CMSA Intermediate Surgery Practice Questions - FCS(SA) Intermediate Examination In Surgery Exam

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Arterial blood gas analysis of a 30-year-old polytrauma patient in hemorrhagic shock reveals: pH 7.22, PaCO2 30 mmHg, PaO2 92 mmHg, HCO3- 12 mmol/L, Base Excess -14 mmol/L, Na+ 138 mmol/L, Cl- 102 mmol/L. What is the primary acid-base disorder and calculated anion gap?
Correct Answer:
High anion gap metabolic acidosis; Anion gap = 24 mmol/L

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