(Solved): Mr. Worried is a 52-year-old widow. He is retired and living alone. He enters the ED complaining of ...
Mr. Worried is a 52-year-old widow. He is retired and living alone. He enters the ED complaining of shortness of breath and tingling in fingers. His breathing is shallow and rapid. He denies diabetes; blood sugar is normal. There are no EKG changes. He has no significant respiratory or cardiac history. He takes several antianxiety medications. He says he has had anxiety attacks before. While being worked up for chest pain, blood work is done: Blood work results are: \\[ \\begin{array}{l} \\mathrm{pH}=7.48 \\\\ \\mathrm{PaCO} 2=28 \\\\ \\mathrm{HCO}=22 \\\\ \\mathrm{PaO} 2=85 \\end{array} \\] Problem: \\( \\mathrm{pH} \\) is high, \\( \\mathrm{PaCO} 2 \\) is low a. What problem (i.e., acidosis or alkalosis; respiratory or metabolic) will be caused dy\r\nto Mr. Worried having an anxiety attack? b. Which part of the brain detects this change in \\( \\mathrm{pH} \\) ? What effect does this have on the respiratory system? c. What effect would slowing the respiratory rate have on blood pCO2? 5. Describe the mechanisms by which the kidneys influence acid-base balance.