| Author | 6 Posts |
dr_jojo
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35-year-old man is brought to the emergency department because of intractable nausea and vomiting of nonbilious fluid over the past 48 hours. He has a history of duodenal ulcer disease treated with H2-receptor blocking agents. His temperature is 37 C (98.6 F), blood pressure is 90/60 mm Hg, pulse is 130/min, and respirations are 10/min. Examination shows mild epigastric tenderness. Which of the following are the most likely serum electrolyte findings?
Na+ Cl– K+ HCO3–
(mEq/L) (mEq/L) (mEq/L) (mEq/L)
A
)
115 80 4.0 25
B
)
140 80 2.5 40
C
)
145 100 5.0 15
D
)
150 105 2.5 25
E
)
160 135 5.0 25
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| robin082006
Forum Hero
Topics: 471
Posts: 5,123
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B
)
140 80 2.5 40
hypokalemic hypochloremic metabolic acidosis: increased HCO3, decreased K, decreased Cl, variable Na (normal or hypo)
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| dr_jojo
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U mean alkalosis
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| NE
Forum Guru
Topics: 53
Posts: 504
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vomiting---lose H+ ----metabolic alkalosis --- swich H+/K+ at the level of cell ----- hypokaliemia.
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| dr in trouble
Forum Guru
Topics: 62
Posts: 601
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Yes its B Hyperchloremic hypokalmic metabolic alkalosis due to vomiting.
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| nadiabarati
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But B doesn't show HYPERchloremic!!
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