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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 ValuesElectrolytesMeasurementsSodium (Na+)156 mEq/LPotassium (K+)4.0 mEq/LChloride (Cl-)115 mEq/LArterial blood gases (ABGs):pH - 7.30
PCO2 - 40 mm Hg
PO2 - 70 mm Hg
HCO3 - 20 mEq/L
Normal ValuesElectrolytesMeasurementsSodium (Na+)136-146 mEq/LPotassium (K+)3.5-5.1 mEq/LChloride (Cl-)98-106 mEq/LArterial blood gases (ABGs):pH - 7.35-7.45
PCO2 - 35-45 mm Hg
PO2 - 80-100 mm Hg
HCO3 - 22-28 mEq/L
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