The patient is a 35-year-old female with

The patient is a 35-year-old female with AIDS brought to the emergency room with a fever of 39°C and a three month history of copious diarrhea. On physical exam the patient is a well-developed, thin female in moderate distress. Vital signs are as follows: Blood pressure 100/60 Pulse 125 Respirations 18 Temp 98.6 degrees Fahrenheit afebrile. The abdomen was supple and minimally tender to palpation. Bowel sounds were hyperactive. Sodium: 136 Potassium: 3.4 Chloride: 112 Total CO2: 14 BUN: 30 Creatinine: 1.5 Glucose: 105 Arterial Blood Gas results are as follows: pH: 7.35 PCO2: 27 mmHg PO2: 90 mmHg HCO3: 14 mmol/L 1.) What is causing her acid-base status? 2.) What Acid base abnormalities would you expect based on this information? 3.) What physical findings would you expect to see from such an acid base disturbance? 4.) Review her blood gases. What is the primary acid-base abnormality? How did you decide that? SCIENCE HEALTH SCIENCE NURSING RNSG 1533

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