7. The Topamax is do the acid-base disturbance and her respiratory system is attempting to compensate through hyperventilation to light H+ and bring her pH up. The H+ however is increase because the Topamax is causing the nephritic carboniferous anhydrase to redirect HCO3- out of the consistence and retain H+.
8. B: Ingestion of an acidifying drug in this case is to blame. With the introduction of Topamax to Marys system, the Topamax begins to inhibit her renal carboniferous anhydrase causing metabolic acidosis.
9. B: IV of HCO3- in isotonic solution is the best option and my recommendation. Even with the carbonic anhydrase being inhibited and causing metabolic acidosis, direct stab into the blood allows the HCO3- to bypass renal carbonic anhydrase process temporarily and combine with H+ until the Topamax tapers off and her live becomes normal.
A: respiration into a paper bag is going to increase carbonic acid gas levels and cause respiratory acidosis diminish pH further.
C: guardianship her breath is the same A above.
Causing respiratory acidosis and decreasing pH further
D: The addition of Ammonia is dangerous and in spite of being a basic solution would not do much to help Mary. The human personify will quick reject ammonia by converting it to urea and discharging it.
10. The increased breathing during a hike caused Mary to begin hyperventilation as the body tried to compensate for the decrease in pH. The inhibited carbonic anhydrase was processing out HCO3- and leaving H+ while her respiratory system was trying to increase pH by electric discharge CO2. The inhibited carbonic anhydrase was to blame by not allowing HCO3- and H+ to combine.If you want to get a full essay, order it on our website: Ordercustompaper.com
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