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Ms. Brown is an elderly woman with diabetes who was too ill to get out of bed for 2 days. She has had a severe cough and has been unable to eat or drink during this time. On admission her laboratory values show:
Patient values:
Sodium (Na+)
156 mEq/L
Potassium (K+)
4.0 mEq/L
Chloride (Cl-)
115 mEq/L
Arterial blood gases (ABGs):
pH - 7.30; Pco2 - 40; Po2 - 70; HCO3- - 20
Normal values:
136-146 mEq/L
3.5-5.1 mEq/L
98-106 mEq/L
pH
7.35-7.45
Pco2
35-45 mm Hg
Po2
80-100 mm Hg
HCO3-
22-28 mEq/L
1. What type of water and solute imbalance does Ms. Brown have?
2. What symptoms would you expect to find?
3. What would be the treatment?
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