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An Acid Base Case

April 6, 2008

60 yo male with strong alcohol history is admitted for cellulitis. On his second day in the hospital he develops delirium tremens and aspirates. In the ICU he requires sedation for his DTs.

He had the following laboratory values on the 3 rd day:

Electrolyte panel
Na 142 Cl 110 BUN 9.6
K 4.5 HCO3 17 creat 176
Blood Sugar 25.9
ABG
pH 7.24
pCO2 25
pO2 126
calc HCO3 10

His albumin is 3gram His serum osms are 345. His admission creatinine was 1.4.

Please explain his acid base disorder!
Answer:

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