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Discussion | patho | Pennsylvania State University Wilkes-Barre Campus

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Module 1: Discussion 2

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3.  Mr. B is a 70-year-old man who developed sub sternal chest pains  radiating down his left arm while at home. He was taken to the ER via  ambulance. His breathing was labored, pulses rapid and weak, and his  skin was cold and clammy.An ECG was done which revealed significant “Q”  waves in most leads. Troponin level was elevated. Arterial blood was  draw with the following results:

Ph 7.22

PCO2 30 mm

Hg pO2 70 mm

Hg O2 sat 88%

HCO3 22 meq/liter

1. Aside from the obvious diagnosis of MI, what is Mr. B’s acid base status and what caused this disturbance?

Post your initial response by Wednesday at midnight. Respond  to one student by Sunday at midnight. Both responses must be a minimum  of 150 words, scholarly written, APA formatted, and referenced. A  minimum of 2 references are required (other than text). Refer to grading  rubric for online discussion.

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