A child with croup has an increased PCO2, a decreased pH, and a normal HCO3 blood gas value. Which does the nurse report to the healthcare provider based on these data?

1. Uncompensated metabolic alkalosis
2. Uncompensated metabolic acidosis
3. Uncompensated respiratory acidosis
4. Uncompensated respiratory alkalosis


3
Explanation:
1. Uncompensated metabolic alkalosis has an increased pH, normal PCO2, and increased HCO3.
2. Uncompensated metabolic acidosis has a decreased pH, normal PCO2, and normal HCO3.
3. If the pH is decreased and the PCO2 is increased with a normal HCO3, it is uncompensated respiratory acidosis. Also, croup can be a disease process that causes respiratory acidosis.
4. Uncompensated respiratory alkalosis has an increased pH, decreased PCO2, and normal HCO3.

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