Muhamad Na'im B Ab Razak (jacknaim) is a fresh graduate Muslim Doctor from Universiti Sains Malaysia and waiting for the enrollment into the housemanship program. Ambitious in pursuing master program in emergency and traumatology medicine and loves to spent his free time joining humanitarian missions, writing and speaks as an amateur public speaker in motivation and comparative religion. [HOME]

Trial SEQ for Professional II Exam 4


Answer


1) Non compensated metabolic acidosis

a) pH is low

b) Bicarbonate ion is low

c) PCO2 level is normal


2) Compensatory mechanism


a) Intracellular compensation

- Potassium- hydrogen ion exchanges (H+ enters cell, K+ exits cell)


b) Respiratory mechanism

- Increase in ventilation to get rid of CO2 (Hyperventilation) after chemoreceptors sense a deranged acid-base system


c) Renal mechanism (longer course, after 3-4 days)

- Renal excretion of Hydrogen ion

- Potassium- hydrogen ion exchanges (H+ enters cell, K+ exits cell)

- Kidney tries to conserve bicarbonate ion.