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Arterial blood collected in a heparinized syringe but exposed to room air would cause which of the following changes in the specimen?

a. PO₂, PCO₂, pH: Elevated, Decreased, Elevated
b. PO₂, PCO₂, pH: Decreased, Elevated, Decreased
c. PO₂, PCO₂, pH: Unchanged, Elevated, Unchanged
d. PO₂, PCO₂, pH: Decreased, Decreased, Decreased

User Maryanne
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Final answer:

When arterial blood collected in a heparinized syringe is exposed to room air, it causes a decrease in pH, an increase in PCO₂, and an increase in HCO₃¯. These changes in pH and PCO₂ affect the oxygen-hemoglobin dissociation curve, reducing the affinity of hemoglobin for oxygen.

Step-by-step explanation:

When arterial blood collected in a heparinized syringe is exposed to room air, it causes a decrease in pH, an increase in PCO₂ (partial pressure of carbon dioxide), and an increase in HCO₃¯ (bicarbonate ion).

This is because when CO₂ in the blood reacts with water, it forms bicarbonate ions and hydrogen ions, resulting in a decrease in pH. The increase in CO₂ also increases the partial pressure of carbon dioxide in the blood. These changes in pH and PCO₂ affect the oxygen-hemoglobin dissociation curve, reducing the affinity of hemoglobin for oxygen.

User Sascha Kaestle
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