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?

Question

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?

Quizplus · Accepted Answer

The patient has respiratory alkalosis (high pH, low pCO2). The compensatory response would be metabolic acidosis, where the body attempts to lower the pH by decreasing bicarbonate (HCO3-) levels.