliance condition.arrow_forwardThe ion with the lowest blood level is ________. sodium potassium chloride bicarbonatearrow_forward
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What is Metabolism?; Author: Stated Clearly;https://www.youtube.com/watch?v=nRq6N5NGD1U;License: Standard youtube license