Reference no: EM131855217

Ms. Brown is an elderly woman with diabetes who was too ill to get out of bed for 2 days. She has had a severe cough and has been unable to eat or drink during this time. On admission her laboratory values show

Patient ValuesElectrolytesMeasurementsSodium (Na+)156 mEq/LPotassium (K+)4.0 mEq/LChloride (Cl-)115 mEq/LArterial blood gases (ABGs):pH - 7.30

PCO2 - 40 mm Hg

PO2 - 70 mm Hg

HCO3 - 20 mEq/L

Normal ValuesElectrolytesMeasurementsSodium (Na+)136-146 mEq/LPotassium (K+)3.5-5.1 mEq/LChloride (Cl-)98-106 mEq/LArterial blood gases (ABGs):pH - 7.35-7.45

PCO2 - 35-45 mm Hg

PO2 - 80-100 mm Hg

HCO3 - 22-28 mEq/L

1. What type of water and solute imbalance is Ms. Brown experiencing?
2. What symptoms would you expect to find?
3. What would be the treatment?
4. What do her ABGs mean?
5. Does she have a normal or an abnormal anion gap - explain