Exam 8: Acid-Base Balance

Case Study

LD is a 56 yo M admitted 2° c/o shortness of breath and difficulty breathing and is diagnosed with pneumonia. He has a history of CHF, osteoarthritis, HTN, gout, and coronary artery disease.
Ht 5’9 ½” Wt 220#
LABS:	Na	133	ABGs:	ph	7.49	(7.35-7.45)
	CL	103		pCO2	30	(35-45)
	BUN	25		pO2	96	(80-100)
	Glu	207		HCO3	29	(21-28)
	K	4.1
	CO2	34
	Cr	1.7
	ALB	3.2
	CHOL	320

-What compensatory disorder could he develop?

The most common base in humans:

The lungs regulate _____ levels, while the kidneys regulate _____ levels

What is the pH of water?

If the pH of urine drops below _____, it can become harmful to the body

When alkalosis occurs, the kidneys will respond by:

Carbonic acid dissolves into _____ and _____

Changes in the level of carbon dioxide are detected in the _____ of the brain

Case Study

LD is a 56 yo M admitted 2° c/o shortness of breath and difficulty breathing and is diagnosed with pneumonia. He has a history of CHF, osteoarthritis, HTN, gout, and coronary artery disease.
Ht 5’9 ½” Wt 220#
LABS:	Na	133	ABGs:	ph	7.49	(7.35-7.45)
	CL	103		pCO2	30	(35-45)
	BUN	25		pO2	96	(80-100)
	Glu	207		HCO3	29	(21-28)
	K	4.1
	CO2	34
	Cr	1.7
	ALB	3.2
	CHOL	320

-What acid-base disorder does LD have?

Metabolic alkalosis is a result of which of the following?

The _____ regulate(s) the concentration of HCO₃-

Which of the following medications are involved in the etiology of respiratory acidosis?

Respiratory alkalosis is generally a result of conditions that cause which of the following?

PH is defined as the:

Which of the following is an example of an inorganic nonvolatile acid?

Common laboratory measurements used to assess acid-base balance include all of the following except for:

In regard to respiratory and renal control buffer systems, which of the following statements is true?