A 41 year old women with history of angle-closure glaucoma begins treatment with a first line oral drug for this ocndition. Three weeks later she returns to doctor for follow up exam. Lab studies show an arterial pH of 7.34, arterial PCO2 of 29 mmhg and plasma HCO3 of 15. 1. What drug was she treated with? 2. What is its MOA? 3. What acid-base disorder is occuring in this patient?

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How do you remember renal physiology?
Use the mnemonic, A WET BED: A) maintenance of ACID-base balance; W) maintenance of WATER balance; E) balance of ELECTROLYTES; T) removal of TOXINS; B) control of BLOOD pressure; E) production of ERYTHROPOIETIN; and D) metabolism of vitamin D.


1. A 41 year old women with history of angle-closure glaucoma begins treatment with a first line oral drug for this ocndition. Three weeks later she returns to doctor for follow up exam. Lab studies show an arterial pH of 7.34, arterial PCO2 of 29 mmhg and plasma HCO3 of 15. 1. What drug was she treated with? 2. What is its MOA? 3. What acid-base disorder is occuring in this patient?