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Real Doctors (Life Makers)  |  Clinical  |  Medicine & medical subspecialities  |  Acid base balance (2) « previous next »
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dr_b.e.s.m
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Acid base balance (2)
« on: /November/ 13, 2005, 03:41:11 PM »

Can you determine her acid base status?

First start with reading the clinical scenario and try to guess what are the possible acid base conditions . THEN read the arterial blood gases levels.? You can use this simple guide for Acid Base balance interpretation. http://www.real-doctors.com/forums/index.php?topic=71.0







Clinical details
An elderly woman from a nursing home was transferred to hospital because of profound weakness and areflexia. Her oral intake had been poor for a few days. Current medication was a sleeping tablet which was administered by nursing staff as needed.

Admission biochemistry (in mmol/l): Na+ 145, K+ 1.9, Cl- 86, bicarbonate 45, anion gap 14 and a spot urine chloride 74 mmols/l.

Arterial Blood Gases
 
pH 7.58
 
pCO2 49 mmHg
 
pO2 - not given
 
HCO3 44.4 mmol/l

 



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