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What is the acid-base disorder in patients with a pH of 7.30 and a PCO2 of 48?

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Final answer:

The acid-base disorder in patients with a pH of 7.30 and a PCO2 of 48 is respiratory acidosis. There is no evidence of compensation in this case. The asthma contributed to the lab results by causing respiratory acidosis.

Step-by-step explanation:

Based on the given laboratory results, the patient's pH of 7.30 and PCO2 of 48 indicate an acid-base disorder. To classify the type of disorder, we need to determine if it is metabolic or respiratory. In this case, the pH is below the normal range (7.35-7.45) and the PCO2 is higher than normal, which suggests a respiratory acidosis. The increased PCO2 indicates that there is an excess of carbonic acid/CO2 in the blood, resulting in acidosis.

There is no evidence of compensation in this case because the patient's bicarbonate (HCO3) levels are not higher than normal. Compensation would normally involve the kidneys compensating for the respiratory acidosis by excreting more acid and increasing bicarbonate levels.

The asthma likely contributed to the lab results by causing bronchoconstriction and impaired gas exchange. This leads to retention of carbon dioxide (CO2) and increased carbonic acid levels, resulting in respiratory acidosis.

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