A 50-year-old man came to the emergency department after returning from foreign travel. His symptoms included persistent diarrhea (over the past 3 days) and rapid respiration (tachypnea). Blood gases were drawn with the following results: pH 7.21 pco2 19 mm Hg po2 96 mm Hg HCO3 − 7 mmol/L SO2 96% (calculated) (reference range, >95%)   Question: What is the patient’s acid–base status? Why is the HCO3 − level so low? Why does the patient have rapid respiration?

Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
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A 50-year-old man came to the emergency department after returning from foreign travel. His symptoms included persistent diarrhea (over the past 3 days) and rapid respiration (tachypnea). Blood gases were drawn with the following results:

pH 7.21

pco2 19 mm Hg

po2 96 mm Hg

HCO3 − 7 mmol/L

SO2 96% (calculated) (reference range, >95%)

 

Question:

  1. What is the patient’s acid–base status?
  2. Why is the HCO3 − level so low?
  3. Why does the patient have rapid respiration?
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