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A patient with a 10-year history of chronic bronchitis and an acute viral pneumonia exhibits the following blood gas results breathing room air: pH = 7.22; PCO2 = 67; HCO3– = 26; PO2 = 60. Which of the following best describes this patient’s condition?

Question

A patient with a 10-year history of chronic bronchitis and an acute viral pneumonia exhibits the following blood gas results breathing room air: pH = 7.22; PCO2 = 67; HCO3– = 26; PO2 = 60. Which of the following best describes this patient’s condition?

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Solution

The patient's blood gas results indicate that they are suffering from respiratory acidosis. Here's a step-by-step explanation:

  1. The pH value is less than 7.35, which indicates acidemia, a condition where the blood is more acidic than normal.

  2. The PCO2 value is greater than 45 mmHg, which indicates hypercapnia, a condition where there is too much carbon dioxide (CO2) in the blood. This is usually caused by hypoventilation or a decrease in respiratory rate.

  3. The HCO3- value is within the normal range (22-28 mEq/L), which suggests that the metabolic system is not trying to compensate for the respiratory problem.

  4. The PO2 value is less than 80 mmHg, which indicates hypoxemia, a condition where there is a lower than normal level of oxygen in the blood.

In summary, the patient's condition can be described as uncompensated respiratory acidosis with hypoxemia. The chronic bronchitis and acute viral pneumonia are likely contributing to the patient's inability to remove CO2 from their body effectively, leading to the respiratory acidosis. The hypoxemia suggests that the patient is also having difficulty getting enough oxygen into their blood.

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