Liša Smith (LS) is brought to the emergency department [ER] for management of accidental acute poisoning. She is nonresponsive and admitted to the critical care unit [CCU] to be closely monitored. LS has no urinary output, and her laboratory values are serum K+ = 6.7 mEq/L; serum Na+ = 177 mEq/L; arterial blood gases [ABGS]: pH = 7.13, P,CO2 = 35 mmHg, HCO,-= 16 mEq/L, P,O2 = 89 mmHg, and oxygen saturation = 94%. 1. Identify LSs current acid-base disorder. 2. What is the most likely underlying cause of the acid-base disorder LS is experiencing? 3. What electrolyte disturbances need to be monitored at this time?
Liša Smith (LS) is brought to the emergency department [ER] for management of accidental acute poisoning. She is nonresponsive and admitted to the critical care unit [CCU] to be closely monitored. LS has no urinary output, and her laboratory values are serum K+ = 6.7 mEq/L; serum Na+ = 177 mEq/L; arterial blood gases [ABGS]: pH = 7.13, P,CO2 = 35 mmHg, HCO,-= 16 mEq/L, P,O2 = 89 mmHg, and oxygen saturation = 94%. 1. Identify LSs current acid-base disorder. 2. What is the most likely underlying cause of the acid-base disorder LS is experiencing? 3. What electrolyte disturbances need to be monitored at this time?
Chapter11: Measuring Insulin Dosages
Section: Chapter Questions
Problem 2.3P
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