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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
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What additional blood work would you like to complete at this point? Is there any additional information that should be collected from the patient? Evaluate the current therapy and make recommendations concerning any needed changes
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