Mixed acid-base disorders

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

A 55-year-old man presents with a 3-day history of severe nausea and vomiting following an alcohol binge. He says that he has not been able to take anything by mouth for the past 3 days, and he complains about diffuse abdominal pain. On admission his blood pressure is 129/77 mmHg with a heart rate of 77 bpm supine and 105/62 mmHg with a heart rate of 92 bpm standing up. He is a febrile. He looks emaciated, has poor skin turgor, and dry mucous membranes. His bowel sounds appear diminished, and an abdominal X-ray shows small bowel ileus. On admission to the emergency room the laboratory data shown in Table 16.1 are obtained. What, if any, acid-base disturbance is present?

Original languageEnglish (US)
Title of host publicationClinical Decisions in Nephrology, Hypertension and Kidney Transplantation
PublisherSpringer New York
Pages157-162
Number of pages6
ISBN (Print)9781461444541, 1461444535, 9781461444534
DOIs
StatePublished - Nov 1 2013

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ASJC Scopus subject areas

  • Medicine(all)

Cite this

Lenz, O. (2013). Mixed acid-base disorders. In Clinical Decisions in Nephrology, Hypertension and Kidney Transplantation (pp. 157-162). Springer New York. https://doi.org/10.1007/978-1-4614-4454-1_16