A 47-year-old woman with Crohn disease has had months of watery diarrhea. She now complains of weakness and lightheadedness. Laboratory studies show sodium 138 mEq/L, potassium 2.8 mEq/L, chloride 114 mEq/L, bicarbonate 15 mEq/L, and creatinine 1.0 mg/dL. Which of the following acid-base and electrolyte abnormalities is most likely present?

  1. A)Respiratory acidosis with hypernatremia
  2. B)Metabolic alkalosis with hypochloremia
  3. C)Respiratory alkalosis with hypocalcemia
  4. D)Normal anion gap metabolic acidosis with hypokalemiaGABARITO
  5. E)High anion gap metabolic acidosis with hyperkalemia

Explicação

Chronic diarrhea causes loss of bicarbonate and potassium producing a normal anion gap metabolic acidosis with hypokalemia. Ver explicação completa e trilha adaptativa →

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