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Original Question

correct answer :A middle-aged female was brought into the the local emergency department. The patient is confused, combative, and sleepy, and the patient’s breath has a fruity odor with an acetone smell. Results of the lab tests are shown. Venous blood Result Reference Range Sodium 125 mmol/L 136-145 mmol/L Potassium 3.4 mmol/L 3.4-5.0 mmol/L Chloride 90 mmol/L 98-107 mmol/L Total CO2 10 mmol/L 23-28 mmol/L Anion gap 25 mmol/L 7-16 mmol/L Glucose 602 mg/dL 70-110 mg/dL Acetone positive negative Arterial blood pH 7.30 7.35-7.45 pCO2 25 mm Hg 35-45 mm Hg HCO3- 16 mmol/L 18-23 mmol/L Base excess -2 (-2)-(+2) Tell us the acid-base diagnosis in two words. Is it compensated, partially compensated, or uncompensated? How can you tell? Explain/support your answer. (1.5 points) What is the likely cause of the acid-base imbalance based on the limited patient history provided and lab findings? Explain which lab findings suggest this cause. (1.5 points)

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