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own is a 70-year-old woman with type 2 diabetes mellitus who has been too ill to...

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Medical Sciences

own is a 70-year-oldwoman with type 2 diabetes mellitus who has been too ill to get outof bed for 2 days. She has had a severe cough and has been unableto eat or drink during this time. On admission, her laboratoryvalues show the following:

Serum glucose 412mg/dl

Serum sodium(Na+) 156 mEq/l

Serum potassium(K+) 5.6 mEq/l

Serum chloride(Cl–) 115 mEq/l

Arterial blood gases(ABGs): pH 7.30; PaCO2 32 mmHg; PaO2 70 mmHg;HCO3– 20 mEq/l

  1. What type of water and solute imbalance does Ms. Brownhave?
  2. What symptoms would you expect to find?
  3. What would be the appropriate treatment?
  4. What do her ABG results indicate?
  5. Does she have an anion gap and what does this indicate?

Answer & Explanation Solved by verified expert
4.1 Ratings (856 Votes)
The patient is having hypertonic imbalance with high solute concentration in the extracellular fluids which indicates loss of water from the intracellular space the patient is suffering from hypernatremia high sodium levels hyperkalemia high potassium level    See Answer
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