Conrad Jackson Year Assignment Help: How to Answer This Question

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Original Question

2. Conrad Jackson is a 28-year-old man who presents to the emergency department with severe fatigue and dehydration secondary to a 4-day history of vomiting. He describes attending a family reunion and states that perhaps he “ate something bad.” Upon admission, his vital signs are a temperature of 102.7°F, heart rate of 116 bpm, respiratory rate of 18 breaths/min, and blood pressure of 86/54 mm Hg. The nurse also notes the patient has dry mucous membranes and tenting of skin. The primary provider orders an IV to be started with 0.45% normal saline and orders a serum electrolyte and an arterial blood gas. The following results are returned from the laboratory: Sodium (Na+) 150 ABG Potassium (K+) 5.5 pH 7.32 Chloride (Cl−) 110 PaCO2 35 BUN 42 HCO3− 20 Creatinine 0.8 PaO2 90 Glucose 86 O2 Sat 98% a. What is your interpretation of this arterial blood gas sample? b. Explain the high potassium in this patient. c. Calculate the patient’s anion gap: d. What is the interpretation of this anion gap?

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