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Mrs. A is a 46-year-old female that presents to the ER with complaints of vomiting and diarrhea for 4 days. She has been unable to eat anything during that time. Her usual weight is 130 lbs. On admission, her weight is 121 lbs. She reports abdominal cramping, pins and needle sensations in her fingers and toes, muscle weakness, fatigue, and confusion. Assessment shows she has dry, cracked lips and poor skin turgor. Her blood pressure is 100/ 70 mm Hg, pulse 102 bpm, and respiratory rate 20. Her hematocrit level is 0.75 L/L.  

 

With Laboratory Data: below what ? 
What acid-base imbalance would you anticipate and why?

ABG’s 
PH 7.46 PCO2 27 mmHg 
PO2 90 mmHg  bicarbonate 14 mmol/L 
   
Sodium 130 mEq/L Potassium 3.3 mEq/L
BUN 30   
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