A patient who is a known case of CKD has complaints of vomiting. His ABG repos are as follows: pH - 7.40, pCO2 - 40, HCO3 - 25. Na -145, chloride-100.

Question

Accepted Answer

D. High anion gap metabolic acidosis with metabolic alkalosis. Ans. D. High anion gap metabolic acidosis with metabolic alkalosis Even though ABG looks completely normal - clinical history is the key here.CKD patients generally have high AG metabolic acidosis. On the background of that he has developed vomiting (which is an alkalotic state). Both opposing disorders have normalized the ABG. But the patient is actually having a double disorder.

Answer

A. Normal anion gap met acidosis

Answer

B. High anion gap met acidosis

Answer

C. No acid base abnormality

A patient who is a known case of CKD has complaints of vomiting. His ABG repos are as follows: pH - 7.40, pCO2 - 40, HCO3 - 25. Na -145, chloride-100.

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A patient who is a known case of CKD has complaints of vomiting. His ABG repos are as follows: pH - 7.40, pCO2 - 40, HCO3 - 25. Na -145, chloride-100.

Explanation

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