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ACID-BASE DISORDERS

Normal parameters of the acid-base homeostasis of the capillary blood

Parameter

Value

pH

7.36-7.45

pCO2

6-45 mm Hg

B

21-25 mmol/L

BB

45-52 mmol/L

BE

+/- 2.4 mmol/L

Ketone bodies

0.5-2.5 mg/dl

Lactic acid

6-16 mg/dl

Titratable acidity (of the daily urine)

20-40 mmol/d

NH+ (of the daily urine)

30-50 mmol/d

Define the type of acid-base disorder and explain its possible mechanism of development.

N 150

N 151

pH - 7.18

pH - 7.25

pCO2 - 75 mm Hg

pCO2 - 52 mm Hg

SB - 27 mmol/L

SB - 22 mmol/L

BE - +2.5 mmol/L

BB - 45 mmol/L

BE - +2 mmol/L

The patient is undergoing surgical operation with cardiopulmonary bypass

The patient has a bronchial asthma attack

N 152

N 153

pH - 7.20

pH - 7.36

pCO2 - 37 mm Hg

pCO2 - 36 mm Hg

SB - 14 mmol/L

SB - 19.5 mmol/L

BB - 29 mmol/L

BB - 39 mmol/L

BE - - 12 mmol/L

BE - - 5 mmol/L

Ketone bodies - 7.5 mg/dl

The patient is undergoing surgical operation with cardiopulmonary bypass

Titratable acidity - 37 mmol/d The patient suffers from diabetes mellitus

N 154

N 155

pH - 7.30

pH - 7.30

pCO2 - 38 mm Hg

pCO2 - 35 mm Hg

SB - 18 mmol/L

SB - 16.5 mmol/L

BB - 36 mmol/L

BB - 35 mmol/L

BE- - 6 mmol/L

BE- - 9 mmol/L

Lactic acid - 26 mg/dl

Titratable acidity - 8 mmol/d

Titratable acidity - 45 mmol/d

NH+4 - 17 mmol/d

The patient is admitted to hospital with a preliminary diagnosis of an acute myocardial infarction

The patient suffers from an acute glomerulonephritis

N 156

N 157

pH - 7.22

pH - 7.22

pCO2 - 36 mm Hg

pCO2 - 47 mm Hg

SB - 14 mmol/L

SB - 18.5 mmol/L

BB - 24 mmol/L

BB - 40.5 mmol/L

BE - - 8 mmol/L

BE - - 7 mmol/L

Lactic acid - 28 mg/dL

Titratable acidity - 8 mmol/d

NH+4 - 15 mmol/d

The patient has intestinal fistula; he has been losing intestinal juice for a long period of time

The patient suffers from severe toxic injury of the liver and kidneys with oligouria

N 158

N 159

pH - 7.11

pH - 7.17

pCO2 - 50 mm Hg

pCO2 - 51 mm Hg

SB - 15.5 mmol/L

SB - 18 mmol/L

BE - - 13 mol/L

BB - 45 mmol/L

BB - 38 mmol/L

BE - - 8 mmol/L

Ketone bodies - 58 mg/dL

Titratable acidity - 70 mmol/d

The patient has coma

The patient suffers from an acute left ventricular insufficiency with lungs edema

N 160

N 161

pH - 7.52

pH - 7.51

pCO2 - 25 mm Hg

pCO2 - 36 mm Hg

SB - 20 mmol/L

SB - 28 mmol/L

BE - - 2 mmol/L

BB - 57 mmol/L

BB - 40 mmol/L

BE - +5.5 mmol/L

The patient is undergoing surgery with mechanical ventilation

The patient suffers from uncontrolable vomiting, tetanus

N 162

N 163

pH - 7.59

pH - 7.27

pCO2 - 30 mm Hg

pCO2 - 25 mm Hg

SB - 28 mmol/L

SB - 11 mmol/L

BE - +5 mmol/L

BB - 27 mmol/L

BB - 50 mmol/L

BE - - 17 mmol/L

Hematocrit - 0.36

The patient with brain contusion has cyclic vomiting and dyspnea

The patient had an acute blood loss

N 164

N 165

pH - 7.22

pH - 7.33

pCO2 - 49 mm Hg

pCO2 - 35 mm Hg

SB - 19.5 mmol/L

SB - 18 mmol/L

BE - - 3 mmol/L

BB - 42 mmol/L

BB - 44 mmol/L

BE - - 5.5 mmol/L

Lactic acid - 23 mg/dL

Titratable acidity - 12 mmol/L

Titratable acidity - 15 mmol/d

Hematocrit - 0.3

The patient has been transported to the intensive care unit after surgical removal of thrombus in the abdominal aorta

The patient has been admitted to hospital with a diagnosis of hemolytic anemia of unclear etiology

N 166

N 167

pH - 7.57

pH - 7.45

pCO2 - 28 mm Hg

pCO2 - 30 mm Hg

SB - 25 mmol/L

SB - 20 mmol/L

BE - +4 mmol/L

BB - 50.5 mmol/L

BB - 48 mmol/L

BE - - 0.5 mmol/L

Lactic acid - 12 mg/dL

Hematokrit - 0.4

Titratable acidity - 20 mmol/d

The patient has had the hysteria hyperventilation episode just before the analysis

The patient suffers from brain contusion and bouts of vomiting

N 168

N 169

pH - 7.09

pH - 7.36

pCO2 - 51 mm Hg

pCO2 - 49 mm Hg

SB - 15 mmol/L

SB - 26.5 mmol/L

BE - - 12.5 mmol/L

BB - 52.5 mmol/L

BB - 38 mmol/L

BE - +6 mmol/L

Lactic acid - 25 mg/dL

Titratable acidity - 18 mmol/d

Titratable acidity - 18 mmol/d

The patient was admitted to hospital 9 days before with myocardial infarction

The patient suffers from purulent peritonitis a diagnosis of acute

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