A 4-year-old child was admitted to hospital hyperventilating, after drinking an unknown substance from a bottle found in a garage. The laboratory results are shown below (reference ranges are given in brackets): Sodium 134 mmol/L (132-144) Potassium 6.1 mmolL (3.5-5.0) Chloride 94 mmol/L (95-108) HCO3- 10 mmol/L (24-29) Urea 4.2 mmol/L (2.7-7.5) pH 7.20 (7.35–7.45) PCO2 3.2 kPa (4.7-6.0) PO2 13.2 kPa (12-14.6) (a) Is there an acid-base disorder present, if so what type? (b) Is there any compensation? (c) What do the other 1laboratory investigations indicate?

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
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A 4-year-old child was admitted to hospital hyperventilating, after drinking an unknown
substance from a bottle found in a garage. The laboratory results are shown below (reference
ranges are given in brackets):
Sodium 134 mmol/L (132-144)
Potassium 6.1 mmol/L (3.5-5.0)
Chloride 94 mmol/L (95-108)
HCO3- 10 mmol/L (24-29)
Urea 4.2 mmolL (2.7-7.5)
pH 7.20 (7.35-7.45)
PCO2 3.2 kPa (4.7-6.0)
PO2 13.2 kPa (12-14.6)
(a) Is there an acid-base disorder present, if so what type?
(b) Is there any compensation?
(c) What do the other laboratory investigations indicate?
Transcribed Image Text:A 4-year-old child was admitted to hospital hyperventilating, after drinking an unknown substance from a bottle found in a garage. The laboratory results are shown below (reference ranges are given in brackets): Sodium 134 mmol/L (132-144) Potassium 6.1 mmol/L (3.5-5.0) Chloride 94 mmol/L (95-108) HCO3- 10 mmol/L (24-29) Urea 4.2 mmolL (2.7-7.5) pH 7.20 (7.35-7.45) PCO2 3.2 kPa (4.7-6.0) PO2 13.2 kPa (12-14.6) (a) Is there an acid-base disorder present, if so what type? (b) Is there any compensation? (c) What do the other laboratory investigations indicate?
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