Acid-Base Worksheet

 

Copy and paste this worksheet to your computer. Complete the assignment and send as an email attachment to skumm@kumc.edu.

1.     24 year old woman found on the floor of her apartment, unresponsive.   Previously in good health. Neighbor said she had recently separated from her husband. Resp 6, pH 7.22, PaCO2 65, PaO2 65, HCO3 24.

 Acid-base analysis: 

 Oxygenation: (too much oxygen, hypoxemia, etc.)

 

2.     61 year old man with long smoking history becomes acutely short of breath and tachypneic. Resp 44, pH 7.25, PaCO2 70, PaO2 35, HCO3 24.

 Acid-base analysis:

 Oxygenation:

 

3.     71 year old male brought to ED by ambulance. Originally had been anxious and short of breath. Progressively became less alert. pH 7.08, PaCO2 96, PaO2 88, HCO3 24. 

Acid-base analysis: 

Oxygenation:

  

4.     45 year old male with acute MI and pulmonary edema.  pH 7.25, PaCO2 28, PaO2 50, HCO3 28,  B.E. 14, SaO2 79%. 

Acid-base analysis: 

Oxygenation:

 

5.     150 pound woman, ventilated with FiO2 0.21, tidal volume 1400 ml, rate 6.  pH 7.42, PaCO2 36, PaO2 90, HCO3 23, 
B.E. -1, SaO2 97%.
 

Acid- base analysis: 

Oxygenation:

 

6.     300 pound male, s/p perforated ulcer repair, receiving thiazide diuretics. Ventilator with FiO2 0.80, tidal volume 1400, rate 12, patient breathing at 20. pH 7.58, PaCO2 49, PaO2 49, HCO3 34,  B.E. 11, SaO2 90%, K+ 2.5, Cl- 88. 

Acid-base analysis: 

Oxygenation: 

Electrolyte analysis:

 

7.     Patient with pulmonary emboli. pH 7.52, PaCO2 27, PaO2 50, HCO3 22,   B.E. 0, SaO2 91%. 

Acid-base analysis: 

Oxygenation: 

 

8.     58 year old woman admitted to ED.  pH 7.11, PaCO2 40, PaO2 94, HCO3 12,  B.E. –18. 

Acid-base analysis: 

Oxygenation:

 

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