Geroo
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Na+(mEq/L) Cl–(mEq/L) K+(mEq/L) HCO3–(mEq/L) pH Specific gravity
A) 132 89 2.8 39 5.0 1.025
B) 133 110 3.9 16 6.0 1.015
C) 163 117 4.3 22 5.5 1.003
D) 165 115 4.5 19 5.0 1.030
14. An 8-week-old boy is brought to the physicianby his mother because of persistent vomiting for 2 days. He hasspit up intermittently since birth. He has had no diarrhea. He appears irritable. His temperature is 38 C (100.4 F), blood pressure is 90/60 mm Hg, pulse is 130/min, and respirations are 25/min. Examination shows a sunken anterior fontanelle. Mucous membranes are dry. The lungs are clear toauscultation. Heart sounds are normal. The abdomen is scaphoid, and bowel sounds are active.
15. A 7-week-old boy is brought to the physicianbecause of fever, irritability, and lethargy for 3 days. He has had no vomiting, iarrhea, or symptoms of an upper respiratory tract
infection. He always seems hungry to his mother despite being fed 3 ounces offormula every 3 hours. His mother also notes that he has many wet diapers throughout the day and night. He currently appears irritable. His temperature is 37.8
C (100 F), blood pressure is 80/50 mm Hg, pulse is150/min, and respirations are 25/min. Examination shows a sunken
anterior fontanelle. Mucous membranes are dry. There is tenting of theskin. Examination shows no other abnormalities. Urinalysis is negative for glucose and protein.
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| robin082006
Forum Hero
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14--> A hypokalemic hypochloremic metabolic alkalosis due to excessive vomitting
15--> C hypernatremia and urinary hypoosmolarity due to Diabetes Insipidus
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| fongch
Forum Elite
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But the pH in A is 5, how could that be alkalosis?
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| sandra
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what explains the fever in the second case?
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| coolmavs
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Gus, i agree with Robin on both counts! What do you feel?
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| sprint123
Forum Guru
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In the second case--Isn't it UTI causing dehydration--->So increased Na, Increased Specific gravity of the urine--I go for D!
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| passck
Forum Newbie
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Posts: 1
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Inadequate fluid consumption can result in the following complications:
* Dehydration
o Dry skin
o Dry mucous membranes
o Sunken appearance to eyes
o Sunken fontanelles (soft spot) in infants
o Fever
o Rapid heart rate
o Unintentional weight loss
* Electrolyte imbalance
o Fatigue, lethargy
o Headache
o Irritability
o Muscle pains
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| drxyz
Forum Senior
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Posts: 95
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A
C
that is urine ph not serum
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