Question 170 · LEK · Respiratory failure

Please indicate the results of arterial blood gases measurement corresponding to the exacerbation of chronic hypercapnic respiratory failure:

  1. A. pH 7.32; PaCO₂ 60.4 mmHg; PaO₂ 43.8 mmHg; HCO₃ 31.6 mmol/l; SaO₂ 75.5%.
  2. B. pH 7.15; PaCO₂ 80.6 mmHg; PaO₂ 24.1 mmHg; HCO₃ 16.3 mmol/l; SaO₂ 51%.
  3. C. pH 7.38; PaCO₂ 59.6 mmHg; PaO₂ 49.1 mmHg; HCO₃ 38 mmol/l; SaO₂ 80.1%.
  4. D. pH 7.47; PaCO₂ 31 mmHg; PaO₂ 60.1;mmHg; HCO₃ 21.1 mmol/l; SaO₂ 92.8%.
  5. E. pH 7.42 PaCO₂ 41 mmHg; PaO₂ 51.6 mmHg; HCO₃ 22.6 mmol/l; SaO₂ 85.2%.
Hint

Chronic hypercapnia raises bicarbonate; an exacerbation adds an acute CO2 rise that the kidneys have not yet compensated.

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