WorksheetsModule 3 Part 2: Acid/Base Imbalances
Total questions: 26
Worksheet time: 20mins
A patient with Type 1 Diabetes Mellitus may experience increased ketone levels due to
Excessive glucose uptake resulting in increased glycolysis
Insulin insensitivity resulting in reduced glucose uptake
Decreased glucose uptake from a lack of insulin resulting in a fasting state
Excessive insulin production and overall decrease in blood glucose
Normal or High Anion Gap?
Normal
High
What acid-base imbalance does this patient have?
Compensated metabolic acidosis
Uncompensated metabolic acidosis
Compensated respiratory acidosis
Uncompensated respiratory acidosis
What EKG changes would be seen?
Flattened T Wave
Tall, Peaked T Wave
Long QT interval
Short ST Segment
What acid-base imbalance does this patient have?
Compensated metabolic alkalosis
Uncompensated metabolic alkalosis
Compensated respiratory alkalosis
Uncompensated respiratory alkalosis
What condition does this patient have?
Uncompensated respiratory acidosis
Compensated respiratory acidosis
Uncompensated metabolic acidosis
Compensated metabolic acidosis
What condition does this patient have?
Uncompensated respiratory acidosis
Compensated respiratory acidosis
Uncompensated metabolic acidosis
Compensated metabolic acidosis
What condition does this patient have?
Uncompensated respiratory acidosis
Compensated respiratory acidosis
Uncompensated metabolic acidosis
Compensated metabolic acidosis
What condition does this patient have?
Uncompensated respiratory acidosis
Compensated respiratory acidosis
Uncompensated metabolic acidosis
Compensated metabolic acidosis
Px 1 has what condition?
Uncompensated respiratory alkalosis
Compensated respiratory alkalosis
Uncompensated metabolic alkalosis
Compensated metabolic alkalosis
Px 2 has what condition?
Uncompensated respiratory acidosis
Compensated respiratory acidosis
Uncompensated metabolic acidosis
Compensated metabolic acidosis
Px 3 has what condition?
Uncompensated respiratory acidosis
Compensated respiratory acidosis
Uncompensated metabolic acidosis
Compensated metabolic acidosis
Px 4 has what condition?
Uncompensated respiratory alkalosis
Compensated respiratory alkalosis
Uncompensated metabolic alkalosis
Compensated metabolic alkalosis
Px 2 has an anion gap of ___ which is ___
18
Normal
18
High
22
Normal
22
High
Px 3 has an anion gap of ___ which is ___
1
Normal
1
High
11
Normal
11
High
What is this patient's condition?
What is this patient's condition?
What is this patient's condition?
What is this patient's condition?
What is this patient's condition?
What is this patient's condition?
What is this patient's condition?
Jake always said he had a “cast iron” stomach and could eat just about anything. So, it did not bother Jake to eat the left over potato salad from last week’s church potluck. Well, Jake was not as strong as he thought and began vomiting. The vomiting continued for three days. Being stubborn about visiting doctors, it took three days of vomiting before he finally decided that he had had enough and scheduled an appointment with his healthcare provider. Jake had the lab values pictured here. What acid-base imbalance does Jake have? NOTE: recall the normal range for PCO2
Uncompensated metabolic alkalosis
Compensated metabolic alkalosis
Uncompensated respiratory alkalosis
Compensated respiratory alkalosis
How does vomiting contribute to metabolic alkalosis?
By increasing the level of carbon dioxide in the blood, thus increasing protons
By the loss of protons, thus decreasing the level of bicarbonate in the blood
By the loss of protons, thus increasing the level of bicarbonate in the blood
By decreasing the level of carbon dioxide in the blood, thus reducing proton concentration
A patient’s blood gases reveal the following findings:
Pco2 41 mmHg N[35-45mmHg]
HCO3- 18 mmol/l N[22-26mmol/l]
pH 7.23 N[7.35-7.45]
Na+ 135 N[135-145]
Cl- 106 N[96-106]
Which of the following acid/base disorders does this person have?
A patient’s blood gases reveal the following findings:
Pco2 32 mmHg N[35-45mmHg]
HCO3- 14 mmol/l N[22-26mmol/l]
pH 7.23 N[7.35-7.45]
Na+ 135 N[135-145]
Cl- 106 N[96-106]
Which of the following acid/base disorders does this person have?
