Which combination of pH, PCO2, and bicarbonate reflects partially compensated respiratory acidosis?

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In cases of respiratory acidosis, the primary problem is an increase in carbon dioxide (PCO2) due to inadequate ventilation, which leads to a decrease in pH (acidosis). The body attempts to compensate for this condition through metabolic processes, particularly by increasing bicarbonate levels.

Partially compensated respiratory acidosis is characterized by a low pH due to elevated CO2 levels, but with the kidneys starting to retain bicarbonate to buffer the excess acid, resulting in an increased bicarbonate concentration. Therefore, in this specific scenario:

  • The pH is decreased because of the acidosis.

  • The PCO2 is increased due to the respiratory component.

  • The bicarbonate level is increased as part of the compensatory metabolic response.

This alignment of increased PCO2 and bicarbonate levels, along with a decreased pH, indicates that the body is responding to the respiratory acidosis but has not fully compensated, hence the term "partially compensated."

The answer reflects the typical blood gas values for someone in this condition, providing insight into how the body's acid-base balance is being affected by respiratory issues and the compensatory responses that come into play.

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