Case #8. A 48-year old woman is brought to the ER after being found comatose from a suspected opioid overdose. ARTERIAL BLOOD GASES are as follows. (write high, low, or normal beside each value) pH 6.98 pCO, - 68 mm/Hg HCO, = 36 mEq/L %3D a) Determine the primary acid-base problem: respiratory acidosis respiratory alkalosis metabolic acidosis metabolic alkalosis b) What type of compensation is occurring, if any? respiratory hypoventilation respiratory hyperventilation metabolic compensation no compensation is occurring c) How could an opioid overdose cause the patient's acid-base problem? opioids depress ventilation opioids increase ventilation opioids cause kidney failure Case #9. A 62-year old woman with Type I diabetes has missed her last dialysis appointment. She complains of feeling very sick. ARTERIAL BLOOD GASES are as followS: (write high, low, or normal beside each value) pH 7.09 pCO, = 37 mm/Hg %3D HCO, = 17 mEq/L a) Determine the primary acid-base problem: respiratory acidosis respiratory alkalosis metabolic acidosis metabolic alkalosis b) What type of compensation is occurring, if any? respiratory hypoventilation respiratory hyperventilation metabolic coompensation no compensation is occurring c) What type of IV solution might be given to treat her condition? Bicarbonate IV Dilute hydrochloric acid IV