Question

Your patient presents with the following lab values: pH 7.28 HCO3 20mEq/L K+ 5.7 Vital signs...

Your patient presents with the following lab values:

pH 7.28

HCO3 20mEq/L

K+ 5.7

Vital signs are as follows: Temperature: 99.0 F

Pulse: 100

Respirations: 25

Blood pressure: 90/50mmHg

What condition does your patient present with? Discuss causes and potential treatments for this condition. cite references using APA format.

Homework Answers

Answer #1

Conditions of the patient is Metabolic acidosis.

Because the pH is acidic and HCO3 level is low.H+ is excreted in place of K+ while exchange with Na+ absorption from distal convoluted tubule.So H+ is high which causes hyperexcitability of cell,which causes increases the heart rate and increase the pulse.

Causes-

Liver failure

Trauma

Excessive alcohol intake

Heart failure

In severe Anemia

Prolonged lack of oxygen from shock.

Treatment;

Hyperkalemia; Combination of IV insulin and dextrose lowers the serum potassium levels .

Metabolic acidosis: IV sodium bicarbonate is given.

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