A 77-year-old woman has been brought to the emergency department by her daughter because of a sudden and unprecedented onset of confusion

The client admits to ingesting large amounts of baking soda this morning to treat some "indigestion." How will the woman's body attempt to resolve this disruption in acid–base balance?
A) Increase the depth of inspiration
B) Increasing renal H+ excretion
C) Increased renal HCO3– reabsorption
D) Hypoventilation


Ans: D
Feedback:
When neurologic manifestations occur with metabolic alkalosis, they include mental confusion, hyperactive reflexes, tetany, and carpopedal spasm. Respiratory compensation will take place in an effort to counteract the client's metabolic alkalosis. This will involve hypoventilation. In addition, her kidneys are likely to decrease H+ excretion and HCO3– reabsorption.

Health & Biomechanics

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