A. Kim is a 38 year old woman admitted to the hospital for bulimia. Her laboratory results are asfollows: pH 7.48, pCO₂ in the normal range and total HCO3 higher than normal. Classify her acid-base balance as acidosis or alkalosis and as metabolic or respiratory and fully explain yourreasoning for your choicePropose the mechanism by which bulimia contributed to the lab results seen here Include theequilibrium expressions chemically leading to this condition

Introduction- Bulimia nervosa also known as called bulimia,is an eating disorder, in this affected…

Answered: A. Kim is a 38 year old woman admitted…

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 3SQE

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The normal pH of blood is 7.35-4.45. The normal pCO2 level is 35-45mmHg. John has blood work performed. His recorded pH is 7.1. His recorded PCO2 is 20mmHg. Based on this describe the acid base state of John. (ie, metabolic acidosis, metabolic alkalosis, respiratory acidosis, and respiratory alkalosis). Support your answer.
Case Study: Kim is a 38-year-old women admittedto the hospital for bulimia. Her laboratory results are asfollows: pH 7.48, pCO2 in the normal range, and totalHCO3– higher than normal. Classify her acid-base balanceas acidosis or alkalosis, and as metabolic or respiratory. Isthere evidence of compensation? Propose the mechanismby which bulimia contributed to the lab results seen.
Ibuprofen for infusion comes in vials containing 400 mg of ibuprofen in 4 mL. Scotty requires 410 mg of ibuprofen to be infused every 6 hours. The solution for infusion has a concentration of 2.5 mg per mL. Calculate the volume of 5% glucose solution required to dilute the concentrated solution. Answer: 0.44 mL X *********
Case Study: Kim is a 38-year-old women admitted to the hospital for bulimia. Her laboratory results are as follows: pH 7.48, pCO2 in the normal range, and totalHCO3– higher than normal. Classify her acid-base balance as acidosis or alkalosis, and as metabolic or respiratory. Is there evidence of compensation? Propose the mechanism by which bulimia contributed to the lab results seen.
The following data was obtained from an arterial blood sample drawn from a hospital patient. pH= 7.55 (7.35-7.45) PaCO2=25mmHg (33-45mmHg) HCO3-= 22.5mEq/L (22-28mEq/L The patient’s arterial findings are consistent with a diagnosis of which of the following? metabolic acidosis respiratory alkalosis metabolic alkalosis mixed acidosis respiratory acidosis
Using the Pco2/HCO3-/pH nomogram, what is confirmed when the reported PCOŽ is 25 torr, the pH is 7.62 and the HCO3- is 25 mEq/L? respiratory alkalosis with renal compensation combined metabolic and respiratory acidosis combined metabolic and respiratory alkalosis metabolic alkalosis with respiratory compensation
A 38-year old man was admitted with a 3-day history of severe diarrhea with some nausea and vomiting. During this period his only intake was water. He was weak, unable to stand and when recumbent his pulse was 106/minute and blood pressure was 110/50 mmHg. On admission, his biochemistry results were: Analyte Result Reference range Na+ 129 135-145 mmol/l K+ 2.9 3.5-5.0 mmol/l Cl- 85 95-105 mmol/l HCO-3 18 21-28 mmol/l Urea 19 2.5-8.0 mmol/l Creatinine 160 40-130 mmol/l 2. What is the most appropriate treatment for this patient and comment on the patient’s results 3. Briefly explain the various types fluid spacing 4. A 27-year old man is admitted to Sunyani regional hospital with a week long history of severe vomiting. He appeared clinically severely dehydrated with shallow breathing. Initial biochemistry results were: Analyte Result Reference range Arterial blood gases H+ 27 35-45 mmol/l…
Mary is severely dehydrated from multiple and prolonged bouts of diarrhea. Her labs are returned. pH - 7.3 (normal 7.4) PACO2 = 33mmHg (normal 40mmHg) [Na} - 140mEq/L -normal HCO3- = 16mEq/L (normal) metabolic acidosis O metabolic akalosis respiratory acidosis O respiratory alkalosis
Define hypocapnia and hypercapnia. Name the pHimbalances that result from these conditions and explainthe relationship between Pco2 and pH.
A patient suffers from hypokalaemia, and is prescribed an intravenous infusion of 0.15% potassium chloride (KCl) to correct this imbalance. She is to receive 50 mL 0.15% KCl over 4 hours. How many mmol/hour of potassium is she receiving? (0.15% KCl contains 20 mmol potassium per litre)
What are the buffering ranges for this titration curve? Please tell the ranges and indicate on the graph where they are. Thanks!
A sample was analysed for renal and liver function tests. The sample was from a 50-year- old man who had seen his GP to report problems with tiredness. The results observed were reviewed (reference ranges are given in brackets): Sodium Potassium Urea Creatinine Alkaline phosphatase Alanine aminotransferase Albumin Bilirubin Explain these results. 200 mmol/L >10 mmol/L 6.2 mmol/L 87 μmol/L 153 IU/L 34 IU/L 40 g/L 12 μmol/L (135-145) (3.5-5.0) (3.5-6.6) (70-150) (95-320) (5-42) (35-50) (<17)

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