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USMLE Step 2 CK: Acid-Base Disorders in Respiratory and Adrenal Conditions With complete solution– Expert Verified | Latest Version | 100 Guaranteed Success

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USMLE Step 2 CK: Acid-Base Disorders in Respiratory and Adrenal Conditions With complete solution– Expert Verified | Latest Version | 100 Guaranteed Success

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USMLE Step 2 CK: Acid-Base Disorders in Respiratory and
Adrenal Conditions With complete solution– Expert Verified |
Latest Version | 100 Guaranteed Success


What are the symptoms of the 56-year-old male patient in the emergency room?
- Fever, chills, shortness of breath, productive cough, and vomiting.


What was the initial blood pressure of the patient upon admission? - 90/60 mm
Hg.


What was the patient's blood pressure after receiving one liter of normal saline? -
120/80 mm Hg.


What was the patient's temperature upon admission? - 38.8° C (102° F).


What is the arterial blood gas analysis for the patient? - pH: 7.53, PaO2: 70
mmHg, PaCO2: 30 mmHg, HCO3-: 22 mEq/L.


What is the primary acid-base status of the patient? - Respiratory alkalosis.


What indicates that the patient has respiratory alkalosis? - The pH is greater than
7.45 and there is a primary decrease in PaCO2.


What caused the patient's respiratory alkalosis? - Hyperventilation due to
pneumonia, leading to CO2 loss.

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