Abstract
A 55-year-old man presents with a 3-day history of severe nausea and vomiting following an alcohol binge. He says that he has not been able to take anything by mouth for the past 3 days, and he complains about diffuse abdominal pain. On admission his blood pressure is 129/77 mmHg with a heart rate of 77 bpm supine and 105/62 mmHg with a heart rate of 92 bpm standing up. He is a febrile. He looks emaciated, has poor skin turgor, and dry mucous membranes. His bowel sounds appear diminished, and an abdominal X-ray shows small bowel ileus. On admission to the emergency room the laboratory data shown in Table 16.1 are obtained. What, if any, acid–base disturbance is present?
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Lenz, O. (2013). Mixed Acid–Base Disorders. In: Lerma, E., Rosner, M. (eds) Clinical Decisions in Nephrology, Hypertension and Kidney Transplantation. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-4454-1_16
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DOI: https://doi.org/10.1007/978-1-4614-4454-1_16
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