A 25 YEAR OLD GIRL WITH CYSTIC FIBROSIS (IN WHICH THICK, STICKY MUCUS BUILDS UP IN THE LUNGS) HAS COMPLAINED OF AN INCREASED COUGH PRODUCTIVE OF GREEN SPUTUM OVER THE LAST WEEK.
A 25 YEAR OLD GIRL WITH CYSTIC FIBROSIS (IN WHICH THICK, STICKY MUCUS BUILDS UP IN THE LUNGS) HAS COMPLAINED OF AN INCREASED COUGH PRODUCTIVE OF GREEN SPUTUM OVER THE LAST WEEK.
SHE ALSO COMPLAINED OF BEING INCREASINGLY SHORT OF BREATH, AND SHE IS NOTICEABLY WHEEZING ON PHYSICAL EXAMINATION. URINALYSIS REVEALS INCREASED H+ CONTENT IN HER URINE.WHAT WOULD YOU PREDICT THE PATIENT’S ACID-BASE STATUS TO BE (ACIDOTIC OR ALKALOTIC)? WHAT IS THE ORIGIN (RESPIRATORY OR METABOLIC) OF HER ACID-BASE STATE? • HOW DOES THE PATIENT’S CONDITION LEAD TO HER ACID-BASE DISTURBANCE? BE AS SPECIFIC AS YOU CAN ABOUT THE SOURCE OF THE DISTURBANCE. • IS THE PATIENT COMPENSATING FOR THE DISTURBANCE? IF SO, HOW? • PLEASE CHOOSE THE POINT THAT CORRESPONDS BEST ON THE DAVENPORT DIAGRAM
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A 25 year old girl with cystic fibrosis (in which thick, sticky mucus builds up in the lungs) has complained of an increased cough productive of green sputum over the last week. She also complained of being increasingly short of breath, and she is noticeably wheezing on physical examination. Urinalysis reveals increased H+ content in her urine.What would you predict the patient’s acid-base status to be (acidotic or alkalotic)? What is the origin (respiratory or metabolic) of her acid-base state? • How does the patient’s condition lead to her acid-base disturbance? Be as specific as you can about the source of the disturbance. • Is the patient compensating for the disturbance? If so, how? • Please choose the point that corresponds best on the Davenport diagram
A 25 year old girl with cystic fibrosis (in which thick, sticky mucus builds up in the lungs) has complained of an increased cough productive of green sputum over the last week. She also complained of being increasingly short of breath, and she is noticeably wheezing on physical examination. Urinalysis reveals increased H+ content in her urine.What would you predict the patient’s acid-base status to be (acidotic or alkalotic)? What is the origin (respiratory or metabolic) of her acid-base state? • How does the patient’s condition lead to her acid-base disturbance? Be as specific as you can about the source of the disturbance. • Is the patient compensating for the disturbance? If so, how? • Please choose the point that corresponds best on the Davenport diagram
A 25 year old girl with cystic fibrosis (in which thick, sticky mucus builds up in the lungs) has complained of an increased cough productive of green sputum over the last week. She also complained of being increasingly short of breath, and she is noticeably wheezing on physical examination. Urinalysis reveals increased H+ content in her urine.What would you predict the patient’s acid-base status to be (acidotic or alkalotic)? What is the origin (respiratory or metabolic) of her acid-base state? • How does the patient’s condition lead to her acid-base disturbance? Be as specific as you can about the source of the disturbance. • Is the patient compensating for the disturbance? If so, how? • Please choose the point that corresponds best on the Davenport diagram
A 25 year old girl with cystic fibrosis (in which thick, sticky mucus builds up in the lungs) has complained of an increased cough productive of green sputum over the last week. She also complained of being increasingly short of breath, and she is noticeably wheezing on physical examination. Urinalysis reveals increased H+ content in her urine.What would you predict the patient’s acid-base status to be (acidotic or alkalotic)? What is the origin (respiratory or metabolic) of her acid-base state? • How does the patient’s condition lead to her acid-base disturbance? Be as specific as you can about the source of the disturbance. • Is the patient compensating for the disturbance? If so, how? • Please choose the point that corresponds best on the Davenport diagram
A 25 year old girl with cystic fibrosis (in which thick, sticky mucus builds up in the lungs) has complained of an increased cough productive of green sputum over the last week. She also complained of being increasingly short of breath, and she is noticeably wheezing on physical examination. Urinalysis reveals increased H+ content in her urine.What would you predict the patient’s acid-base status to be (acidotic or alkalotic)? What is the origin (respiratory or metabolic) of her acid-base state? • How does the patient’s condition lead to her acid-base disturbance? Be as specific as you can about the source of the disturbance. • Is the patient compensating for the disturbance? If so, how? • Please choose the point that corresponds best on the Davenport diagram
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