Audio Qbank – Q332 – A 13M with wheezing

A 13-year-old boy begins wheezing on the soccer field during after school practice. An albuterol inhaler does not abate his symptoms. He has a history of eczema. Paramedics are called. Vitals are: Temperature 98.6 F, RR 26, HR 80, BP 115/75. Which of the following sets of arterial findings is most likely in this patient?

↑ pH, ↑ pCO2, ↔ HCO3
↑ pH, ↑ pCO2, ↓ HCO3
↑ pH, ↓ pCO2, ↓ HCO3
↑ pH, ↓ pCO2, ↔ HCO3
↓ pH, ↑ pCO2, ↑ HCO3
↓ pH, ↑ pCO2, ↔ HCO3
↓ pH, ↓ pCO2, ↔ HCO3
↓ pH, ↓ pCO2, ↓ HCO3