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Ms. Blake is an older adult withdiabetesand has been too ill to get out of bed for 2 days. She has had asevere cough and has been unable to eat or drinkduring this time. She has ahistory of Type I diabetes. On admission her laboratory values show:
Sodium (Na+)
156 mEq/L
Potassium (K+)
4.0 mEq/L
Chloride (Cl-)
115 mEq/L 106 high
Arterial blood gases (ABGs)
pH- 7.30; Pco2-40;Po2-70;80-100 L
HCO3-20 (22-28) low
Normal values
136-146 mEq/L
3.5-5.1 mEq/L
98-106 mEq/L
pH- 7.35-7.45
Pco2- 35-45 mmHg
Po2-80-100 mmHg
HCO3-22-28 mEq/L
</pclass="msonormal">
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