patient reports taking Diamox and has been reporting confusion, fatigue, and headaches. On assessment, you note the patient is exhibiting deep and rapid respirations. Which arterial blood gas finding below confirms the acid-base imbalance for this patient given their symptoms and medication usage?*
A. HCO3 12, pH 7.19, PaCO2 29
B. HCO3 23, pH 7.36, PaCO2 36
C. HCO3 10, pH 7.65, PaCO2 47
D. PaCO2 49, pH 7.55, HCO3 21

Question

patient reports taking Diamox and has been reporting confusion, fatigue, and headaches. On assessment, you note the patient is exhibiting deep and rapid respirations. Which arterial blood gas finding below confirms the acid-base imbalance for this patient given their symptoms and medication usage?*
 A. HCO3 12, pH 7.19, PaCO2 29
 B. HCO3 23, pH 7.36, PaCO2 36
 C. HCO3 10, pH 7.65, PaCO2 47
 D. PaCO2 49, pH 7.55, HCO3 21

mjPcontiga · Answer

Normal ABG values are pH 7.35–7.45, PaCO2 35–45, HCO3 22–26. Option A indicates acidosis (pH < 7.35) due to low HCO3, consistent with Diamox’s effect, and the low PaCO2 shows compensation. Option B is normal, C shows alkalosis, and D is incomplete and inconsistent with symptoms. The patient’s confusion, fatigue, and headaches align with metabolic acidosis.

Answered by mjPcontiga | 2025-04-29

Answer (1)

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