Mia, a 45 year old woman, was brought to a hospital suffering from chronic emesis for five days brought upon by food poisoning. Her blood pressure is 90/50 mmHg and her rate and depth of breathing are markedly decreased. When asked when did her rate/depth of breathing go down, she reports two days ago. Her lab results show following values: Variable Lab Results Normal Values Blood pH 7.40 7.35-7.45 Blood HCO3 20 mEq/L 22-26 mEq/L Blood PCO2 60 mm Hg 35-45 mm Hg A. What is the primary disturbance: respiratory acidosis, respiratory alkalosis, metabolic acidosis, or metabolic alkalosis? How do you know? (1 pts) B. Which regulatory mechanism of pH homeostasis is compensating for this primary disturbance and is it successful in doing so? Explain (1 pts) C. Why are changes in pH of the blood dangerous? (0.5 pts.) D. Why is her blood pressure so low? Explain TWO mechanism at the level of the kidneys which would try to compensate and stabilize the blood pressure (2.5 pts.)
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