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 language||English (US)|
|Title of host publication||Clinical Decisions in Nephrology, Hypertension and Kidney Transplantation|
|Publisher||Springer New York|
|Number of pages||6|
|ISBN (Print)||9781461444541, 1461444535, 9781461444534|
|State||Published - Nov 1 2013|
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