Clinical scenario part 2

Treatment (part 2) – part 1 is uploaded above, please complete part 2 below.

You have ordered a set of arterial blood gases (ABGs), a D-dimer, an EKG, and chest imaging for Meera. Her EKG did not show evidence of cardiac ischemia or myocardial infarction, and her Chest CT revealed a large pulmonary embolism. Her D-dimer was elevated. Her ABGs are as follows:

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PaO2: 75 mmHg Normal range: 80–100 mmHg

pH: 7.5 Normal range: 7.35–7.45

pCO2: 30 mmHg Normal range: 35–45 mmHg

HCO3: 22 mmol/L Normal range 22–26 mmol/L

Thinking back to Chapter nine, does Meera’s lab work reveal an acidotic or alkalotic state?
Which buffer system(s) will work to restore her pH to a normal value? Briefly (2-3 sentences) describe how that buffer system works to restore normal pH.
Meera’s PaO2 and CO2 are low. What is the definition of low PaO2? What is the definition of low pCO2?
What type of alteration in normal physiology is driving Meera’s low PaO2? Explain the alteration in her normal physiology.
What general treatment(s) do you anticipate will be ordered for Meera? Explain briefly how those treatments will restore normal respiratory function.

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