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Ms. Black is an older adult with diabetes who has been too ill to get out of bed for the past two days. She has a severe cough and has been unable to eat or
drink during this time. On arrival to the urgent care, her lab values were as follows:
Na 156 meq/L
K 4 meq/L
Cl 115 meq/L
pH 7.30
PCO2 40
PO2 70
HCO3 20
What type of water and solute imbalance does Ms. Black have?
What symptoms would you expect to find?
What would be the treatment?
What does her arterial blood gas (ABG) value mean?
Does she have a normal or an abnormal anion gap? Show your work.
