This question is about a case study. If you could please answer the follow up qu

Question

This question is about a case study. If you could please answer the follow up questions according to this study.

Case Study English literature. Jim became ill and was experiencing bouts of vomiting for almost 3 straight days. During the three days o unable to hold down food, water, even ice cubes and was extremely thirsty. Toward the end of the third im went to the campus clinic and could barely walk and talk due to extreme weakness. Jim's blond pressure was 90/60 mmig, he had decreased skin turgor and his mucous membranes were di Blood tests were conducted and the results were: Arterial Blood pH-7.56 (normal, 7.4) HC07-38 mEq/L (normal, 24 mEq/L) Pcoz-45 mmHg (normal, 40 mmHg) Venous Blood Na-137 mEq/L (normal, 145 mEq/L) Cl -82 mEq/L (normal, 105 mEq/L) K-2.8 mEq/L (normal, 4.5 mEq/L) Jim was admitted to the school infirmary and was given IV fluids and potassium and after an overnight stay was released the next morning when his fluid and electrolyte levels returned back to normal. Follow-up Questions 1. Which acid/base disorder was lim experiencing, metabolic acidosis, metabolic alkalosis, respiratory acidosis, or respiratory alkalosis? Explain your answer. 2. In a situation like this, would Jim's breathing rate increase or decrease, explain why? 3. Jim was losing an even amount of water and electrolytes, use this to explain the renin- angiotensin/aldosterone mechanism and how it would have contributed to his loss of potassium. Explain why it was important that Jim received fluids intravenously, also why was he given IV potassium? 5. Explain how the skin turgor test shows how dehydrated a person is and explain why his mucous membranes were dry

Explanation / Answer

He is suffering from metabolic alkalosis because continous vomiting generates metabolic alkalosis. Breathing rate will decrease because through which blood retains carbon-dioxide, thereby decreasing the content of base in the blood. Renin–angiotensin system is the principal hormonal system that controls blood pressure and fluid balance. Hence, when in metabolic alkalosis, potassium level goes down, it helps in retaining that balance in the body. It is required to give drug intravenously, because it inject the drug directly into bloodstream. Skin turgor test is used to find the elasticity of the skin. Less value of skin turgor means skin takes more time to return to its usual position when pinching is done. If the skin is having low water or get dehydrated , it means poor skin turgor.

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