Question

An individual is hospitalized and the initial blood work indicates high levels of hco3- in the blood and a ph of 7. 47. This would indicate the individual probably has?

Answer 1

An individual is hospitalized and the initial blood work indicates high levels of $HCO_{3} ^{-}$ in the blood and a pH of 7. 47. This would indicate the individual probably has compensated respiratory acidosis.

A chronic illness usually leads to compensated respiratory acidosis because the kidneys have time to adjust to the delayed onset. Even if the $PCO_{2}$ is elevated in a compensated respiratory acidosis, the pH is within the usual range.

The kidneys counteract a respiratory acidosis by increasing the amount of $HCO_{3}$ that tubular cells reabsorb from the tubular fluid, the amount of $H^{+}$ that collecting duct cells secrete while also producing $HCO_{3}$ , and the amount of $NH_{3}$ buffer that is formed through ammoniagenesis.

Respiratory acidosis is frequently brought on by hypoventilation as a result of: breathing depression , paralysis of the respiratory muscles, diseases of the chest wall , abnormalities of the lung parenchyma and abdominal squeezing.

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