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I always have problems interpreting the acid-base disorders. I have a case
below from a text book. Can somebody please discuss how to solve the
problems?
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Case 1: A 50-year-old 70kg alcoholic man presents with 4 days of nausea,
vomiting,and mild abdominal pain following a week-long drinking binge. He is unable to take anything by mouth. His mucous membranes are dry, and his vital signs reveal an orthostatic blood pressure drop with a rise in pulse. The following laboratory data are obtained:
Na: 134 mEq/L
K : 3.1mEq/L
HCO3:20mEq/L
CL:80mEq/L
glucose:86 mg/dL
BUN:52 mg/dL
Cr: 1.4 mg/dL
serum ketones:high positive reading.
ABG:
pH: 7.32
Pco2 : 40mmHg
HCO3: 20mEq/L
Urine sodium: 7mEq/L(low)
Urine Ketones: high reading.
What is the diagnosis?
below from a text book. Can somebody please discuss how to solve the
problems?
-----------------------------------------------------------------------
Case 1: A 50-year-old 70kg alcoholic man presents with 4 days of nausea,
vomiting,and mild abdominal pain following a week-long drinking binge. He is unable to take anything by mouth. His mucous membranes are dry, and his vital signs reveal an orthostatic blood pressure drop with a rise in pulse. The following laboratory data are obtained:
Na: 134 mEq/L
K : 3.1mEq/L
HCO3:20mEq/L
CL:80mEq/L
glucose:86 mg/dL
BUN:52 mg/dL
Cr: 1.4 mg/dL
serum ketones:high positive reading.
ABG:
pH: 7.32
Pco2 : 40mmHg
HCO3: 20mEq/L
Urine sodium: 7mEq/L(low)
Urine Ketones: high reading.
What is the diagnosis?