a person had COPD & ABGS would be respiratory acidosis, if hav ARF they'd be metabolic acidosis. Where would they be if they had both?

2018-04-12 6:07 am

回答 (3)

2018-04-12 6:52 am
That has, not had.

Had is past tense.

Unspecified acidosis.
2018-04-12 11:42 pm
That would be a mixed acidosis.

When the pH decreases because of an increase in carbonic acid (CO2 dissolved in solution), that is termed a respiratory acidosis. When it decreases because of an inability of the kidneys to buffer the pH, that is termed a metabolic acidosis. When both are found together, that is a mixed acidosis.

You recognize that by matching the pH with the PCO2 and HCO3-. With a low pH you would expect to see an elevated PCO2. If you do, you know there is a respiratory component to that acidosis. If the PCO2 is normal or low you know the source of that acidosis is not respiratory; it's metabolic. That is reflected in a low HCO3-. If the PCO2 is elevated and the HCO3- is low, then neither system is compensating for the other. It is a mixed disorder.
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參考: Respiratory therapist (B.S., RRT, RPFT)
2018-04-12 9:23 am
Huh?

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