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1411 Pediatrics

A 13-year-old patient with sickle-cell anemia presents with respiratory distress; she has an infiltrate on chest radiograph. The laboratory workup of the patient reveals the following: hemoglobin 5 g/dL; hematocrit 16%; white blood cell count 30,000/mL; and arterial blood (room air) pH 7.1, PO2 35 mm Hg, and PaCO2 28 mm Hg. These values indicate which of the following?

AAcidemia, metabolic acidosis, respiratory alkalosis, and hypoxia
BAlkalemia, respiratory acidosis, metabolic alkalosis, and hypoxia
CAcidosis with compensatory hypoventilation
DLong-term metabolic compensation for respiratory alkalosis
Pediatrics
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