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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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).
What condition is may have resulted to the following blood gas results?
Blood pH= 7.31
HCO; = 22mEq/L
p0z=86 mm Hg
Oz saturation=92%
PCO2= 48 mmHg
A. Ketoacidosis
B. Starvation
C. Pregnancy
D. Emphysema
The following are the laboratory results for a 70-year-old man confined in the medical ward.
pH = 7.32
PCO2 = 46 mmHg
HCOy = 24 40 mEq/L
These findings are compatible with the condition
A. Respiratory alkalosis
B. Respiratory acidosis
C. Metabolic alkalosis
D. Metabolic acidosis
The tautomerism exhibited by the illustration below is classified as:
A. Amino-imino tautomerism
B. Aldehyde-hemiacetal tautomerism
C. Keto-enol ta utomerism
D. Cis-trans tautomerism
H2N
H,N
2
3
4
Drained by:
8
10
7.
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 1 3. Why did the patient's PCWP, Cl, SVR, and urine output all improve after the administration of nitroprusside?arrow_forwardMetabolic alkalosis can develop from 1. Hyperchloremia 2. Hypokalemia 3. Hypochloremia 4. Hyperkalemia A. 1 only B. 4 only C. 1 and 3 only D. 2 and 3 onlyarrow_forwardCase 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_forward
- 12. 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_forward14. You drink because it ends your unpleasant feeling of thirst. This is a/an ______________________ in relation to your need for hydration.arrow_forward1. Bicarbonate is the major buffer in extracellular fluid. True False 2. Ammonia is the major buffer in urine. True Falsearrow_forward
- A physician orders an IV of 750 mL of D5NS 1. What is the weight of the dextrose found in the fluids? 2. What is the weight of the sodium chloride found in the fluids? 3. If these fluids were to be administered with a 60 gtt/mL drip set, how long would the fluids run if the patient receives 5 mL/min? 4. What would be the time for infusion in hours and minutes at 5 mL/min? 5. If the infusion has to be stopped after 20 minutes, how much volume of fluids did the patient end up receiving?arrow_forward3. Matching type sodium sodium clot activator EDTA heparin fluoride citrate light blue red light green lavender grayarrow_forward41. Your patient’s plasma pH falls below 7.35 and arterial PCO2 rises above 50 mm Hg. This means your patient has ____________________ and may experience ____________ as a result of CO2 crossing the blood brain barrier. a. respiratory acidosis, muscle twitching b. respiratory alkalosis, irritability c. metabolic acidosis, seizures d. metabolic alkalosis, psychological disturbances e. respiratory acidosis, psychotic breaksarrow_forward
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What is Metabolism?; Author: Stated Clearly;https://www.youtube.com/watch?v=nRq6N5NGD1U;License: Standard youtube license