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Original Question

Case 3 A 24-year-old male came to the emergency department. His chief complaints were nausea and diarrhea. He indicated that these symptoms had persisted for the past 3 weeks. When questioned, he stated that he had recently returned from a vacation in Costa Rica. The following laboratory results were obtained upon admission: Sodium 133 mmol/L Potassium 3.1 mmol/L Chloride 108 mmol/L HCO3 18 mmol/L pH 7.36 pCO2 33 mmHg 1. Based on this patient’s results, is there an acid/base disorder? 2. If there is an acid/base disorder: Would you interpret it as acidosis or alkalosis? Would you classify it as metabolic or respiratory? c. Which “state” does it best fit in (uncompensated, partially compensated, or fully compensated)?

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