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A 22-year-old woman reports being “sick with the flu” for the past 8 days. She is vomiting several times every day, having difficulty keeping liquids or food down, and has been using more than the recommended dose of antacids in an attempt to calm the nausea. She has become severely dehydrated. After fainting at home, she was taken to a local hospital. An arterial blood gas sample was drawn and then an IV was placed to help rehydrate her. The arterial blood gas revealed the following:
Test                     Result                       Normal levels
pH                          7.5                7.35 – 7.45
PaCO2                    40 mm Hg            35-45 mm Hg
PaO2                    95 mm Hg            80-100 mm Hg
SaO2                                                  97%                95-100%
HCO3-                      32 meq/liter        22-26 meq/liter

Answer the questions in a paper of 750-1,000 words.
Prepare this assignment according to the APA guidelines. An abstract is not required.

1.    How would you classify the patient’s acid-base disturbance and explain why?
2.    Given the case study, what are the possible factors causing this acid-base disturbance? Explain the pathophysiology created by these factors.
3.    How would the renal and respiratory systems try to compensate for this acid-base disturbance?
4.    What pharmacologic intervention is commonly used to correct this acid-base disturbance? Describe the pharmacological actions.
5.    Describe the educational needs for this patient and what your approach will be.




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