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PCCN Progressive Care Certified Nursing

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A young lady presented in OPD with a panic attack and was previously diagnosed with recurrent hyperventilation syndromes. This time she was also hyperventilating. Her ABGs showed decreased paCO2 and high pH. Bicarbonate was mildly decreased. What is the most likely diagnosis?
  1. Respiratory alkalosis
  2. Respiratory acidosis
  3. Metabolic alkalosis
  4. Metabolic acidosis
Explanation
Answer: A - The most likely diagnosis for the patient experiencing an anxiety attack and having recurring hyperventilation syndromes, is most likely respiratory alkalosis as hyperventilation leads to decreased paCO2 in the body and thus alkalosis occurs.
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