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6:12 6:12Elise Anderson is a 6-year-old girl who presents to the emergency department with a history of vomiting for the past 3 days. The nurse notices that her respiratory rate is abnormally low. What is the likely reason for this change in ventilation? Predict what Elise's arterial blood gas values would show.
What do you think has happened to Elise's ECF volume and osmolarity over the past 3 days? Will this lead to a change in the volume of water in the cytosol of her cells? Explain.
A laboratory printout of arterial blood gases indicates that a patient has an increased Pco₂ , decreased pH, and normal bicarbonate ion concentration. Is this patient in acidosis or alkalosis? Is the pH disturbance respiratory or metabolic in nature? Explain your reasoning. How long do you think the patient has had this pH disturbance? (Hint: Look at the bicarbonate ion concentration. What system controls the concentration of bicarbonate ions, and how quickly does it compensate for pH disturbances?)
Ms. Johanssen is a patient in the hospital. The nurse examines her laboratory reports and notices that she has developed hyperkalemia and acidosis over the past several days. On closer examination of her medical chart, the nurse also sees that her physician recently doubled her dose of spironolactone, an aldosterone-blocking diuretic. How does this explain her laboratory findings?
Explain how the amount of water in the body affects the concentration of ions and solutes in the ECF.
What happens to the pH of a solution when hydrogen ions are added?
a. The pH increases.
b. The pH decreases.
c. The pH does not change.
d. The pH does not measure hydrogen ion concentration.
