Mr. Daniels, a 73-year-old male with a history of hypertension and mild chronic kidney disease, arrives in the Emergency Department after a 3-day episode of vomiting and diarrhea from presumed gastroenteritis. In the last 24 hours, he has barely eaten or drunk anything and feels extremely weak and dizzy when standing. Initial Assessment: Vital signs: T 36.2°C, HR 114, BP 86/54 (lying), 68/48 (sitting), RR 24, SpO₂ 97% (RA) Physical exam: Poor skin turgor, dry oral mucosa, cool extremities, decreased capillary refill Neuro: Alert but fatigued, periodic confusion Urine Output: 150 mL over the last 12 hours Labs: Na+ = 150 mmol/L (135-145) K+ = 3.0 mmol/L (3.5-5.0) Cl- = 112 mmol/L (98-106) HCO₃⁻ = 17 mmol/L (22-28) BUN = 42 mg/dL (7-20) Creatinine = 2.0 mg/dL (baseline 1.3 two months ago) Glucose = 98 mg/dL ABG: pH 7.30, PaCO₂ 32 mmHg, HCO₃⁻ 17 mmol/L, PaO₂ 96 mmHg Current Orders: Two large-bore IV lines placed Isotonic saline at 150 mL/hr Continuous cardiac monitoring Strict intake and output STAT repeat labs and telemetry updates ordered Based on labs and ABG, which metabolic acid-base disorder does Mr. Daniels have?
Blog
The Psalms are considered books of worship
The Psalms are considered books of worship
The first “sermon” in Ecclesiastes (chapters 1-2) focuses on
The first “sermon” in Ecclesiastes (chapters 1-2) focuses on
What Jewish person is credited with leading the effort to re…
What Jewish person is credited with leading the effort to rebuild the wall around Jerusalem during the reign of Artaxerxes?
In what chapter of Ezra was the completion of the temple?
In what chapter of Ezra was the completion of the temple?
Genesis is considered part of the Pentateuch
Genesis is considered part of the Pentateuch
The first major collection of laws is known as:
The first major collection of laws is known as:
Known as the birthplace of Abraham, this was one of the earl…
Known as the birthplace of Abraham, this was one of the earliest cities established.5
In what year was the war with Greece as well as the Esther s…
In what year was the war with Greece as well as the Esther story?
After what king was the kingdom divided?
After what king was the kingdom divided?