Or, if you can never remember MUDPILES:
+ he is way in renal failure: metabolic acidosis.
+ respiration 24/min: resp compensation, low CO2
+ HCO3 is low (^^renal failure)
Uremia: part of MUDPILE
hence you develop metabolic acidosis --> LOW bicarb with DEC. pH and you develop respiratory alkalosis in response
Uremia = Metabolic acidosis = Bicarb is low.
High respiration = Low Co2; for respiratory compensation.
did anybody else second guess the heck out this answer just because he's got a pH of 7.2 and he's hanging out in an outpatient clinic? I haven't done my clinicals yet but it seems like this guy would be struggling..