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?
- A)Respiratory acidosis with hypernatremia
- B)Metabolic alkalosis with hypochloremia
- C)Respiratory alkalosis with hypocalcemia
- D)Normal anion gap metabolic acidosis with hypokalemiaGABARITO
- 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 →