Adam
Forum Senior
Topics: 6
Posts: 136
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let me discuss it, the patient has intractable vomiting ==> the chloride must be low due to losing stomach HCL... thus it's between A & B.
the pateint has low blood pressure due to losing fluids.. so the renin-angiotensin-aldosterone will be active and it'll decrease K, and save Na & water..... so i go with ( B ).
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| cookie909
Forum Newbie
Topics: 0
Posts: 18
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If the renin-angiotensin system is saving Na & water...would the BP be that low?...just a thought....i choose A
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| dr19
Forum Senior
Topics: 12
Posts: 120
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D
He is losing K and HCO3,then it should be D.
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| Justice
Forum Fanatic
Topics: 117
Posts: 2,324
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I give it (A)
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| mdwannabe
Forum Guru
Topics: 37
Posts: 1,133
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Pt is volume contracted... Na can be higher than actual..Vomiiting will stimulate ADH dropping Na and Cl further...plus Aldo will retain Na and waste K... Pt loosing HCl...so K will also be shifted to compensate for low H+...Cl is lost as well...Bicard can be high....48hrs is just the time for renal compensation to start...so not fully compensated yet...
So I d go with B
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| sprint123
Forum Guru
Topics: 129
Posts: 870
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Vomiting--->Metabolic alkalosis-->Secondary hyperaldosteronism--->Decreased Potassium and Increased sodium...BUT..Sodium could also be NORMAL sometimes due to the effect of ADH..
aNSWER IS b.
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| dr.wad
Forum Senior
Topics: 3
Posts: 350
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for sure ( B )
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