A. Kim is a 38 year old woman admitted to the hospital for bulimia. Her laboratory results are as follows: 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 your reasoning for your choice Propose the mechanism by which bulimia contributed to the lab results seen here Include the equilibrium expressions chemically leading to this condition
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- General Blood Urine BP: 95/58 pH: 7.1 Odor: "fruity acetone" HR: 110 bpm Glucose: 345 mg/dl pH: 4.3 Ketone bodies: 22 mg/dl Glucose: Strongly positive Blood alcohol: 110 mg/dl 4. Explain how the pH of Mr. Bouchard's blood and urine is related to the ketone bodies measured in each of these fluids. 5. Provide a possible "alternative" explanation for Mr. Bouchard's erratic behavior and high blood alcohol concentration. Think outside the box. 6. What metabolic disease do you suspect Mr. Bouchard suffers from?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.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
- 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.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 *********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
- 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…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 compensationA 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)
- Define hypocapnia and hypercapnia. Name the pHimbalances that result from these conditions and explainthe relationship between Pco2 and pH.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)