Mr. B is a 70-year-old man who developed substernal chest pains radiating down his left arm while at home: Advanced Pathophysiology Case Study, NUI, Ireland
| University | National University of Ireland (NUI) |
| Subject | Advanced Pathophysiology |
Mr. B is a 70-year-old man who developed substernal chest pains radiating down his left arm while at home. He was taken to the ER via ambulance. His breathing was labored, pulses rapid and weak, and his skin was cold and clammy. An ECG was done which revealed significant “Q” waves in most leads. The Troponin level was elevated.
Arterial blood was drawn with the following results: Ph 7.22 PCO2 30 mm Hg pO2 70 mm Hg O2 sat 88% HCO3 22 meq/liter 1. Aside from the obvious diagnosis of MI, what is Mr. B’s acid-base status, and what caused this disturbance?
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