a» 2 at [AAT year-old wih ist of depressions bough tote emegency depatnert alte ateping suse. Hes pares epot tha she ‘ensues? poles oneness tr nue a armen i a str aprons pote eeearttn The pats emptor tte rausea, orth, abdominal pain. and copious very dares. Stehasa low soy of sl-cuting and suc eats bra pt suicide alors. lod pressures 8542 rm Hand ple 120nn. Her reat has fant arc er, and he has romero healing rear Season eeams. Wiehe lenrg madcatons Steud be amis mei? OA conaeoTa 8. Ccfermamine Oe Omecanat OD Hetonesttanin OE Neen ue Pt rer mlA 8 vor pene at ‘CaNs.EOTA 2] Deferxaine 1) Dimerapa sis yonecbatain 1 eye ue [6% a [AAT year-old wih ist of depressions bough tote emegency depatnert alte ateping suse. Hes pares epot tha she ‘ensues? poles oneness tr nue a armen i a str aprons pote eeearttn The pats emptor tte rausea, orth, abdominal pain. and copious very dares. Stehasa low soy of sl-cuting and suc eats bra pt suicide alors. lod pressures 8542 rm Hand ple 120nn. Her reat has fant arc er, and he has romero healing rear Seaonrer teams. Wiehe alenrg madatos Steud be asminsired mei? a a Meee = ame rene poloning Pt2 a a ‘Arsenic poisoning += Binds to suthysr groups Mechanism | © Cyerupts cellular respiration & gliconsogenasis += Pesticides insecticides ‘sources | & Contaminated water (fen om wells) + Pressure trated woos “+ Acute: Garie breath, vomiting, watary care, re proongation Manifestations ‘+ Chronic: ypomyperigmentation, mperkoratoss, stocking love neuropaty ei ‘+ Dimercaprl (Brish anit-Lowste) Treatment | © OSA moso-2;3-cimorcapiosuccic acd, succime) ‘isencis oes tases, and easy abscrbe ater ges of haan, Tony can et om expe peseesinseeiiss, enamine weer, pressure ested wood etary mnngorqass-rairg, Asenc bins to suey! groups, paring cellar respiration viz inlten of pyruvate dehyérogenase and sisrpion of gconeopeesc as gluahione metbolem ‘Acute sec pasoring tes moa gan stems and resens win eee pan vemng severe watery anes, crn an Irypotension tom ceycratan. QTe prolongation ca icles etvetenng teases de ontes, Age ederis tin rc on he Pt es )pene San Arsenic toes tases, nd easy aborted ater ingson or nhsaion Toy can ett romano io pesicesinercies ‘entannsed wer peste eb vend ealugy Ming er gass-rakrg. Asencio suRyer| groupe, pang eeulsr reaptton via inion of pyruvate deyérogentse an apn gaoneapeness a luabione msttom ‘aut areric poring fects most organ systems and resents wi banal an veting severe watery dah, selrivm ard Irypotension ton cetyraian Te polangaton cn icles aveaanngtasases Je ores Aga ase fen rsd on he patent's trea or sat “The fist ne cheaing agents emereaprol en, Bish A-evie),whinreases urna excretion efheaw rely fring tale, eras sini cheats. TRe Sumy cup of areca cannes wi arsenic ard depaces sen neta he suey! oups of ‘rays moved celerespratn Decay has 2 ver nao rapt nde, and Seous sce ees nade nepeooect, hypertension ander (Choie A) tote ea paren ean pec! wth canazn anemia and nly rd cofuion. Cae.EDTAe a beaten pon read ‘ety 2nd was by amg raonzng sas onrease inay ea exceon, (Chole B) Dekovanie ithe peered cheitng ape fron verses rend duro mise Hood ransisonstbinds rcuaing en a lates wry etebon {choles} Oye peering resons wth contiscn sting or chore skin col, abconina pai, ad vig. ts aro, hotometalain (tami prec bres to mtacelar Cyne fornngcanoccalan whch can be easy exces nuine {hele ) Voters bois indeed for ves of mahenepobinam, wich esr wih ayo uncles sin, shores of beat, ‘no chose core hd Vln un ac a8 an ail elcan anspor for eacon ot theregon thcugh te NADPH pata Educatonalcbjccive cu enc pean rps calle espiston ana present sth absorinapan venting danse hypetnson a. gare ego on he es Een F saa a ay aa» 2 reyes invole ncaa respiaton.Cmercaprelhas avery nao therapeutic ie, ad ius ie ees nce echo, peterson anciever (choles A) Acoeae poscning cn present wh onstgaion anemia. nd mibty a onson. CaNa.EDTA\s a testretoton read ‘oxety and works by forming navionng sas toinreaseuinay lea exceon {hee B) Detrrania isthe pared chelating apet von overdeses road duo a mtg led andr thins reuatrg onan lst te ary onrebon {creiee 0) yz pasonng meses wh contin, using of 2"cheny esc, abaominalpan ard venting roi, ‘ncanycbalanin (earn 8 recurso), bods oneal ya omg cyancabaamin, which canbe easy exceed mune. (hoi) ethene sais ince fr beaten’ of maharclobnams whch resents wth gry of Hun cole atin, shortness fret, secs chore aod. ane ue act tan aril lcon ranspere fo eacton of bangin tveugh P= NADPH patay Educational objective Acie sec posoing pale cellar espaton and presen wn acorn pan vor, danis, hyper, a a gare adoron the Pt Sek taeroman 888 enE a a Cision 88 Prat pes ‘AS year-old boys rough tthe cfceby his parents deo canstpaton. The boy previous had soit sols 1.2m aly However oer the Fost monng, hsb! movements hve ceceaeasto | eo every 3-day tn sgnteart ranng and praimion thane! ae. The toy has reitert tise abdoral pan andncreased nay, ut these motos have not afc his Nera appete. Far his rabble fr mata aunt wth celac disease and patra ardor wth “hyrod ober” Foor mare ap, he boy ands paris Ioved ro hese one by exam gereatons, and he parents ze word athe sass a Pe move nigh conbutrgo Ms symgtoms. Hep aed weght nave een tackng ppropraly Frys etamnaion shows a pale Wed bay wth pate Sol ns adamen tne abdomaaltendomess. ich the folowirg is the most apport aarti et rhs patent? OA srerecta manamty ‘Serum eecrayes serum typi mung name ‘Serum issue tansguzamase Pt eres mlE a a at ‘AS year-old boys rough tthe cfceby his parents deo canstpaton. The boy previous had soit sols 1.2m aly However oer the Fost monng, hsb! movements hve ceceaeasto | eo every 3-day tn sgnteart ranng and praimion thane! ae. The toy has reitert tise abdoral pan andncreased nay, ut these motos have not afc his Nera appete. Far his rabble fr mata aunt wth celac disease and patra ardor wth “hyrod ober” Foor mare ap, he boy ands paris Ioved ro hese one by exam gereatons, and he parents ze word athe sass a Pe move nigh conbutrgo Ms symgtoms. Hep aed weght nave een tackng ppropraly Frys etamnaion shows a pale Wed bay wth pate Sol ns adamen tn abdomaaltendomess. ich af the folowing isthe most appro aortic et rhs patent? A. Anorectal manoneny[] Jo) Slo eas veto ‘Serum eocroies 2] ‘Serum tying heen ‘Serum sue taegutaninase Eloation Pt erry mlat ES ae 0) Complications of lead poisoning in children + Loss ef miestonesteogiivo impairment Neurologic | + Behavioral protiems + Encophalopany + Constipation Gastrointestinal | + bornal pain + Decreased viamnen D motabotsm Renat | « tntorsinal nopiais Hematologic | + Anemia ‘Ths panos canstpaton,aoracalpan etaby and par Suggest anemia) ae mos yd ead plsoning, Poly eats ested inte dimaaton clea, ataxic mean gasoline 1085) and port (1077). Curet lead agosure cous tvaugh crac wh dealin homes ult before #875; hie tha ost hy cause oe patents condi gen he onset symptoms ater moving ‘Leatbnds to sumyarylgroups on tens paces calcu fn calaun dependent cedar incon analy as eraynes 1 eme sytess. Symaam ct as pasening are newrceg (eogetveimpalment ii) gastontesina(enstipaon, abdominal pal) nal liners nephnit) an henson (anemia) ‘eskactrs nce hag 2 sng wh pr ele ea eves an ug lst homes wh acentenovabancerstucon. cause neerse rewesevdogrietl eis occu dung expsue ow eed evs Sica sreconmended you hn al hgh vk Pt eck teetomang 88st ena homes butt before #678 2c he most cause of pater conden gen he ase syngas at mag Lead bt sutyaeylaroipe on tans epaes calc calcon-deenden cedar inchs srecy his erase me syrtess. Symtoms fleas posing are newceieggiveimgsment stil), gstoesinal(enstipaon, abdominal an esl [inertia ephts)and hemi (anemia) ‘karts ace hav 2 ssng wih rr eles ea ves an ig melt homes wrth raentrenorabonicenstucon. Bocause ineerste reveeveoprentl fics cei dra cep flo lad levl sree recommender your cident Hoh {hole A) irschsprang tsasetypcalypresanisin he ner prod wth ileus vonong an fluro to pass meconium. Areca Iranomer messes etal ressire vi fecal eater nd haus rose elation ofthe eral anal cheer The aghast ot roche soca cfd recta Boeay {Chole c) ypoaloaandhperaceme can pretart th cnstpabon Howser patent hypoklama ents muse weslnse aigthmas whereas ypercaleia is accompanies by musce weakness, conusn ander nsec {Choice B) Hypa can aise cnstpaon end rina bypass assorted th elevated TSH, However, conspation deo hypetnyrodiem usualy accomeanis by oher mgs sun as dereases grown vlc and cher sau i chron. {ono ) Tssue wansguaminase 2 serine fr cae dsease hh cay ress win dames, Wek ess and abdominal fain Some pteris peso’ wan cansipaton ried of darhea. Hower oven ths allen xpopae gow and symptom anset ere recent move, eae piscine mere kay agnosis. Edventonal objective Les pasonin can case recog gasatesial ena and pena compleators, Alou symptoms canbe vu eed pasonng oudoesisscaa these eons ange ne renga tomas re 1978. Diagnose rae y meosrng te patents ne las bee. Pta» 2 at -A.yar-ld man wth ng standing hypeesin comes tthe emergency deparnen wih severe stores of eth. Hes nt been cemmplan win cupsert flan ore pescbes megane. sod grestrs on ara 280%44 mm ance i min aed regi Chest earatio shows base acts Thee arena heatmumurs. Hisseun cesrine levels mg. Inverois ‘arco a oni nogsde sin af io along wth ronruasive ohe poser verison, andhe expen Improvemertin ni syptons. The ae amiga! sears conse and eharg The iopssie zon ae una be Nhat ‘man ecamurended. Amadeo at cs as acona of whe ete lowing ements wou mos ely lp reverse Mis pater condo? OA Fstonen 8 Presto Pt rey) mla» 2 at -A.yar-ld man wth ng standing hypeesin comes tthe emergency deparnen wih severe stores of eth. Hes nt been cemmplan win cupsert flan ore pescbes megane. sod grestrs on ara 280%44 mm ance i min aed reper Ches erin sous tesla costes Thee are naheetmimurs Hassoun ces ies mg, Inaverois ‘arco a oni nogsde sin af io along wth ronruasive ohe poser verison, andhe expen Improvemertin ni syptons. The ae amiga! sears conse and eharg The iopssie zon ae una be Nhat ‘man ecamurended. Amadeo at cs as acona of whe ete lowing ements wou mos ely lp reverse Mis pater condo? A Hysogen 6% 8. PhosphoustID¥ © Peas 10%] Sau) OE Sue, stanton Pt ery ml2 a a pene Prat pes Management approaches to cyanide toxicity ‘Treatment strategy Mechanism of action Promotes maitomogiobin tomato, Sodiumnitite | which comtnos wit eyanise to form yermethemodiobn Sones as sutu donor o promote hepate hodanase mediated corwersion of eyanide to thooyanat, whichis fered inthe urine Sodium thiuifate Cobalt moiety binds to rivocear Hydroxocobalamin | cyanide ions & forms eyancobalamin, then exerted ne ine ‘Ths panets nica presereaton ay du eyanie toy tam mopeds inksion icp a pretest wih ek onsets mechanic hal conmeal used fr apa boot presse corel n patents wih hypenensveemeigenc, is metantzean ‘body release ne ode and yande ne (yang 2 ptt scr tox hat bn Fi ytachome eealdaee, aang he eon Yarspon chan and aing ere respratn nthe cell Cyande oun resets wih are mena sas, sexes, cardovascuat clas, ute aeidost, 2d righ red venous blood (son cn venus ea ed en Pta ee ‘This pasents crcl precereaton key du yanide tol fom tropuside infin. Nicos a parent vaso with _quck onsets! mectancs tts caret see apd bod pessue canal palens wih hyperensve emagensy. is mansion ‘ebay ta ease ne ade anc yeni ns Cra is apo mtchoniltoxn hat bins Fin etehrome conse, nhbting he lecton anspor chan and alin erotic ‘cepa ne co Cyanide ode presents wih ated mena si sees, caovstlr clare, lsc aeidsi, and bright red venous Mood (sean cn venous Hood gas a uscapy) RAuopussdeindued cyan nays most Mayo ean paents feceNng Niger deseseonged isons or those wh endl intoency Cyanide neraly escent ate by thocanete an nye thal Kanal slr otc ance to fm boca hich = kes onc and erated n eure. Cynic averose depees ne 2valube su danas, alowng ane accumu nose ae ‘od howe wor 2 an ariel by providing aditonal sua gous for hodanese enhancing cyandedetoufcaen. Its used a ‘enjncion th hydrexeobalanin and roam nti fe manager of jan ney {choices AB, and.) Hycopen phasors and plasm have signer ole te deo econ fr yar pong {hole 0) Atheugh sadum thesia comtans sium he sdurconporenthas nel he detain reson n care poison. Educational cbeetive Cyan ocr con occur paterts rated wah rps. Cyanide tity presrts wth ted mental situs, cozures,carovascuat colo, te soos, nd bighred vena od. Aca eae of cence oxy ante acheved by 2cieen seeps dec tengo cyandeson hystsocoblan.nducon iethemagltnemis (sur nt) aan of dloyng tur donors eostre sont) Pta» 2 San ‘A thyearal itis travgtt ote emergency depart folowing a suicieatgt. She suslowed several her genders thephling ‘abet ater an rense argument wth ar paren fw hur go. The poet repos nausea and headache. Shehas ro cher por mesial rote anaes no mecatns. Her lepeatuels 27 G (8.6), bod pressures 114/76 mmHg, pulses in, and respratens ‘mn. Ths patent soul be exetly moned for which re elwna? OA Hematemess and maine ) 8 Hyponyeana and conpate nea oe © stance neat ver ensymes 0. Sedan araresptatoseeresson OE Seauesandtacharmytiias ery ml ant ay Pta» 2 at ‘A thyearal itis travgtt ote emergency depart folowing a suicieatgt. She suslowed several her genders thephling ‘abet ater an rense argument wth ar paren fw hur go. The poet repos nausea and headache. Shehas ro cher por mesial rote anaes no mecatns. Her lepeatuels 27 G (8.6), bod pressures 114/76 mmHg, pulses in, and respratens ‘mn. Ths patent soul be exetly moneda which he olowna? |. Hamaemene and men 5 8. ypeayconia and complet ean bck] © nde an leat ver ese [10%] _ Seaton ad respratoy depression 18%) € ‘Sete atari 15%) ton nowt moderate doses, metyartines cause mil ceria arousal and sonia ch What. Ace nealing cat resus naea'enirg, bomnal pa, dathea, cach arythmas, and sezues. Selgures arth mao! cause of mrbdy and metal ‘heophyline intoxication. Tchyarnythmias a tocar jer conam but usualy dot ause GT pelngeen, Pt Peter ensirrrery mlE a a lant now moaerataoees,menyarnines ese mis ceria area ans inser, ch catia heopyline weton reis n raseaving, borial pan, dea, caccarhthmas ant seizes. Segures ae the mae cause of erbtyandmealty in ‘eophyineincoxiestion. Tachyarhythmas ete cher jr concen but usualy donot cause GT plain Trementtepnyinenideston nutes nronrton ot acta charcalorsce getontaetal absorption ta lcs tee tugs cf choc or eopylinensced cad tchvanhytmas. Thespylne-nducod cease aiuto Wet, ut bnzcizennes ad tartrate are the most efeive ants {hele A) on poscrng can cause hamatnedis and lena as rniedrecty onc gat mucosal cll (Choice 8) cays typtesen, ana mpepyeama ae Seen beta Hacer oety Glucagon the Spica neasas lnmacellr oc adenosine moncphosate and carta: contac, {hole €) Acetaminoghencouseslver damage olong alert pod, Accicytine a gthione doer suse te wetaetarineshen ‘oxen, (CholeeD) Severs sociation, respratany depression ant consid pire eats of paid onczton. Treinen nts goer supporve cre ad aniston of ped atagonits suchas nacrone Educatonalcbectve Sete ar the mao cause of mot and moti om tecrhylineincxcapon, Tachyrythnas arth ter mao conc, Pt es )a» 2 at ‘A-yaraldweman cameo the emergency deparnent eto cody emesis. She ad 2 episodes of artng bh ed led andes bgrtoadea and ozzy. Te pater was recent agreed wih ates eset afr bing oeptazed mute best myriad of symptoms rs undergong several nase pocetiesPhyscal examina shows seme ecchymenes. The abo sf an omen. Rea ‘pannabon shows maroon cles, guar postive sll. Aer much queioring, she amis aha ingested toon several dysan0 Imedate eat’ of ns patent shoud neue when othe ehoung? OA ceneceiae 8. esmenressin Oe Fresh cen siasna DP rancision DE Protamine suite Pt rey mla» 2 at ‘A-yaraldweman cameo the emergency deparnent eto cody emesis. She ad 2 episodes of artng bh ed led andes bgrtoadea and ozzy. Te pater was recent agreed wih ates eset afr bing oeptazed mute best myriad of symptoms rs undergong several nase pocetiesPhyscal examina shows seme ecchymenes. The abo sf an omen. Rea ‘pannabon shows maroon cles, guar postive sll. Aer much queioring, she amis aha ingested toon several dysan0 Imedate eat of Ns patent shou neue when othe hou? A. Orne 8. Desmepressn [2% v6 Fresh ocen plas fh Piet wants) Protamine sutate 1235] Warfarin overdose Heparin overdose Pta ‘Wartarin overdose Heparin overdos vitamin K | Etfective Gakes days) Inefective Effective contains al ood | netfectve (contains antthrombin It FFP | “cpotingractors& proteins) |" —e enhances heparin atect) Protamine nates fictive (heparinspectc antidote) Pence aa ios avin redeneies conta boda (sipawara)along.aciny A.yatonenumare denveive By ngéstng odes, pater dese er Warn K-degencere ce act, ety causing an acted conguonsy erro waren xy) ated ecig (gsstintesina mortage wh Pematemesis nd quaie-pstve sc, ectymoses). The artcongdart ect geerly seen Berar 43 hous folowing noesien, wich epresantstho tre equredfar epion of he canton fac. ‘Toweatife meatenng besang ne seg of coumarin er waratn oxy fap epesnent fein 2 MI, and X's erly ‘pemed woush isavenous adrinsiaton fash ote plasma FFP), which conan al cooguaten aca and cher pois reso a ‘heoraral ntfleos_ Atel viarn Khe abo be gven. Varin Kone canbe usedin pants win bea coaglsion sen _rorged proven or paral erbplasines) but a Being {choice A) Cyepreintt (neciae obtaned fom FFP by cefugstonthaving conta factor Vl fcr Xl won ilar facta, and ‘terogen, Tart, would et bo scat bone arin K dependent oting fcr Xan) requre reponse Pta Pease me ot valle rodencides cola baifacaum (supa, lorgacing yéraqcaumarn denne Sy ngestng ode hs ter dpe ar arin Kdepencere cng crs erty casing an ace coepuopaty eat wartarin cy a edo eng (gestinesinsl enorme wih remstemess anc guaic-psive soc ecaymoses). Te arcoagdat eft i general seen roca 4 hours folonng noes, which epreanthe tre requedo eplebn of ie ecapaton ac. ‘To eatfe:meatanngneeang nme seg of counarn er waratn oxy 94 peste fein acs MH, and x erway peed yeu avereusaanniaton of es rten plasma (FF), hich conan a cog tas ander eens present ‘heorgral nt bleos_Adsteal viarnKcheul aso be gven. Vtamn Kalone cant usedin pants win abrenral coagulant ep, oraed roto al trombopasin mes bur leeng {creie A) Gycprecptate (precpae otaned ton FFF by cenufugatonthawrg) coaster Vil factor Xl veo Yebana fac, and ‘terogen. Tettore,twould ot oo seneartsnstt nen warn K dependent eting Faas Vl Xana) requre eplansher. {choie 8) Dssnnressn tens plasma lel of son Wband fora acre ranagenat lop And ven {hole ) Rat piso or rartn does et afc plat cout {Chole E) Preanin statis used oct hepa verde. Inds to heat, fomng a compoxthat has no snicagulant att Eaueaonal eject: ost avaiabe aden conta befacoun, a eg-acrg thydowcounadn erkatve. A pater whe has agested aqua otroertde ‘atic cauzecomgdopaty and arora Bsng nar warn dc) eqares recat estat whee ozen lena 0 seston warn PtE 2» 7) ce -ASt-yaraldweman srouptto the enerpancy department by artulane deta nausea, an episode of woritng and daziness. Her hyn aes wh her ad ay tat he fund reriyig onthe bad nxt oan empty bot aspn abs, When ska aout the poral ingestn, ‘epee ans oslo a bune of aspenpls ile mae tan 2 ters apa enna work esesay Ste sa has" nena tz send tat wert scp.” Temperature 3836 (101 Fan pce 1zhin. She appears agtated ad confed. ich of teflon set abr ents el et ty be ound pater? eH Paco Plasma HCO: 10 senmrg somes 78 zomg saneat ra onmry zaneat ra sonny sama. 70 25am Pana Pt ee eereerry mla» 2 cen Prat pes -ASt-yaraldweman srouptto the enerpancy department by artulane deta nausea, an episode of woritng and daziness. Her hyn aes wh her ad ay tat he fund reriyig onthe bad nxt oan empty bot aspn abs, When ska aout the poral ingestn, ‘epee ans oslo a bune of aspenpls ile mae tan 2 ters apa enna work esesay Ste sa has" nena tz send tat wert scp.” Temperature 3836 (101 Fan pce 1zhin. She appears agtated ad confed. ich of teflon set abr ents el et ty be ound pater? eH Paco Plasma HCO: a 10 semmrg somes pe vou 138 zomg sameat (28) ce ra omy zoneat a . 8 sommrg sameat (25) = 160 2semry pameat Pt ee eres nla Acute stele nonteation pal presen’ ah nauseaNontng conten, dizziness, tru (63 zz Sunt fever, ans ‘hype nn vera hors teringesion Taira acc has nares are characte 4. Respiratory attests occu fs as Sateyites act stmute he mesa espace, esutng a sessed vlan an lease CO;mn eeapeed at 2 Arion gap maabo aeons begin velop about 12hoi ner a gh concern of nies iene pai uneunle ‘dan phosporatn,andinhit hectic cd ee. Ths esus the accumiaton franc 2odsin tbe bot eg Keto, lee, pute) cn nd team, heey ines he cated ncn gap ‘cause ths patents rsering >12 hours ater eat ingosn, is Hal thet the ini prvary respi akalis as progessodto mize repirsonallaosimstabolieciosis Te avn boos g/ABG) n sles ory fen hous aH nto ange a= ‘he? pay ai bacedsutance sheen eproste recon. In aie, te ABG wl shew alow PAGO, he toes aka anc comperston fa meat ances endow HOD} (eta metabote aos). The PaCd, wie ove tan peed spray empansation nts case expected PaO, = [15 12] +8 £2 =2622= 24-28 wm Hg) ve ote concaret pay spray aka {hole A) Thee ates ereserta pinay metabo actos uth apcreprate rcpt compensation (eg, expected PaCO:= [15°16] 8 #225242 = 5034 mm Hg) Compenssiny respec dolce the pH empl {enol ¢) These ates ae ricare of areal ABS {role D) These vates erent pray melaateakaoss win resptaty compensation, flhughpatets wih separ omg may ‘develop amid contaton otal skal te labo accosted 1 salts woveaton would redo, (hoi ) These value reprecer pry espatary aka hich an be sean cay alte inca thy wou be aly 12 hears ara masse ngeston Educatonal objective Jepin rtxicatan zadd be mzpecie i art th he i of fe nu ac tachygnes_ ul wth apn oct sy een = Pta Because the patents pecarng 12 hous ater slate ingen ti sy ht ial pray repeal kali proresado mise respirator alkaossimeaboic clasts. Testa boos 935 ABG)n aleve tno fen stows acH in thera are as the 2 pray aioe dstutances ait he pin cpp recone. nator, te AEG wl shew slou PACD, hea respriry akan ee cmpersaton far melt ce) ard ow HOD (eto metabole actos). The PaCOe wie lone han peed respraay cempensation (nts ce expected PaCO, = [15 12] +8 £2=2622=24-28 mm Hy) ave oe concaret pana spay aka {hcie A) These vans eres pay metas aodoss uth perp reepilory compensation (og, expeiedPaCO, =[15*16]+ 8 4253242 2034nmHg),Compensigy responses do not coe he pH comply (Gholeec) These vais ae ndeave ofa norma ABS. {oroie D) These vates epresent a pray melaaleakaass win repay compensation, Auch patents wth separ vomng may ‘evlop amit conracton metal aka the metabolic acs det sate rtovcsbon woul predominate, {croie ) These values reqreser a pamary espa aka hich at be Sean ea alee ean thay wou Neue >12 hears ater amass ngeston Educational objective: ‘Aapin toesin shad be suspected 2p Wh he a ove ts ae acypnea Ras we spa ose any cove 2 mary tephaoy aka flowed ty a iearespratay akalces and anon gap manok aco ene PACO, ena HOO ae ede ‘henermalarg, anormal pH sages amined acosslaaloss sod, 2s compensa esposes dort crcl tho pH compte References Pta erate esTe) @ cen ats ter Se eet es aa Primary order ‘Roope compensation Tetaboic acess _[PaO0,= 15 garam HOO) +622 Tata stasis |} Pa0zby Tra or ery 1 EA een SoU HOO ‘ewteresstay [Act Seu HOO br 1 FEAL fr ere 10 praise hPaODs laraon Acute sleylateinesieaion 2oeoss [Chr tSeum HOOsty 3-4 mEgL fr every 10 em Ha ise PaCO> [aie | SeunHCOsby2 EGU erevey 1D mmr deweacein PP Acwterespraoy |Pacos ‘ataoss [ironic | Serum HOO, y SmEgl for every 10 nm Hy deveasein Pac, a0 fess 4 2 te ‘he 2 pia aie base ditt ane cmperstn fa meats compensation nts case {hole A) These ates a2=a242= 24mg) {role ¢) Thesovatos ae {crete B) These vates erent a pray metaateakaoss win repay compensation. Ahughpatets wih separ omtng may ‘develop amid contacton natal shale the labo acs dv 1 salts woveaon vould redo, errs ml GZ Pt