I am doing a case study on a lenient that had a pH of 6.8, be in respiratory acidosis (pCO2 101.0) but also within metabolic acidosis (HCO3 was 17.4) and I can't seem to be to find an explanation why would that be. the respiratory acidosis makes sense (he OD) but the metabolic acidosis doesn't. So far I make out that usually the kidneys will try to compensate for the resp. acidosis by increasing the bicarb to bring the pH up. The only piece that I can think of is perchance he had dhiarrea for a while beforehand being hospitalized ...any other scenario?
Thx a lot-
X-ray studette
Answers: Your patient is within acute respiratory acidosis. Your patient can't be within metabolic acidosis. The HCo3 is down indicating it's on the acidosis side. This would be from the kidneys retaining bicarb to correct the Respiratory Acidosis. If your reading from a student book ask your teacher, those authors repeatedly make stupid mistakes close to that. I hope this helps rather. Post what your teacher say.
maybe merciful also had diabetes?
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Thx a lot-
X-ray studette
Answers: Your patient is within acute respiratory acidosis. Your patient can't be within metabolic acidosis. The HCo3 is down indicating it's on the acidosis side. This would be from the kidneys retaining bicarb to correct the Respiratory Acidosis. If your reading from a student book ask your teacher, those authors repeatedly make stupid mistakes close to that. I hope this helps rather. Post what your teacher say.
maybe merciful also had diabetes?