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A 32-year-old woman was admitted to the hospital following 2½ days of severe vomiting. Before this episode, she was reportedly well. Physical findings revealed decreased skin turgor and dry mucous membranes. Admission study results were as follows: Serum Nat: 129 mmol/L Kt: 5.0 mmol/L • Cl: 77 mmol/L HCO3: 9 mmol/L Osmolality: 265 mOsm/kg Urine 1. 2. • Nat: 8 mmol/d • Ketones: trace Questions What is the cause for each abnormal plasma electrolyte result? What is the significance of the urine sodium and serum osmolality results?

A 32-year-old woman was admitted to the hospital following 2½ days of severe vomiting. Before this episode, she was reportedly well. Physical findings revealed decreased skin turgor and dry mucous membranes. Admission study results were as follows: Serum Nat: 129 mmol/L Kt: 5.0 mmol/L • Cl: 77 mmol/L HCO3: 9 mmol/L Osmolality: 265 mOsm/kg Urine 1. 2. • Nat: 8 mmol/d • Ketones: trace Questions What is the cause for each abnormal plasma electrolyte result? What is the significance of the urine sodium and serum osmolality results?

Biochemistry
Biochemistry
9th Edition
ISBN:9781319114671
Author:Lubert Stryer, Jeremy M. Berg, John L. Tymoczko, Gregory J. Gatto Jr.
Publisher:Lubert Stryer, Jeremy M. Berg, John L. Tymoczko, Gregory J. Gatto Jr.
Chapter1: Biochemistry: An Evolving Science
Section: Chapter Questions
Problem 1P
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A 32-year-old woman was admitted to the hospital following 2½ days of severe vomiting. Before this episode, she was reportedly well. Physical findings revealed decreased skin turgor and dry mucous membranes. Admission study results were as follows: Serum Na: 129 mmol/L Kt: 5.0 mmol/L . Cl: 77 mmol/L HCO3: 9 mmol/L • Osmolality: 265 mOsm/kg Urine 1. 2. ● Na: 8 mmol/d • Ketones: trace Questions What is the cause for each abnormal plasma electrolyte result? What is the significance of the urine sodium and serum osmolality results?
Transcribed Image Text:A 32-year-old woman was admitted to the hospital following 2½ days of severe vomiting. Before this episode, she was reportedly well. Physical findings revealed decreased skin turgor and dry mucous membranes. Admission study results were as follows: Serum Na: 129 mmol/L Kt: 5.0 mmol/L . Cl: 77 mmol/L HCO3: 9 mmol/L • Osmolality: 265 mOsm/kg Urine 1. 2. ● Na: 8 mmol/d • Ketones: trace Questions What is the cause for each abnormal plasma electrolyte result? What is the significance of the urine sodium and serum osmolality results?
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