BUFFER CASE SOLUTION:  Case: A patient was rushed to the hospital complaining for chest pains and h

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BUFFER CASE SOLUTION: 

Case:

A patient was rushed to the hospital complaining for chest pains and hyperventilation.  

Patient Profile:

 Patient is a 27-year old female and works nightshift in a bank company.

Pertinent Past Medical History:

Patient suffers chronic migraine, for which she was treated with Topamax®. No history of cardiovascular diseases.  

History of Present Illness:

 Patient went for a hiking excursion with friends starting early in the morning. Patient claimed to be properly hydrated during the hike. After an hour of hiking, patient began experiencing breathlessness. Few minutes later and she was already hyperventilating which caused her chest pains. 

Laboratory Tests Requested:

Electrocardiogram (ECG) 

Chest X-ray 

Blood Test

Lab Results: 

– No abnormality observed in ECG and chest X-ray.

 – Blood test revealed the following results: 

1. What is Topamax®? What is its method of action and side effects? 

2. Based on the results of the blood tests and prevailing symptoms, what is your diagnosis of the patient’s condition? Is the patient suffering from metabolic acidosis, metabolic alkalosis, respiratory acidosis, or respiratory alkalosis? Explain your answer. 

3. Explain which part of the bicarbonate buffer system of the patient blood was affected by the patient’s condition. From this, rationalize the prevailing symptoms.

SCIENCE
HEALTH SCIENCE
NURSING
BSN NCM101

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