APPLIED RADIOLOGICAL ANATOMY

ANATOMY

LIMB VASCULATURE

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
If pH is 7.61, CO2 is 28, and HCO3 is 18, which of the following is the correct diagnosis?
A
Partially compensated respiratory alkalosis
B
Partially compensated metabolic alkalosis
C
Partially compensated respiratory acidosis
D
Partially compensated metabolic acidosis
Explanation: 

Detailed explanation-1: -Metabolic alkalosis occurs when there is too much bicarbonate (HCO3) in the body or an excessive loss of acid (H+ ions). Metabolic alkalosis is defined by a pH above 7.45 and an HCO3 level above 26 on ABG results. Note that both pH and HCO3 are elevated in metabolic alkalosis.

Detailed explanation-2: -HCO3– <22 mmol/L: Primary metabolic acidosis if pH <7.35. Renal compensation for respiratory alkalosis if pH >7.45. HCO3– >26 mmol/L: Primary metabolic alkalosis if pH >7.45.

Detailed explanation-3: -If pH is normal but closer to the acidotic end, and both PaCO2 and HCO3 are elevated, the kidneys have compensated for a respiratory problem. If the pH is normal, but closer to the alkalotic end of the normal range, and both PaCO2 and HCO3 are elevated, the lungs have compensated for a metabolic problem (see Table 3).

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