tag:blogger.com,1999:blog-4082643038671225434.post5479046196185680029..comments2023-10-07T01:34:01.774-07:00Comments on Case of the Day: Open Ended QuestionCraighttp://www.blogger.com/profile/17072102331564743101noreply@blogger.comBlogger2125tag:blogger.com,1999:blog-4082643038671225434.post-62960382914213022322012-01-01T15:21:16.172-08:002012-01-01T15:21:16.172-08:00yep
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Open Ended Question
This is a respiratory a...yep<br />-<br />Open Ended Question<br /><br />This is a respiratory acidosis. If it is acute hypercapnia, then the 30mmHg rise in PCO2 should increase serum HCO3 by 3 meq/L; if it is chronic hypercapnia, then the 30mmHg rise in PCO2 should increase serum HCO3 by 11 meq/L. The observed value of 31 meq/L could represent several scenarios: (1) chronic respiratory acidosis with a superimposed metabolic acidosis (ie. COPD + sepsis), (2) acute respiratory acidosis with a superimposed metabolic alkalosis (overdose leading to vomiting and respiratory depression, (3) acute respiratory acidosis superimposed on mild chronic respiratory acidosis (COPD + pneumonia), or (4) acute respiratory acidosis evolving into chronic respiratory acidosis (between 1-3 days).<br /><br />Source: UpToDate.Craighttps://www.blogger.com/profile/17072102331564743101noreply@blogger.comtag:blogger.com,1999:blog-4082643038671225434.post-40434754187899504962011-12-26T09:46:30.096-08:002011-12-26T09:46:30.096-08:00Yes, and it signals chronic compensation rather th...Yes, and it signals chronic compensation rather than acute.Reflex Hammerhttps://www.blogger.com/profile/06926621229928708839noreply@blogger.com