Describe any acid base balance disorder in this patient. Calculate the AG(RR=8-1

Question

Describe any acid base balance disorder in this patient. Calculate the AG(RR=8-16) for this patient and explain the mechanism behind these answers.

Two years after the initial appointment the man presents at the hospital. He has been vomiting for two days following a fishing trip and has reported large amounts of bloodin vomit (suspected gastroesophageal variceal bleeding). He now weighs 102kg and presented with low blood pressure onadmission. Use the results from blood and urine analysis below for the rest of the calculations. Plasma Urine Result 126 mmol/L 133-143 6.4 mmol/L 3.6-4.6 12 mmol/L 24-32 93 mmol/L 98-108 15 mmol/L 3.0-7.0 30 mmH 200umol/L 60-120 Reference Range Result 3+ Positive Reference Range Dipstick Protein Blood Albumin/Creatinine 0.41g/g

Explanation / Answer

acid-base imbalance:

respiratory alkalosis

blood pCO2 is lower than normal

the lungs are expirating more amounts of CO2 than they normally should, and hence, the pH of blood was increasing.

it may be due to over-ventilation or acclimatization of respiration.

it is being compensated by the kidneys by increasing bicarbonate excretion.

Due to this reason, the blood bicarbonate concentration is lower than normal.

No other clear question has been asked as the meaning of AG is not given and cannot be appreciably determined.

So, only these questions are solved.

Related Questions

Navigate

• Browse (All)
• Browse D
• Subjects

---

---

Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.